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: TobaccoUse - JSON Profile

Active as of 2022-05-13

JSON representation of the 2.16.840.1.113883.10.20.22.4.85 resource profile.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "2.16.840.1.113883.10.20.22.4.85",
      "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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">CDAR2.Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></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-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.classCode\">classCode</a><a name=\"Observation.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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\">OBS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.moodCode\">moodCode</a><a name=\"Observation.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"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:root, value:extension</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.templateId:primary.root\">root</a><a name=\"Observation.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..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\">2.16.840.1.113883.10.20.22.4.85</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.templateId:primary.extension\">extension</a><a name=\"Observation.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.id\">id</a><a name=\"Observation.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</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_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-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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>\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-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.code.code\">code</a><a name=\"Observation.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\">11367-0</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.code.codeSystem\">codeSystem</a><a name=\"Observation.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\">2.16.840.1.113883.6.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.statusCode\">statusCode</a><a name=\"Observation.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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.statusCode.code\">code</a><a name=\"Observation.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\">Required Pattern: </span><span style=\"color: darkgreen\">completed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.effectiveTime\">effectiveTime</a><a name=\"Observation.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..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\">The effectiveTime represents the biologically relevant time of the observation. A &quot;former smoker&quot; is recorded with the proper code &quot;current smoker&quot; with an effectiveTime/low and effectiveTime/high  defining the time during which the patient was a smoker.</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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.effectiveTime.low\">low</a><a name=\"Observation.effectiveTime.low\"> </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-TS.html\">TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.effectiveTime.high\">high</a><a name=\"Observation.effectiveTime.high\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html\">TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.value\">value</a><a name=\"Observation.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.value.code\">code</a><a name=\"Observation.value.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\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.41/expansion\">Tobacco Use</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>\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_bck00.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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.85-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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>\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/2.16.840.1.113883.10.20.22.4.85",
      "identifier" : [
        {
          "value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.85:2014-06-09"
        }
      ],
      "version" : "2.2",
      "name" : "TobaccoUse",
      "title" : "Tobacco Use",
      "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 template represents a patient's tobacco use. \n\nAll the types of tobacco use are represented using the codes from the tobacco use and exposure-finding hierarchy in SNOMED CT, including codes required for recording smoking status in Meaningful Use Stage 2. \n\nThe effectiveTime element is used to describe dates associated with the patient's tobacco use. Whereas the Smoking Status - Meaningful Use (V2) template (2.16.840.1.113883.10.20.22.4.78:2014-06-09) represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation, this Tobacco Use template uses effectiveTime to represent the biologically relevant time of the observation. Thus, to record a former smoker, an observation of \"cigarette smoker\" will have an effectiveTime/low defining the time the patient started to smoke cigarettes and an effectiveTime/high defining the time the patient ceased to smoke cigarettes. To record a current smoker, the effectiveTime/low will define the time the patient started smoking and will have no effectiveTime/high to indicated that the patient is still smoking.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "fhirVersion" : "4.0.1",
      "kind" : "resource",
      "abstract" : false,
      "type" : "Observation",
      "baseDefinition" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
      "derivation" : "constraint",
      "snapshot" : {
        "element" : [
          {
            "id" : "Observation",
            "path" : "Observation",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Base",
              "min" : 0,
              "max" : "*"
            },
            "isModifier" : false
          },
          {
            "id" : "Observation.classCode",
            "path" : "Observation.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "requirements" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16558).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "patternCode" : "OBS",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
            }
          },
          {
            "id" : "Observation.moodCode",
            "path" : "Observation.moodCode",
            "representation" : [
              "xmlAttr"
            ],
            "requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16559).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.moodCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "patternCode" : "EVN"
          },
          {
            "id" : "Observation.negationInd",
            "path" : "Observation.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.negationInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ]
          },
          {
            "id" : "Observation.realmCode",
            "path" : "Observation.realmCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Observation.typeId",
            "path" : "Observation.typeId",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.templateId",
            "path" : "Observation.templateId",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "root"
                },
                {
                  "type" : "value",
                  "path" : "extension"
                }
              ],
              "rules" : "open"
            },
            "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.templateId:primary",
            "path" : "Observation.templateId",
            "sliceName" : "primary",
            "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
            "requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1098-16566) such that it",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.templateId:primary.nullFlavor",
            "path" : "Observation.templateId.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Observation.templateId:primary.assigningAuthorityName",
            "path" : "Observation.templateId.assigningAuthorityName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Assigning Authority Name",
            "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "II.assigningAuthorityName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.templateId:primary.displayable",
            "path" : "Observation.templateId.displayable",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Displayable",
            "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "II.displayable",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ]
          },
          {
            "id" : "Observation.templateId:primary.root",
            "path" : "Observation.templateId.root",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Root",
            "definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
            "requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.85\" (CONF:1098-16567).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "II.root",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "2.16.840.1.113883.10.20.22.4.85"
          },
          {
            "id" : "Observation.templateId:primary.extension",
            "path" : "Observation.templateId.extension",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Extension",
            "definition" : "A character string as a unique identifier within the scope of the identifier root.",
            "requirements" : "SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1098-32589).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "II.extension",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "2014-06-09"
          },
          {
            "id" : "Observation.id",
            "path" : "Observation.id",
            "requirements" : "SHALL contain at least one [1..*] id (CONF:1098-32400).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Observation.id",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.code",
            "path" : "Observation.code",
            "representation" : [
              "typeAttr"
            ],
            "requirements" : "SHALL contain exactly one [1..1] code (CONF:1098-19174).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.code",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationType"
            }
          },
          {
            "id" : "Observation.code.nullFlavor",
            "path" : "Observation.code.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Observation.code.code",
            "path" : "Observation.code.code",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code",
            "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
            "requirements" : "This code SHALL contain exactly one [1..1] @code=\"11367-0\" History of tobacco use (CONF:1098-19175).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "CD.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "11367-0"
          },
          {
            "id" : "Observation.code.codeSystem",
            "path" : "Observation.code.codeSystem",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System",
            "definition" : "Specifies the code system that defines the code.",
            "requirements" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32172).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystem",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "2.16.840.1.113883.6.1"
          },
          {
            "id" : "Observation.code.codeSystemName",
            "path" : "Observation.code.codeSystemName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Name",
            "definition" : "The common name of the coding system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystemName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.code.codeSystemVersion",
            "path" : "Observation.code.codeSystemVersion",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Version",
            "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystemVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.code.displayName",
            "path" : "Observation.code.displayName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Display Name",
            "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.displayName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.code.sdtcValueSet",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSet"
              }
            ],
            "path" : "Observation.code.sdtcValueSet",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.valueSet",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.code.sdtcValueSetVersion",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSetVersion"
              }
            ],
            "path" : "Observation.code.sdtcValueSetVersion",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.sdtcValueSetVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.code.originalText",
            "path" : "Observation.code.originalText",
            "label" : "Original Text",
            "definition" : "The text or phrase used as the basis for the coding.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.originalText",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Observation.code.qualifier",
            "path" : "Observation.code.qualifier",
            "label" : "Qualifier",
            "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CD.qualifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
              }
            ]
          },
          {
            "id" : "Observation.code.translation",
            "path" : "Observation.code.translation",
            "representation" : [
              "typeAttr"
            ],
            "label" : "Translation",
            "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CD.translation",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.derivationExpr",
            "path" : "Observation.derivationExpr",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.derivationExpr",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ST"
              }
            ]
          },
          {
            "id" : "Observation.text",
            "path" : "Observation.text",
            "representation" : [
              "typeAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Observation.statusCode",
            "path" : "Observation.statusCode",
            "requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1098-16561).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.statusCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
            }
          },
          {
            "id" : "Observation.statusCode.nullFlavor",
            "path" : "Observation.statusCode.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" : "Observation.statusCode.code",
            "path" : "Observation.statusCode.code",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code",
            "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
            "requirements" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19118).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "CD.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "completed"
          },
          {
            "id" : "Observation.statusCode.codeSystem",
            "path" : "Observation.statusCode.codeSystem",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System",
            "definition" : "Specifies the code system that defines the code.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.codeSystem",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.codeSystemName",
            "path" : "Observation.statusCode.codeSystemName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Name",
            "definition" : "The common name of the coding system.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.codeSystemName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.codeSystemVersion",
            "path" : "Observation.statusCode.codeSystemVersion",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Version",
            "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.codeSystemVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.displayName",
            "path" : "Observation.statusCode.displayName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Display Name",
            "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.displayName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.sdtcValueSet",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSet"
              }
            ],
            "path" : "Observation.statusCode.sdtcValueSet",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.valueSet",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.sdtcValueSetVersion",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSetVersion"
              }
            ],
            "path" : "Observation.statusCode.sdtcValueSetVersion",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.sdtcValueSetVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.originalText",
            "path" : "Observation.statusCode.originalText",
            "label" : "Original Text",
            "definition" : "The text or phrase used as the basis for the coding.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.originalText",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.qualifier",
            "path" : "Observation.statusCode.qualifier",
            "label" : "Qualifier",
            "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.qualifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
              }
            ]
          },
          {
            "id" : "Observation.statusCode.translation",
            "path" : "Observation.statusCode.translation",
            "representation" : [
              "typeAttr"
            ],
            "label" : "Translation",
            "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "CD.translation",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime",
            "path" : "Observation.effectiveTime",
            "label" : "The effectiveTime represents the biologically relevant time of the observation. A \"former smoker\" is recorded with the proper code \"current smoker\" with an effectiveTime/low and effectiveTime/high  defining the time during which the patient was a smoker.",
            "short" : "The effectiveTime represents the biologically relevant time of the observation. A \"former smoker\" is recorded with the proper code \"current smoker\" with an effectiveTime/low and effectiveTime/high  defining the time during which the patient was a smoker.",
            "requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16564).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.effectiveTime",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.nullFlavor",
            "path" : "Observation.effectiveTime.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Observation.effectiveTime.value",
            "extension" : [
              {
                "url" : "http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat",
                "valueString" : "v3"
              }
            ],
            "path" : "Observation.effectiveTime.value",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "TS.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.inclusive",
            "path" : "Observation.effectiveTime.inclusive",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "TS.inclusive",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.operator",
            "path" : "Observation.effectiveTime.operator",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "SXCM_TS.operator",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.low",
            "path" : "Observation.effectiveTime.low",
            "label" : "Low Boundary",
            "definition" : "This is the low limit of the interval.",
            "requirements" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-16565).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.low",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.high",
            "path" : "Observation.effectiveTime.high",
            "label" : "High Boundary",
            "definition" : "This is the high limit of the interval.",
            "requirements" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31431).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.high",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.width",
            "path" : "Observation.effectiveTime.width",
            "label" : "Width",
            "definition" : "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.width",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/PQ"
              }
            ]
          },
          {
            "id" : "Observation.effectiveTime.center",
            "path" : "Observation.effectiveTime.center",
            "label" : "Central Value",
            "definition" : "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.center",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
              }
            ]
          },
          {
            "id" : "Observation.priorityCode",
            "path" : "Observation.priorityCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.priorityCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
            }
          },
          {
            "id" : "Observation.repeatNumber",
            "path" : "Observation.repeatNumber",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.repeatNumber",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"
              }
            ]
          },
          {
            "id" : "Observation.languageCode",
            "path" : "Observation.languageCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.languageCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
            }
          },
          {
            "id" : "Observation.value",
            "path" : "Observation.value",
            "representation" : [
              "typeAttr"
            ],
            "requirements" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\" (CONF-1098-16562).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.value",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.value.nullFlavor",
            "path" : "Observation.value.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" : "Observation.value.code",
            "path" : "Observation.value.code",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code",
            "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
            "requirements" : "This value SHALL contain exactly one [1..1] @code,  which SHALL be selected from ValueSet Tobacco Use urn:oid:2.16.840.1.113883.11.20.9.41 DYNAMIC (CONF:1098-16563).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "CD.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.41"
            }
          },
          {
            "id" : "Observation.value.codeSystem",
            "path" : "Observation.value.codeSystem",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System",
            "definition" : "Specifies the code system that defines the code.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystem",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.value.codeSystemName",
            "path" : "Observation.value.codeSystemName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Name",
            "definition" : "The common name of the coding system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystemName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.value.codeSystemVersion",
            "path" : "Observation.value.codeSystemVersion",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Version",
            "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystemVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.value.displayName",
            "path" : "Observation.value.displayName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Display Name",
            "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.displayName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.value.sdtcValueSet",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSet"
              }
            ],
            "path" : "Observation.value.sdtcValueSet",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.valueSet",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.value.sdtcValueSetVersion",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSetVersion"
              }
            ],
            "path" : "Observation.value.sdtcValueSetVersion",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.sdtcValueSetVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Observation.value.originalText",
            "path" : "Observation.value.originalText",
            "label" : "Original Text",
            "definition" : "The text or phrase used as the basis for the coding.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.originalText",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Observation.value.qualifier",
            "path" : "Observation.value.qualifier",
            "label" : "Qualifier",
            "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CD.qualifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
              }
            ]
          },
          {
            "id" : "Observation.value.translation",
            "path" : "Observation.value.translation",
            "representation" : [
              "typeAttr"
            ],
            "label" : "Translation",
            "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CD.translation",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.interpretationCode",
            "path" : "Observation.interpretationCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.interpretationCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
            }
          },
          {
            "id" : "Observation.methodCode",
            "path" : "Observation.methodCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.methodCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
            }
          },
          {
            "id" : "Observation.targetSiteCode",
            "path" : "Observation.targetSiteCode",
            "definition" : "Drawn from concept domain ActSite",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.targetSiteCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.subject",
            "path" : "Observation.subject",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Element"
              }
            ]
          },
          {
            "id" : "Observation.subject.typeCode",
            "path" : "Observation.subject.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "defaultValueCode" : "SBJ",
            "fixedCode" : "SBJ",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
            }
          },
          {
            "id" : "Observation.subject.contextControlCode",
            "path" : "Observation.subject.contextControlCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject.contextControlCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "defaultValueCode" : "OP",
            "fixedCode" : "OP",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
            }
          },
          {
            "id" : "Observation.subject.awarenessCode",
            "path" : "Observation.subject.awarenessCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject.awarenessCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
            }
          },
          {
            "id" : "Observation.subject.relatedSubject",
            "path" : "Observation.subject.relatedSubject",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject.relatedSubject",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
              }
            ]
          },
          {
            "id" : "Observation.specimen",
            "path" : "Observation.specimen",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.specimen",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
              }
            ]
          },
          {
            "id" : "Observation.performer",
            "path" : "Observation.performer",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.performer",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
              }
            ]
          },
          {
            "id" : "Observation.author",
            "path" : "Observation.author",
            "requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31152).",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.author",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Author",
                "profile" : [
                  "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
                ]
              }
            ],
            "isModifier" : false
          },
          {
            "id" : "Observation.informant",
            "path" : "Observation.informant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.informant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Element"
              }
            ]
          },
          {
            "id" : "Observation.informant.typeCode",
            "path" : "Observation.informant.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.informant.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "defaultValueCode" : "INF",
            "fixedCode" : "INF",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
            }
          },
          {
            "id" : "Observation.informant.contextControlCode",
            "path" : "Observation.informant.contextControlCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.informant.contextControlCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "defaultValueCode" : "OP",
            "fixedCode" : "OP",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
            }
          },
          {
            "id" : "Observation.informant.assignedEntity",
            "path" : "Observation.informant.assignedEntity",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.informant.assignedEntity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
              }
            ]
          },
          {
            "id" : "Observation.informant.relatedEntity",
            "path" : "Observation.informant.relatedEntity",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.informant.relatedEntity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
              }
            ]
          },
          {
            "id" : "Observation.participant",
            "path" : "Observation.participant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.participant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship",
            "path" : "Observation.entryRelationship",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Element"
              }
            ],
            "constraint" : [
              {
                "key" : "obs-er-1",
                "severity" : "error",
                "human" : "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
                "expression" : "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
                "source" : "http://hl7.org/fhir/cda/StructureDefinition/Observation"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.inversionInd",
            "path" : "Observation.entryRelationship.inversionInd",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.inversionInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.contextConductionInd",
            "path" : "Observation.entryRelationship.contextConductionInd",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.contextConductionInd",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "defaultValueBoolean" : true
          },
          {
            "id" : "Observation.entryRelationship.sequenceNumber",
            "path" : "Observation.entryRelationship.sequenceNumber",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.sequenceNumber",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/INT"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.negationInd",
            "path" : "Observation.entryRelationship.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.negationInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.seperatableInd",
            "path" : "Observation.entryRelationship.seperatableInd",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.seperatableInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.observation",
            "path" : "Observation.entryRelationship.observation",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.observation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.regionOfInterest",
            "path" : "Observation.entryRelationship.regionOfInterest",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.regionOfInterest",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.observationMedia",
            "path" : "Observation.entryRelationship.observationMedia",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.observationMedia",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.substanceAdministration",
            "path" : "Observation.entryRelationship.substanceAdministration",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.substanceAdministration",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.supply",
            "path" : "Observation.entryRelationship.supply",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.supply",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Supply"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.procedure",
            "path" : "Observation.entryRelationship.procedure",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.procedure",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.encounter",
            "path" : "Observation.entryRelationship.encounter",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.encounter",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.organizer",
            "path" : "Observation.entryRelationship.organizer",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.organizer",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship.act",
            "path" : "Observation.entryRelationship.act",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship.act",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Act"
              }
            ]
          },
          {
            "id" : "Observation.reference",
            "path" : "Observation.reference",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.reference",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Element"
              }
            ]
          },
          {
            "id" : "Observation.reference.typeCode",
            "path" : "Observation.reference.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.reference.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ]
          },
          {
            "id" : "Observation.reference.seperatableInd",
            "path" : "Observation.reference.seperatableInd",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.reference.seperatableInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
              }
            ]
          },
          {
            "id" : "Observation.reference.externalAct",
            "path" : "Observation.reference.externalAct",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.reference.externalAct",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
              }
            ]
          },
          {
            "id" : "Observation.reference.externalObservation",
            "path" : "Observation.reference.externalObservation",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.reference.externalObservation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
              }
            ]
          },
          {
            "id" : "Observation.reference.externalProcedure",
            "path" : "Observation.reference.externalProcedure",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.reference.externalProcedure",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
              }
            ]
          },
          {
            "id" : "Observation.reference.externalDocument",
            "path" : "Observation.reference.externalDocument",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.reference.externalDocument",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
              }
            ]
          },
          {
            "id" : "Observation.precondition",
            "path" : "Observation.precondition",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.precondition",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange",
            "path" : "Observation.referenceRange",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.referenceRange",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Element"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.typeCode",
            "path" : "Observation.referenceRange.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "defaultValueCode" : "REFV",
            "fixedCode" : "REFV",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"
            }
          },
          {
            "id" : "Observation.referenceRange.observationRange",
            "path" : "Observation.referenceRange.observationRange",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.observationRange",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationRange"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Observation",
            "path" : "Observation"
          },
          {
            "id" : "Observation.classCode",
            "path" : "Observation.classCode",
            "requirements" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16558).",
            "min" : 1,
            "max" : "1",
            "patternCode" : "OBS"
          },
          {
            "id" : "Observation.moodCode",
            "path" : "Observation.moodCode",
            "requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16559).",
            "min" : 1,
            "max" : "1",
            "patternCode" : "EVN"
          },
          {
            "id" : "Observation.templateId",
            "path" : "Observation.templateId",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "root"
                },
                {
                  "type" : "value",
                  "path" : "extension"
                }
              ],
              "rules" : "open"
            }
          },
          {
            "id" : "Observation.templateId:primary",
            "path" : "Observation.templateId",
            "sliceName" : "primary",
            "requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1098-16566) such that it",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Observation.templateId:primary.root",
            "path" : "Observation.templateId.root",
            "requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.85\" (CONF:1098-16567).",
            "min" : 1,
            "max" : "1",
            "patternString" : "2.16.840.1.113883.10.20.22.4.85"
          },
          {
            "id" : "Observation.templateId:primary.extension",
            "path" : "Observation.templateId.extension",
            "requirements" : "SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1098-32589).",
            "min" : 1,
            "max" : "1",
            "patternString" : "2014-06-09"
          },
          {
            "id" : "Observation.id",
            "path" : "Observation.id",
            "requirements" : "SHALL contain at least one [1..*] id (CONF:1098-32400).",
            "min" : 1,
            "max" : "*"
          },
          {
            "id" : "Observation.code",
            "path" : "Observation.code",
            "requirements" : "SHALL contain exactly one [1..1] code (CONF:1098-19174).",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Observation.code.code",
            "path" : "Observation.code.code",
            "requirements" : "This code SHALL contain exactly one [1..1] @code=\"11367-0\" History of tobacco use (CONF:1098-19175).",
            "min" : 1,
            "max" : "1",
            "patternString" : "11367-0"
          },
          {
            "id" : "Observation.code.codeSystem",
            "path" : "Observation.code.codeSystem",
            "requirements" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32172).",
            "min" : 1,
            "max" : "1",
            "patternString" : "2.16.840.1.113883.6.1"
          },
          {
            "id" : "Observation.statusCode",
            "path" : "Observation.statusCode",
            "requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1098-16561).",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Observation.statusCode.code",
            "path" : "Observation.statusCode.code",
            "requirements" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19118).",
            "min" : 1,
            "max" : "1",
            "patternString" : "completed"
          },
          {
            "id" : "Observation.effectiveTime",
            "path" : "Observation.effectiveTime",
            "label" : "The effectiveTime represents the biologically relevant time of the observation. A \"former smoker\" is recorded with the proper code \"current smoker\" with an effectiveTime/low and effectiveTime/high  defining the time during which the patient was a smoker.",
            "short" : "The effectiveTime represents the biologically relevant time of the observation. A \"former smoker\" is recorded with the proper code \"current smoker\" with an effectiveTime/low and effectiveTime/high  defining the time during which the patient was a smoker.",
            "requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16564).",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Observation.effectiveTime.low",
            "path" : "Observation.effectiveTime.low",
            "requirements" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-16565).",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Observation.effectiveTime.high",
            "path" : "Observation.effectiveTime.high",
            "requirements" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31431).",
            "min" : 0,
            "max" : "1"
          },
          {
            "id" : "Observation.value",
            "path" : "Observation.value",
            "requirements" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\" (CONF-1098-16562).",
            "min" : 1,
            "max" : "1",
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.value.code",
            "path" : "Observation.value.code",
            "requirements" : "This value SHALL contain exactly one [1..1] @code,  which SHALL be selected from ValueSet Tobacco Use urn:oid:2.16.840.1.113883.11.20.9.41 DYNAMIC (CONF:1098-16563).",
            "min" : 1,
            "max" : "1",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.41"
            }
          },
          {
            "id" : "Observation.author",
            "path" : "Observation.author",
            "requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31152).",
            "min" : 0,
            "max" : "*",
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Author",
                "profile" : [
                  "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
                ]
              }
            ]
          }
        ]
      }
    }