Clinical Document Architecture V2.1
2.1.0 - CI Build

Clinical Document Architecture V2.1, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/cda-core-2.0/ and changes regularly. See the Directory of published versions

Logical Model: CDAR2.Act - JSON Profile

JSON representation of the Act logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "Act",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>A derivative of the RIM Act class, to be used when the other more specific classes aren't appropriate.</p>\n      <p>Act.negationInd, when set to &quot;true&quot;, is a positive assertion that the Act as a whole is negated. Some properties such as Act.id, Act.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Act. An act statement with negationInd is still a statement about the specific fact described by the Act. For instance, a negated &quot;finding of wheezing on July 1&quot; means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.</p>\n    </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
      "valueUri" : "urn:hl7-org:v3"
    }
  ],
  "url" : "http://hl7.org/fhir/cda/StructureDefinition/Act",
  "version" : "2.1.0",
  "name" : "CDAR2.Act",
  "title" : "Act (CDA Class)",
  "status" : "active",
  "experimental" : false,
  "date" : "2020-07-14T20:15:37+00:00",
  "publisher" : "Health Level 7",
  "description" : "A derivative of the RIM Act class, to be used when the other more specific classes aren't appropriate.\nAct.negationInd, when set to \"true\", is a positive assertion that the Act as a whole is negated. Some properties such as Act.id, Act.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Act. An act statement with negationInd is still a statement about the specific fact described by the Act. For instance, a negated \"finding of wheezing on July 1\" means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.",
  "fhirVersion" : "4.0.1",
  "kind" : "logical",
  "abstract" : false,
  "type" : "Act",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [
      {
        "id" : "Act",
        "path" : "Act",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false
      },
      {
        "id" : "Act.classCode",
        "path" : "Act.classCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.classCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "Act.moodCode",
        "path" : "Act.moodCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.moodCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "Act.templateId",
        "path" : "Act.templateId",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Act.id",
        "path" : "Act.id",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.id",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Act.code",
        "path" : "Act.code",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.code",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id" : "Act.negationInd",
        "path" : "Act.negationInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.negationInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "Act.text",
        "path" : "Act.text",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Act.statusCode",
        "path" : "Act.statusCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.effectiveTime",
        "path" : "Act.effectiveTime",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.effectiveTime",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Act.priorityCode",
        "path" : "Act.priorityCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.languageCode",
        "path" : "Act.languageCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.subject",
        "path" : "Act.subject",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.subject.typeCode",
        "path" : "Act.subject.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.subject.contextControlCode",
        "path" : "Act.subject.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.subject.awarenessCode",
        "path" : "Act.subject.awarenessCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.subject.relatedSubject",
        "path" : "Act.subject.relatedSubject",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.subject.relatedSubject",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
          }
        ]
      },
      {
        "id" : "Act.specimen",
        "path" : "Act.specimen",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.specimen",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.specimen.typeCode",
        "path" : "Act.specimen.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.specimen.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "defaultValueCode" : "SPC",
        "fixedCode" : "SPC",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"
        }
      },
      {
        "id" : "Act.specimen.specimenRole",
        "path" : "Act.specimen.specimenRole",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.specimen.specimenRole",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/SpecimenRole"
          }
        ]
      },
      {
        "id" : "Act.performer",
        "path" : "Act.performer",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.performer.typeCode",
        "path" : "Act.performer.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.performer.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "defaultValueCode" : "PRF",
        "fixedCode" : "PRF",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer"
        }
      },
      {
        "id" : "Act.performer.time",
        "path" : "Act.performer.time",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.performer.time",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Act.performer.modeCode",
        "path" : "Act.performer.modeCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.performer.modeCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
        }
      },
      {
        "id" : "Act.performer.assignedEntity",
        "path" : "Act.performer.assignedEntity",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.performer.assignedEntity",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
          }
        ]
      },
      {
        "id" : "Act.author",
        "path" : "Act.author",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Author"
          }
        ]
      },
      {
        "id" : "Act.informant",
        "path" : "Act.informant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.informant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.informant.typeCode",
        "path" : "Act.informant.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.informant.contextControlCode",
        "path" : "Act.informant.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.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" : "Act.informant.assignedEntity",
        "path" : "Act.informant.assignedEntity",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.informant.assignedEntity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
          }
        ]
      },
      {
        "id" : "Act.informant.relatedEntity",
        "path" : "Act.informant.relatedEntity",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.informant.relatedEntity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
          }
        ]
      },
      {
        "id" : "Act.participant",
        "path" : "Act.participant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.participant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.participant.typeCode",
        "path" : "Act.participant.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.participant.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
        }
      },
      {
        "id" : "Act.participant.contextControlCode",
        "path" : "Act.participant.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.participant.contextControlCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "defaultValueCode" : "OP",
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id" : "Act.participant.time",
        "path" : "Act.participant.time",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.participant.time",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Act.participant.awarenessCode",
        "path" : "Act.participant.awarenessCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.participant.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" : "Act.participant.participantRole",
        "path" : "Act.participant.participantRole",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.participant.participantRole",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship",
        "path" : "Act.entryRelationship",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.entryRelationship",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship.typeCode",
        "path" : "Act.entryRelationship.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship.inversionInd",
        "path" : "Act.entryRelationship.inversionInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.inversionInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship.contextConductionInd",
        "path" : "Act.entryRelationship.contextConductionInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.contextConductionInd",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "defaultValueBoolean" : true
      },
      {
        "id" : "Act.entryRelationship.sequenceNumber",
        "path" : "Act.entryRelationship.sequenceNumber",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.sequenceNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship.negationInd",
        "path" : "Act.entryRelationship.negationInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.negationInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship.seperatableInd",
        "path" : "Act.entryRelationship.seperatableInd",
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        "max" : "1",
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          "path" : "Act.entryRelationship.seperatableInd",
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
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        ]
      },
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        "id" : "Act.entryRelationship.observation",
        "path" : "Act.entryRelationship.observation",
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        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.observation",
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          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation"
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        ]
      },
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        "id" : "Act.entryRelationship.regionOfInterest",
        "path" : "Act.entryRelationship.regionOfInterest",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.regionOfInterest",
          "min" : 0,
          "max" : "1"
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
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        ]
      },
      {
        "id" : "Act.entryRelationship.observationMedia",
        "path" : "Act.entryRelationship.observationMedia",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.observationMedia",
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          "max" : "1"
        },
        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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        ]
      },
      {
        "id" : "Act.entryRelationship.substanceAdministration",
        "path" : "Act.entryRelationship.substanceAdministration",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.substanceAdministration",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
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        ]
      },
      {
        "id" : "Act.entryRelationship.supply",
        "path" : "Act.entryRelationship.supply",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.supply",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Supply"
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        ]
      },
      {
        "id" : "Act.entryRelationship.procedure",
        "path" : "Act.entryRelationship.procedure",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.procedure",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
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        ]
      },
      {
        "id" : "Act.entryRelationship.encounter",
        "path" : "Act.entryRelationship.encounter",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.encounter",
          "min" : 0,
          "max" : "1"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
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        ]
      },
      {
        "id" : "Act.entryRelationship.organizer",
        "path" : "Act.entryRelationship.organizer",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.organizer",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
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        ]
      },
      {
        "id" : "Act.entryRelationship.act",
        "path" : "Act.entryRelationship.act",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.entryRelationship.act",
          "min" : 0,
          "max" : "1"
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        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Act"
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        ]
      },
      {
        "id" : "Act.reference",
        "path" : "Act.reference",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.reference",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
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        ]
      },
      {
        "id" : "Act.reference.typeCode",
        "path" : "Act.reference.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.reference.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
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        ]
      },
      {
        "id" : "Act.reference.seperatableInd",
        "path" : "Act.reference.seperatableInd",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.reference.seperatableInd",
          "min" : 0,
          "max" : "1"
        },
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
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        ]
      },
      {
        "id" : "Act.reference.externalAct",
        "path" : "Act.reference.externalAct",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.reference.externalAct",
          "min" : 0,
          "max" : "1"
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        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
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        ]
      },
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        "id" : "Act.reference.externalObservation",
        "path" : "Act.reference.externalObservation",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.reference.externalObservation",
          "min" : 0,
          "max" : "1"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
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        ]
      },
      {
        "id" : "Act.reference.externalProcedure",
        "path" : "Act.reference.externalProcedure",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.reference.externalProcedure",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
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        ]
      },
      {
        "id" : "Act.reference.externalDocument",
        "path" : "Act.reference.externalDocument",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Act.reference.externalDocument",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
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        ]
      },
      {
        "id" : "Act.precondition",
        "path" : "Act.precondition",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Act.precondition",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
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        ]
      },
      {
        "id" : "Act.precondition.typeCode",
        "path" : "Act.precondition.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.precondition.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "PRCN",
        "fixedCode" : "PRCN",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional"
        }
      },
      {
        "id" : "Act.precondition.criterion",
        "path" : "Act.precondition.criterion",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Act.precondition.criterion",
          "min" : 1,
          "max" : "1"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Criterion"
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        ]
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    ]
  },
  "differential" : {
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      {
        "id" : "Act",
        "path" : "Act",
        "min" : 1,
        "max" : "1"
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      {
        "id" : "Act.classCode",
        "path" : "Act.classCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ]
      },
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        "id" : "Act.moodCode",
        "path" : "Act.moodCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ]
      },
      {
        "id" : "Act.templateId",
        "path" : "Act.templateId",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
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        ]
      },
      {
        "id" : "Act.id",
        "path" : "Act.id",
        "min" : 0,
        "max" : "*",
        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
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      {
        "id" : "Act.code",
        "path" : "Act.code",
        "min" : 1,
        "max" : "1",
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          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
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        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
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      },
      {
        "id" : "Act.negationInd",
        "path" : "Act.negationInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
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        ]
      },
      {
        "id" : "Act.text",
        "path" : "Act.text",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
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        ]
      },
      {
        "id" : "Act.statusCode",
        "path" : "Act.statusCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
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        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id" : "Act.effectiveTime",
        "path" : "Act.effectiveTime",
        "min" : 0,
        "max" : "1",
        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
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        ]
      },
      {
        "id" : "Act.priorityCode",
        "path" : "Act.priorityCode",
        "min" : 0,
        "max" : "1",
        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id" : "Act.languageCode",
        "path" : "Act.languageCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
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        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
        }
      },
      {
        "id" : "Act.subject",
        "path" : "Act.subject",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.subject.typeCode",
        "path" : "Act.subject.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "SBJ",
        "fixedCode" : "SBJ",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
        }
      },
      {
        "id" : "Act.subject.contextControlCode",
        "path" : "Act.subject.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "OP",
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id" : "Act.subject.awarenessCode",
        "path" : "Act.subject.awarenessCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id" : "Act.subject.relatedSubject",
        "path" : "Act.subject.relatedSubject",
        "min" : 1,
        "max" : "1",
        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
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        ]
      },
      {
        "id" : "Act.specimen",
        "path" : "Act.specimen",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Element"
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        ]
      },
      {
        "id" : "Act.specimen.typeCode",
        "path" : "Act.specimen.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "SPC",
        "fixedCode" : "SPC",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"
        }
      },
      {
        "id" : "Act.specimen.specimenRole",
        "path" : "Act.specimen.specimenRole",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/SpecimenRole"
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        ]
      },
      {
        "id" : "Act.performer",
        "path" : "Act.performer",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Element"
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        ]
      },
      {
        "id" : "Act.performer.typeCode",
        "path" : "Act.performer.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "PRF",
        "fixedCode" : "PRF",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer"
        }
      },
      {
        "id" : "Act.performer.time",
        "path" : "Act.performer.time",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
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        ]
      },
      {
        "id" : "Act.performer.modeCode",
        "path" : "Act.performer.modeCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
        }
      },
      {
        "id" : "Act.performer.assignedEntity",
        "path" : "Act.performer.assignedEntity",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
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        ]
      },
      {
        "id" : "Act.author",
        "path" : "Act.author",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Author"
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        ]
      },
      {
        "id" : "Act.informant",
        "path" : "Act.informant",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Element"
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        ]
      },
      {
        "id" : "Act.informant.typeCode",
        "path" : "Act.informant.typeCode",
        "representation" : [
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        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "INF",
        "fixedCode" : "INF",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
        }
      },
      {
        "id" : "Act.informant.contextControlCode",
        "path" : "Act.informant.contextControlCode",
        "representation" : [
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        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
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        ],
        "defaultValueCode" : "OP",
        "fixedCode" : "OP",
        "binding" : {
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          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
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      },
      {
        "id" : "Act.informant.assignedEntity",
        "path" : "Act.informant.assignedEntity",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
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        ]
      },
      {
        "id" : "Act.informant.relatedEntity",
        "path" : "Act.informant.relatedEntity",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
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        ]
      },
      {
        "id" : "Act.participant",
        "path" : "Act.participant",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
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        ]
      },
      {
        "id" : "Act.participant.typeCode",
        "path" : "Act.participant.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "binding" : {
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          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
        }
      },
      {
        "id" : "Act.participant.contextControlCode",
        "path" : "Act.participant.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "OP",
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id" : "Act.participant.time",
        "path" : "Act.participant.time",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
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        ]
      },
      {
        "id" : "Act.participant.awarenessCode",
        "path" : "Act.participant.awarenessCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id" : "Act.participant.participantRole",
        "path" : "Act.participant.participantRole",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole"
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        ]
      },
      {
        "id" : "Act.entryRelationship",
        "path" : "Act.entryRelationship",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Act.entryRelationship.typeCode",
        "path" : "Act.entryRelationship.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
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        ]
      },
      {
        "id" : "Act.entryRelationship.inversionInd",
        "path" : "Act.entryRelationship.inversionInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
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        ]
      },
      {
        "id" : "Act.entryRelationship.contextConductionInd",
        "path" : "Act.entryRelationship.contextConductionInd",
        "representation" : [
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        }
      },
      {
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        "max" : "1",
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          {
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    ]
  }
}