OpenEHR Base package
0.1.0 - First Draft International flag

OpenEHR Base package, published by openEHR + HL7. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/openehr-fhir/base-spec/ and changes regularly. See the Directory of published versions

Logical Model: ISM_TRANSITION - JSON Profile

Page standards status: Informative Maturity Level: 3

JSON representation of the ISM-TRANSITION logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "ISM-TRANSITION",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ISM-TRANSITION</b></p><a name=\"ISM-TRANSITION\"> </a><a name=\"hcISM-TRANSITION\"> </a><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 : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" 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 : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISM-TRANSITION-definitions.html#ISM_TRANSITION\" title=\"Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. \">ISM_TRANSITION</a><a name=\"ISM_TRANSITION\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( Current_state_valid, Transition_valid )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-PATHABLE.html\">PATHABLE</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Model of a transition in the Instruction State Machine, caused by a careflow step.<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Current state valid\" class=\"constraint\">Current_state_valid</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Transition valid must be present\" class=\"constraint\">Transition_valid</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISM-TRANSITION-definitions.html#ISM_TRANSITION.current-state\" title=\"The ISM current state. Coded by openEHR terminology group Instruction states.\">current_state</a><a name=\"ISM_TRANSITION.current_state\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-DV-CODED-TEXT.html\">DV_CODED_TEXT</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The ISM current state.</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 : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISM-TRANSITION-definitions.html#ISM_TRANSITION.transition\" title=\"The ISM transition which occurred to arrive in the current_state. Coded by openEHR terminology group  Instruction transitions.\">transition</a><a name=\"ISM_TRANSITION.transition\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-DV-CODED-TEXT.html\">DV_CODED_TEXT</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The ISM transition which occurred to arrive in the current_state.</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 : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISM-TRANSITION-definitions.html#ISM_TRANSITION.careflow-step\" title=\"The step in the careflow process which occurred as part of generating this action, e.g.  dispense ,  start_administration. This attribute represents the clinical  label for the activity, as  opposed to current_state which represents  the state machine (ISM)  computable form. Defined in archetype.\">careflow_step</a><a name=\"ISM_TRANSITION.careflow_step\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-DV-CODED-TEXT.html\">DV_CODED_TEXT</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The step in the careflow process which occurred as part of generating this action, e.</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 : var(--ig-left,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-ISM-TRANSITION-definitions.html#ISM_TRANSITION.reason\" title=\"Optional possibility of adding one or more reasons for this careflow step having been taken. Multiple reasons may occur in medication management for example.\">reason</a><a name=\"ISM_TRANSITION.reason\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-DV-TEXT.html\">DV_TEXT</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Optional possibility of adding one or more reasons for this careflow step having been taken.<br/></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/web-source",
      "valueUrl" : "https://specifications.openehr.org/releases/RM/development/ehr.html#_ism_transition_class"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fhir"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-operation",
      "valueCanonical" : "#parent"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint",
      "valueCode" : "element-view-replace-cardinality"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://openehr.org/fhir/ImplementationGuide/openehr.base"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://openehr.org/fhir/ImplementationGuide/openehr.base"
          }
        ]
      }
    }
  ],
  "url" : "http://openehr.org/fhir/StructureDefinition/ISM-TRANSITION",
  "version" : "0.1.0",
  "name" : "ISM_TRANSITION",
  "title" : "ISM_TRANSITION",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-06T15:35:39+10:00",
  "publisher" : "openEHR + HL7",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.openehr.org"
        }
      ]
    }
  ],
  "description" : "Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. ",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://openehr.org/fhir/StructureDefinition/ISM_TRANSITION",
  "baseDefinition" : "http://openehr.org/fhir/StructureDefinition/PATHABLE",
  "derivation" : "specialization",
  "snapshot" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString" : "0.1.0"
      }
    ],
    "element" : [
      {
        "id" : "ISM_TRANSITION",
        "path" : "ISM_TRANSITION",
        "short" : "Model of a transition in the Instruction State Machine, caused by a careflow step.",
        "definition" : "Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. ",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "Current_state_valid",
            "severity" : "error",
            "human" : "Current state valid",
            "expression" : "null # TODO: manual translation needed"
          },
          {
            "key" : "Transition_valid",
            "severity" : "error",
            "human" : "Transition valid must be present",
            "expression" : "transition.exists() implies terminology (Terminology_id_openehr).\\nhas_code_for_group_id (Group_id_instruction_transitions, transition.defining_code)"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "ISM_TRANSITION.current-state",
        "path" : "ISM_TRANSITION.current_state",
        "short" : "The ISM current state.",
        "definition" : "The ISM current state. Coded by openEHR terminology group Instruction states.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ISM_TRANSITION.current_state",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.transition",
        "path" : "ISM_TRANSITION.transition",
        "short" : "The ISM transition which occurred to arrive in the current_state.",
        "definition" : "The ISM transition which occurred to arrive in the current_state. Coded by openEHR terminology group  Instruction transitions.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ISM_TRANSITION.transition",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.careflow-step",
        "path" : "ISM_TRANSITION.careflow_step",
        "short" : "The step in the careflow process which occurred as part of generating this action, e.",
        "definition" : "The step in the careflow process which occurred as part of generating this action, e.g.  dispense ,  start_administration. This attribute represents the clinical  label for the activity, as  opposed to current_state which represents  the state machine (ISM)  computable form. Defined in archetype.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ISM_TRANSITION.careflow_step",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.reason",
        "path" : "ISM_TRANSITION.reason",
        "short" : "Optional possibility of adding one or more reasons for this careflow step having been taken.",
        "definition" : "Optional possibility of adding one or more reasons for this careflow step having been taken. Multiple reasons may occur in medication management for example.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ISM_TRANSITION.reason",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "ISM_TRANSITION",
        "path" : "ISM_TRANSITION",
        "short" : "Model of a transition in the Instruction State Machine, caused by a careflow step.",
        "definition" : "Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. ",
        "min" : 0,
        "max" : "*",
        "constraint" : [
          {
            "key" : "Current_state_valid",
            "severity" : "error",
            "human" : "Current state valid",
            "expression" : "null # TODO: manual translation needed"
          },
          {
            "key" : "Transition_valid",
            "severity" : "error",
            "human" : "Transition valid must be present",
            "expression" : "transition.exists() implies terminology (Terminology_id_openehr).\\nhas_code_for_group_id (Group_id_instruction_transitions, transition.defining_code)"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.current-state",
        "path" : "ISM_TRANSITION.current_state",
        "short" : "The ISM current state.",
        "definition" : "The ISM current state. Coded by openEHR terminology group Instruction states.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.transition",
        "path" : "ISM_TRANSITION.transition",
        "short" : "The ISM transition which occurred to arrive in the current_state.",
        "definition" : "The ISM transition which occurred to arrive in the current_state. Coded by openEHR terminology group  Instruction transitions.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.careflow-step",
        "path" : "ISM_TRANSITION.careflow_step",
        "short" : "The step in the careflow process which occurred as part of generating this action, e.",
        "definition" : "The step in the careflow process which occurred as part of generating this action, e.g.  dispense ,  start_administration. This attribute represents the clinical  label for the activity, as  opposed to current_state which represents  the state machine (ISM)  computable form. Defined in archetype.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "ISM_TRANSITION.reason",
        "path" : "ISM_TRANSITION.reason",
        "short" : "Optional possibility of adding one or more reasons for this careflow step having been taken.",
        "definition" : "Optional possibility of adding one or more reasons for this careflow step having been taken. Multiple reasons may occur in medication management for example.",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      }
    ]
  }
}