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      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5O_g6cFMEea5pdrFDq-m2g" name="Unit Type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PAvAMFMEea5pdrFDq-m2g" name="Benefit Term Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PCkNMFMEea5pdrFDq-m2g" name="Benefit Type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PFnh8FMEea5pdrFDq-m2g" name="Adjudication Error Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5POxccFMEea5pdrFDq-m2g" name="MedicationDispenseStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PTC4cFMEea5pdrFDq-m2g" name="ActPharmacySupplyType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PYicMFMEea5pdrFDq-m2g" name="ActSubstanceAdminSubstitutionCode"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PnL9cFMEea5pdrFDq-m2g" name="MeasureScoring"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PnzCcFMEea5pdrFDq-m2g" name="CompositeMeasureScoring"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PpBIMFMEea5pdrFDq-m2g" name="MeasureType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5PvHycFMEea5pdrFDq-m2g" name="MeasurePopulationType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5P0nVcFMEea5pdrFDq-m2g" name="MeasureDataUsage"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5P3DkMFMEea5pdrFDq-m2g" name="MeasureReportType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5P4RtsFMEea5pdrFDq-m2g" name="MeasureReportStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5P-_ZcFMEea5pdrFDq-m2g" name="ListStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QBbocFMEea5pdrFDq-m2g" name="Example Use Codes for List"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QG7NsFMEea5pdrFDq-m2g" name="Patient Medicine Change Types"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QbEQMFMEea5pdrFDq-m2g" name="Example Claim Type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QbrVcFMEea5pdrFDq-m2g" name="Example Claim SubType Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Qc5cMFMEea5pdrFDq-m2g" name="Use"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Qhx8MFMEea5pdrFDq-m2g" name="Funds Reservation Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QkOMMFMEea5pdrFDq-m2g" name="Example Related Claim Relationship Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QnRjcFMEea5pdrFDq-m2g" name="Payee Type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QofocFMEea5pdrFDq-m2g" name="PayeeResourceType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QtYJ8FMEea5pdrFDq-m2g" name="Claim Care Team Role Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QumQMFMEea5pdrFDq-m2g" name="Example Provider Qualification Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QwbccFMEea5pdrFDq-m2g" name="Claim Information Category Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5QxCh8FMEea5pdrFDq-m2g" name="Exception Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Qy3tsFMEea5pdrFDq-m2g" name="Missing Tooth Reason Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Q1T98FMEea5pdrFDq-m2g" name="ICD-10 Codes">
        <ownedLiteral xmi:id="_5Q17AMFMEea5pdrFDq-m2g" name="123456"/>
        <ownedLiteral xmi:id="_5Q17AsFMEea5pdrFDq-m2g" name="123457"/>
        <ownedLiteral xmi:id="_5Q17BMFMEea5pdrFDq-m2g" name="987654"/>
        <ownedLiteral xmi:id="_5Q17BsFMEea5pdrFDq-m2g" name="123987"/>
        <ownedLiteral xmi:id="_5Q2iEMFMEea5pdrFDq-m2g" name="112233"/>
        <ownedLiteral xmi:id="_5Q2iEsFMEea5pdrFDq-m2g" name="997755"/>
        <ownedLiteral xmi:id="_5Q2iFMFMEea5pdrFDq-m2g" name="321789"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Q3wMcFMEea5pdrFDq-m2g" name="Example Diagnosis Type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Q4-UMFMEea5pdrFDq-m2g" name="Example Diagnosis Related Group Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Q7alsFMEea5pdrFDq-m2g" name="ICD-10 Procedure Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RCIScFMEea5pdrFDq-m2g" name="ActIncidentCode"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RHAxMFMEea5pdrFDq-m2g" name="Example Revenue Center Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RI18MFMEea5pdrFDq-m2g" name="USCLS Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RJdAsFMEea5pdrFDq-m2g" name="Modifier type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RKrIMFMEea5pdrFDq-m2g" name="Example Program Reason Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RL5QMFMEea5pdrFDq-m2g" name="Example Service Place Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RO8kcFMEea5pdrFDq-m2g" name="Oral Site Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RPjpcFMEea5pdrFDq-m2g" name="Surface Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5RgpYMFMEea5pdrFDq-m2g" name="Oral Prostho Material type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5R7gJcFMEea5pdrFDq-m2g" name="Adjudication Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5R8HOcFMEea5pdrFDq-m2g" name="Adjudication Reason Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5SQQRcFMEea5pdrFDq-m2g" name="Example Payment Type Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5SReZsFMEea5pdrFDq-m2g" name="Payment Adjustment Reason Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Sgu8MFMEea5pdrFDq-m2g" name="TaskStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Sqf8cFMEea5pdrFDq-m2g" name="TaskPerformerType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5S2tMMFMEea5pdrFDq-m2g" name="ExplanationOfBenefitStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5TFWuMFMEea5pdrFDq-m2g" name="PayeeResourceType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5TrMkMFMEea5pdrFDq-m2g" name="ActInvoiceGroupCode"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5UgTAcFMEea5pdrFDq-m2g" name="GuideDependencyType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Ur5MsFMEea5pdrFDq-m2g" name="GuidePageKind"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5U57osFMEea5pdrFDq-m2g" name="XPathUsageType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5U7JycFMEea5pdrFDq-m2g" name="SearchComparator"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5U8X4cFMEea5pdrFDq-m2g" name="SearchModifierCode"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5VJzQsFMEea5pdrFDq-m2g" name="SystemVersionProcessingMode"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5VfKecFMEea5pdrFDq-m2g" name="CompartmentType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5VmfMcFMEea5pdrFDq-m2g" name="Process Outcome Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5V9rk8FMEea5pdrFDq-m2g" name="Payment Status Codes"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WBV8sFMEea5pdrFDq-m2g" name="LinkageType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WFnZ8FMEea5pdrFDq-m2g" name="SupplyRequestStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WG1gMFMEea5pdrFDq-m2g" name="Supply Type"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WHclcFMEea5pdrFDq-m2g" name="SNOMED CT Supply Item"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WJRxMFMEea5pdrFDq-m2g" name="SupplyRequestReason"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WLG98FMEea5pdrFDq-m2g" name="Supply Request When"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WOxVsFMEea5pdrFDq-m2g" name="GuidanceResponseStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Wny5cFMEea5pdrFDq-m2g" name="Detected Issue Category"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5WpBAMFMEea5pdrFDq-m2g" name="DetectedIssueSeverity"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5Wt5gMFMEea5pdrFDq-m2g" name="Detected Issue Mitigation Action"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5W3DccFMEea5pdrFDq-m2g" name="Audit Event ID">
        <ownedLiteral xmi:id="_5W3Dc8FMEea5pdrFDq-m2g" name="110100"/>
        <ownedLiteral xmi:id="_5W3DdcFMEea5pdrFDq-m2g" name="110101"/>
        <ownedLiteral xmi:id="_5W3qgMFMEea5pdrFDq-m2g" name="110102"/>
        <ownedLiteral xmi:id="_5W3qgsFMEea5pdrFDq-m2g" name="110103"/>
        <ownedLiteral xmi:id="_5W3qhMFMEea5pdrFDq-m2g" name="110104"/>
        <ownedLiteral xmi:id="_5W3qhsFMEea5pdrFDq-m2g" name="110105"/>
        <ownedLiteral xmi:id="_5W4RkMFMEea5pdrFDq-m2g" name="110106"/>
        <ownedLiteral xmi:id="_5W4RksFMEea5pdrFDq-m2g" name="110107"/>
        <ownedLiteral xmi:id="_5W4RlMFMEea5pdrFDq-m2g" name="110108"/>
        <ownedLiteral xmi:id="_5W4RlsFMEea5pdrFDq-m2g" name="110109"/>
        <ownedLiteral xmi:id="_5W44oMFMEea5pdrFDq-m2g" name="110110"/>
        <ownedLiteral xmi:id="_5W44osFMEea5pdrFDq-m2g" name="110111"/>
        <ownedLiteral xmi:id="_5W44pMFMEea5pdrFDq-m2g" name="110112"/>
        <ownedLiteral xmi:id="_5W44psFMEea5pdrFDq-m2g" name="110113"/>
        <ownedLiteral xmi:id="_5W5fsMFMEea5pdrFDq-m2g" name="110114"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5W6GxMFMEea5pdrFDq-m2g" name="Audit Event Sub-Type">
        <ownedLiteral xmi:id="_5W6GxsFMEea5pdrFDq-m2g" name="110120"/>
        <ownedLiteral xmi:id="_5W6t0MFMEea5pdrFDq-m2g" name="110121"/>
        <ownedLiteral xmi:id="_5W6t0sFMEea5pdrFDq-m2g" name="110122"/>
        <ownedLiteral xmi:id="_5W6t1MFMEea5pdrFDq-m2g" name="110123"/>
        <ownedLiteral xmi:id="_5W6t1sFMEea5pdrFDq-m2g" name="110124"/>
        <ownedLiteral xmi:id="_5W6t2MFMEea5pdrFDq-m2g" name="110125"/>
        <ownedLiteral xmi:id="_5W7U4cFMEea5pdrFDq-m2g" name="110126"/>
        <ownedLiteral xmi:id="_5W7U48FMEea5pdrFDq-m2g" name="110127"/>
        <ownedLiteral xmi:id="_5W7U5cFMEea5pdrFDq-m2g" name="110128"/>
        <ownedLiteral xmi:id="_5W7U58FMEea5pdrFDq-m2g" name="110129"/>
        <ownedLiteral xmi:id="_5W778MFMEea5pdrFDq-m2g" name="110130"/>
        <ownedLiteral xmi:id="_5W778sFMEea5pdrFDq-m2g" name="110131"/>
        <ownedLiteral xmi:id="_5W779MFMEea5pdrFDq-m2g" name="110132"/>
        <ownedLiteral xmi:id="_5W779sFMEea5pdrFDq-m2g" name="110133"/>
        <ownedLiteral xmi:id="_5W8jAMFMEea5pdrFDq-m2g" name="110134"/>
        <ownedLiteral xmi:id="_5W8jAsFMEea5pdrFDq-m2g" name="110135"/>
        <ownedLiteral xmi:id="_5W8jBMFMEea5pdrFDq-m2g" name="110136"/>
        <ownedLiteral xmi:id="_5W8jBsFMEea5pdrFDq-m2g" name="110137"/>
        <ownedLiteral xmi:id="_5W9KEMFMEea5pdrFDq-m2g" name="110138"/>
        <ownedLiteral xmi:id="_5W9KEsFMEea5pdrFDq-m2g" name="110139"/>
        <ownedLiteral xmi:id="_5W9KFMFMEea5pdrFDq-m2g" name="110140"/>
        <ownedLiteral xmi:id="_5W9KFsFMEea5pdrFDq-m2g" name="110141"/>
        <ownedLiteral xmi:id="_5W9xIMFMEea5pdrFDq-m2g" name="110142"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5W-YMsFMEea5pdrFDq-m2g" name="AuditEventAction"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5W_mV8FMEea5pdrFDq-m2g" name="AuditEventOutcome"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XDQscFMEea5pdrFDq-m2g" name="Audit agent Role ID Code">
        <ownedLiteral xmi:id="_5XDQs8FMEea5pdrFDq-m2g" name="110150"/>
        <ownedLiteral xmi:id="_5XDQtcFMEea5pdrFDq-m2g" name="110151"/>
        <ownedLiteral xmi:id="_5XD3wMFMEea5pdrFDq-m2g" name="110152"/>
        <ownedLiteral xmi:id="_5XD3wsFMEea5pdrFDq-m2g" name="110153"/>
        <ownedLiteral xmi:id="_5XD3xMFMEea5pdrFDq-m2g" name="110154"/>
        <ownedLiteral xmi:id="_5XEe0MFMEea5pdrFDq-m2g" name="110155"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XIwR8FMEea5pdrFDq-m2g" name="Media Type Code">
        <ownedLiteral xmi:id="_5XJXUMFMEea5pdrFDq-m2g" name="110030"/>
        <ownedLiteral xmi:id="_5XJXUsFMEea5pdrFDq-m2g" name="110031"/>
        <ownedLiteral xmi:id="_5XJXVMFMEea5pdrFDq-m2g" name="110032"/>
        <ownedLiteral xmi:id="_5XJXVsFMEea5pdrFDq-m2g" name="110033"/>
        <ownedLiteral xmi:id="_5XJ-YMFMEea5pdrFDq-m2g" name="110034"/>
        <ownedLiteral xmi:id="_5XJ-YsFMEea5pdrFDq-m2g" name="110035"/>
        <ownedLiteral xmi:id="_5XJ-ZMFMEea5pdrFDq-m2g" name="110036"/>
        <ownedLiteral xmi:id="_5XJ-ZsFMEea5pdrFDq-m2g" name="110037"/>
        <ownedLiteral xmi:id="_5XJ-aMFMEea5pdrFDq-m2g" name="110010"/>
        <ownedLiteral xmi:id="_5XKlccFMEea5pdrFDq-m2g" name="110038"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XNBssFMEea5pdrFDq-m2g" name="AuditEventAgentNetworkType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XQsEcFMEea5pdrFDq-m2g" name="Audit Event Source Type"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XTvZsFMEea5pdrFDq-m2g" name="AuditEventEntityType"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XU9gcFMEea5pdrFDq-m2g" name="AuditEventEntityRole"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XWLoMFMEea5pdrFDq-m2g" name="AuditEventEntityLifecycle"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XcSRcFMEea5pdrFDq-m2g" name="Basic Resource Types"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XhKw8FMEea5pdrFDq-m2g" name="SupplyDeliveryStatus"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_5XiY6MFMEea5pdrFDq-m2g" name="Supply Item Type"/>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_4aEEA8FMEea5pdrFDq-m2g" name="DataTypes">
      <packagedElement xmi:type="uml:Class" xmi:id="_4aEEBMFMEea5pdrFDq-m2g" name="Element" isAbstract="true">
        <ownedComment xmi:id="_4aHHUsFMEea5pdrFDq-m2g">
          <body>Base definition for all elements in a resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aGgQcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Element Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4aHHUMFMEea5pdrFDq-m2g">
          <body>Base for all elements</body>
        </ownedComment>
        <ownedRule xmi:id="_4aEEBcFMEea5pdrFDq-m2g" name="ele-1" constrainedElement="_4aEEBMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4aErEMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>@value|f:*|h:div</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4aGgQ8FMEea5pdrFDq-m2g" general="_4aDc8cFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aKKpMFMEea5pdrFDq-m2g" name="id" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4aKxs8FMEea5pdrFDq-m2g">
            <body>unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.</body>
          </ownedComment>
          <ownedComment xmi:id="_4aKxscFMEea5pdrFDq-m2g">
            <body>xml:id (or equivalent in JSON)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aKKpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aKKpsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lpo-sFMEea5pdrFDq-m2g" name="extension" type="_4aLYwcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lqQAsFMEea5pdrFDq-m2g">
            <body>May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lqQAMFMEea5pdrFDq-m2g">
            <body>Additional Content defined by implementations</body>
          </ownedComment>
          <ownedComment xmi:id="_4lqQBMFMEea5pdrFDq-m2g">
            <body>There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lpo-8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lpo_MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aEEAcFMEea5pdrFDq-m2g" name="DataType" isAbstract="true">
        <generalization xmi:id="_4aGgRMFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aDc8cFMEea5pdrFDq-m2g" name="Base" isAbstract="true"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aHuYcFMEea5pdrFDq-m2g" name="fhirstring">
        <ownedComment xmi:id="_4aIVd8FMEea5pdrFDq-m2g">
          <body>A sequence of Unicode characters</body>
        </ownedComment>
        <ownedComment xmi:id="_4aIVcsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for string Type: A sequence of Unicode characters</body>
        </ownedComment>
        <ownedComment xmi:id="_4aIVdcFMEea5pdrFDq-m2g">
          <body>Primitive Type string</body>
        </ownedComment>
        <ownedComment xmi:id="_4aIVecFMEea5pdrFDq-m2g">
          <body>Note that FHIR strings may not exceed 1MB in size</body>
        </ownedComment>
        <generalization xmi:id="_4aIVdMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aI8gMFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aKKosFMEea5pdrFDq-m2g">
            <body>Primitive value for string</body>
          </ownedComment>
          <ownedComment xmi:id="_4aKKoMFMEea5pdrFDq-m2g">
            <body>Primitive value for string</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aI8gcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aI8gsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aLYwcFMEea5pdrFDq-m2g" name="Extension">
        <ownedComment xmi:id="_4aMm5MFMEea5pdrFDq-m2g">
          <body>Optional Extensions Element - found in all resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aL_0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Extension Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4aL_1MFMEea5pdrFDq-m2g">
          <body>The ability to add extensions in a structured way is what keeps FHIR resources simple.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aMm4sFMEea5pdrFDq-m2g">
          <body>Optional Extensions Element</body>
        </ownedComment>
        <ownedRule xmi:id="_4aLYwsFMEea5pdrFDq-m2g" name="ext-1" constrainedElement="_4aLYwcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4aLYw8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4aMm4cFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aPDJcFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4aQRQMFMEea5pdrFDq-m2g">
            <body>Source of the definition for the extension code - a logical name or a URL.</body>
          </ownedComment>
          <ownedComment xmi:id="_4aPqMcFMEea5pdrFDq-m2g">
            <body>identifies the meaning of the extension</body>
          </ownedComment>
          <ownedComment xmi:id="_4aQRQsFMEea5pdrFDq-m2g">
            <body>The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aPDJsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aPDJ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lpo8cFMEea5pdrFDq-m2g" name="value" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lpo98FMEea5pdrFDq-m2g">
            <body>Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).</body>
          </ownedComment>
          <ownedComment xmi:id="_4lpo9cFMEea5pdrFDq-m2g">
            <body>Value of extension</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lpo8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lpo88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aMm5sFMEea5pdrFDq-m2g" name="uri">
        <ownedComment xmi:id="_4aNN98FMEea5pdrFDq-m2g">
          <body>String of characters used to identify a name or a resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4aNN8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for uri Type: String of characters used to identify a name or a resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4aNN9cFMEea5pdrFDq-m2g">
          <body>Primitive Type uri</body>
        </ownedComment>
        <ownedComment xmi:id="_4aN1AcFMEea5pdrFDq-m2g">
          <body>see http://en.wikipedia.org/wiki/Uniform_resource_identifier</body>
        </ownedComment>
        <generalization xmi:id="_4aNN9MFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aN1A8FMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aPDI8FMEea5pdrFDq-m2g">
            <body>Primitive value for uri</body>
          </ownedComment>
          <ownedComment xmi:id="_4aPDIcFMEea5pdrFDq-m2g">
            <body>Primitive value for uri</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aN1BMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aN1BcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aQRRMFMEea5pdrFDq-m2g" name="base64Binary">
        <ownedComment xmi:id="_4aQ4V8FMEea5pdrFDq-m2g">
          <body>A stream of bytes</body>
        </ownedComment>
        <ownedComment xmi:id="_4aQ4UsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for base64Binary Type: A stream of bytes</body>
        </ownedComment>
        <ownedComment xmi:id="_4aQ4VcFMEea5pdrFDq-m2g">
          <body>Primitive Type base64Binary</body>
        </ownedComment>
        <ownedComment xmi:id="_4aRfYMFMEea5pdrFDq-m2g">
          <body>A stream of bytes, base64 encoded</body>
        </ownedComment>
        <generalization xmi:id="_4aQ4VMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aRfYsFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aStgMFMEea5pdrFDq-m2g">
            <body>Primitive value for base64Binary</body>
          </ownedComment>
          <ownedComment xmi:id="_4aSGccFMEea5pdrFDq-m2g">
            <body>Primitive value for base64Binary</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Base64Binary"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aRfY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aRfZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aStgsFMEea5pdrFDq-m2g" name="boolean">
        <ownedComment xmi:id="_4aTUl8FMEea5pdrFDq-m2g">
          <body>Value of &quot;true&quot; or &quot;false&quot;</body>
        </ownedComment>
        <ownedComment xmi:id="_4aTUksFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for boolean Type: Value of &quot;true&quot; or &quot;false&quot;</body>
        </ownedComment>
        <ownedComment xmi:id="_4aTUlcFMEea5pdrFDq-m2g">
          <body>Primitive Type boolean</body>
        </ownedComment>
        <generalization xmi:id="_4aTUlMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aTUmcFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aUisMFMEea5pdrFDq-m2g">
            <body>Primitive value for boolean</body>
          </ownedComment>
          <ownedComment xmi:id="_4aT7ocFMEea5pdrFDq-m2g">
            <body>Primitive value for boolean</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aTUmsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aTUm8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aUissFMEea5pdrFDq-m2g" name="code">
        <ownedComment xmi:id="_4aVJx8FMEea5pdrFDq-m2g">
          <body>A string which has at least one character and no leading or trailing whitespace and where there is no whitespace other than single spaces in the contents</body>
        </ownedComment>
        <ownedComment xmi:id="_4aVJwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for code type: A string which has at least one character and no leading or trailing whitespace and where there is no whitespace other than single spaces in the contents</body>
        </ownedComment>
        <ownedComment xmi:id="_4aVJxcFMEea5pdrFDq-m2g">
          <body>Primitive Type code</body>
        </ownedComment>
        <generalization xmi:id="_4aVJxMFMEea5pdrFDq-m2g" general="_4aHuYcFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aWX5cFMEea5pdrFDq-m2g" name="date">
        <ownedComment xmi:id="_4aXmAsFMEea5pdrFDq-m2g">
          <body>A date or partial date (e.g. just year or year + month). There is no time zone. The format is a union of the schema types gYear, gYearMonth and date.  Dates SHALL be valid dates.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aW-8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for date Type: A date or partial date (e.g. just year or year + month). There is no time zone. The format is a union of the schema types gYear, gYearMonth and date.  Dates SHALL be valid dates.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aXmAMFMEea5pdrFDq-m2g">
          <body>Primitive Type date</body>
        </ownedComment>
        <generalization xmi:id="_4aW-9MFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aXmBMFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aYNE8FMEea5pdrFDq-m2g">
            <body>Primitive value for date</body>
          </ownedComment>
          <ownedComment xmi:id="_4aYNEcFMEea5pdrFDq-m2g">
            <body>Primitive value for date</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Date"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aXmBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aXmBsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aYNFcFMEea5pdrFDq-m2g" name="dateTime">
        <ownedComment xmi:id="_4aZbNcFMEea5pdrFDq-m2g">
          <body>A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aZbMMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.</body>
        </ownedComment>
        <ownedComment xmi:id="_4aZbM8FMEea5pdrFDq-m2g">
          <body>Primitive Type dateTime</body>
        </ownedComment>
        <generalization xmi:id="_4aZbMsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aZbN8FMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aaCQ8FMEea5pdrFDq-m2g">
            <body>Primitive value for dateTime</body>
          </ownedComment>
          <ownedComment xmi:id="_4aaCQcFMEea5pdrFDq-m2g">
            <body>Primitive value for dateTime</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aZbOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aZbOcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aapUcFMEea5pdrFDq-m2g" name="decimal">
        <ownedComment xmi:id="_4abQZsFMEea5pdrFDq-m2g">
          <body>A rational number with implicit precision</body>
        </ownedComment>
        <ownedComment xmi:id="_4abQYcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for decimal Type: A rational number with implicit precision</body>
        </ownedComment>
        <ownedComment xmi:id="_4abQZMFMEea5pdrFDq-m2g">
          <body>Primitive Type decimal</body>
        </ownedComment>
        <ownedComment xmi:id="_4abQaMFMEea5pdrFDq-m2g">
          <body>Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)</body>
        </ownedComment>
        <generalization xmi:id="_4abQY8FMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4abQasFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aceg8FMEea5pdrFDq-m2g">
            <body>Primitive value for decimal</body>
          </ownedComment>
          <ownedComment xmi:id="_4acegcFMEea5pdrFDq-m2g">
            <body>Primitive value for decimal</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Decimal"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4abQa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4abQbMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4acehcFMEea5pdrFDq-m2g" name="id">
        <ownedComment xmi:id="_4adsoMFMEea5pdrFDq-m2g">
          <body>Any combination of letters, numerals, &quot;-&quot; and &quot;.&quot;, with a length limit of 64 characters.  (This might be an integer, an unprefixed OID, UUID or any other identifier pattern that meets these constraints.)  Ids are case-insensitive.</body>
        </ownedComment>
        <ownedComment xmi:id="_4adFksFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for id type: Any combination of letters, numerals, &quot;-&quot; and &quot;.&quot;, with a length limit of 64 characters.  (This might be an integer, an unprefixed OID, UUID or any other identifier pattern that meets these constraints.)  Ids are case-insensitive.</body>
        </ownedComment>
        <ownedComment xmi:id="_4adFlcFMEea5pdrFDq-m2g">
          <body>Primitive Type id</body>
        </ownedComment>
        <ownedComment xmi:id="_4adsosFMEea5pdrFDq-m2g">
          <body>RFC 4122</body>
        </ownedComment>
        <generalization xmi:id="_4adFlMFMEea5pdrFDq-m2g" general="_4aHuYcFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ae6wMFMEea5pdrFDq-m2g" name="instant">
        <ownedComment xmi:id="_4afh1sFMEea5pdrFDq-m2g">
          <body>An instant in time - known at least to the second</body>
        </ownedComment>
        <ownedComment xmi:id="_4afh0cFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for instant Type: An instant in time - known at least to the second</body>
        </ownedComment>
        <ownedComment xmi:id="_4afh1MFMEea5pdrFDq-m2g">
          <body>Primitive Type instant</body>
        </ownedComment>
        <ownedComment xmi:id="_4afh2MFMEea5pdrFDq-m2g">
          <body>Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required</body>
        </ownedComment>
        <generalization xmi:id="_4afh08FMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4agI4MFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4agv88FMEea5pdrFDq-m2g">
            <body>Primitive value for instant</body>
          </ownedComment>
          <ownedComment xmi:id="_4agv8cFMEea5pdrFDq-m2g">
            <body>Primitive value for instant</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#DateTime"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4agI4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4agI4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4agv9cFMEea5pdrFDq-m2g" name="integer">
        <ownedComment xmi:id="_4ah-E8FMEea5pdrFDq-m2g">
          <body>A whole number</body>
        </ownedComment>
        <ownedComment xmi:id="_4ahXAsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for integer Type: A whole number</body>
        </ownedComment>
        <ownedComment xmi:id="_4ah-EcFMEea5pdrFDq-m2g">
          <body>Primitive Type integer</body>
        </ownedComment>
        <ownedComment xmi:id="_4ah-FcFMEea5pdrFDq-m2g">
          <body>32 bit number; for values larger than this, use decimal</body>
        </ownedComment>
        <generalization xmi:id="_4ah-EMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4ah-F8FMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4ailI8FMEea5pdrFDq-m2g">
            <body>Primitive value for integer</body>
          </ownedComment>
          <ownedComment xmi:id="_4ailIcFMEea5pdrFDq-m2g">
            <body>Primitive value for integer</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Int"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ah-GMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ah-GcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ailJcFMEea5pdrFDq-m2g" name="markdown">
        <ownedComment xmi:id="_4ajzRsFMEea5pdrFDq-m2g">
          <body>A string that may contain markdown syntax for optional processing by a mark down presentation engine</body>
        </ownedComment>
        <ownedComment xmi:id="_4ajzQcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for markdown type: A string that may contain markdown syntax for optional processing by a mark down presentation engine</body>
        </ownedComment>
        <ownedComment xmi:id="_4ajzRMFMEea5pdrFDq-m2g">
          <body>Primitive Type markdown</body>
        </ownedComment>
        <ownedComment xmi:id="_4ajzSMFMEea5pdrFDq-m2g">
          <body>Systems are not required to have markdown support, and there is considerable variation in markdown syntax, so the text should be readable without markdown processing. The preferred markdown syntax is described here: http://daringfireball.net/projects/markdown/syntax (and tests here: http://daringfireball.net/projects/downloads/MarkdownTest_1.0.zip)</body>
        </ownedComment>
        <generalization xmi:id="_4ajzQ8FMEea5pdrFDq-m2g" general="_4aHuYcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4ajzSsFMEea5pdrFDq-m2g" name="value" isOrdered="true" redefinedProperty="_4aI8gMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4alBYcFMEea5pdrFDq-m2g">
            <body>Primitive value for markdown</body>
          </ownedComment>
          <ownedComment xmi:id="_4akaUcFMEea5pdrFDq-m2g">
            <body>Primitive value for markdown</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ajzS8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ajzTMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4alBY8FMEea5pdrFDq-m2g" name="oid">
        <ownedComment xmi:id="_4alod8FMEea5pdrFDq-m2g">
          <body>An oid represented as a URI</body>
        </ownedComment>
        <ownedComment xmi:id="_4alocsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for oid type: An oid represented as a URI</body>
        </ownedComment>
        <ownedComment xmi:id="_4alodcFMEea5pdrFDq-m2g">
          <body>Primitive Type oid</body>
        </ownedComment>
        <ownedComment xmi:id="_4aloecFMEea5pdrFDq-m2g">
          <body>RFC 3001. See also ISO/IEC 8824:1990 €</body>
        </ownedComment>
        <generalization xmi:id="_4alodMFMEea5pdrFDq-m2g" general="_4aMm5sFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4amPgMFMEea5pdrFDq-m2g" name="value" isOrdered="true" redefinedProperty="_4aN1A8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4am2k8FMEea5pdrFDq-m2g">
            <body>Primitive value for oid</body>
          </ownedComment>
          <ownedComment xmi:id="_4am2kcFMEea5pdrFDq-m2g">
            <body>Primitive value for oid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#AnyURI"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4amPgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4amPgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4am2lcFMEea5pdrFDq-m2g" name="positiveInt">
        <ownedComment xmi:id="_4aoEscFMEea5pdrFDq-m2g">
          <body>An integer with a value that is positive (e.g. >0)</body>
        </ownedComment>
        <ownedComment xmi:id="_4andosFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for positiveInt type: An integer with a value that is positive (e.g. >0)</body>
        </ownedComment>
        <ownedComment xmi:id="_4andpcFMEea5pdrFDq-m2g">
          <body>Primitive Type positiveInt</body>
        </ownedComment>
        <generalization xmi:id="_4andpMFMEea5pdrFDq-m2g" general="_4agv9cFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4aoEs8FMEea5pdrFDq-m2g" name="value" isOrdered="true" redefinedProperty="_4ah-F8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4aorw8FMEea5pdrFDq-m2g">
            <body>Primitive value for positiveInt</body>
          </ownedComment>
          <ownedComment xmi:id="_4aorwcFMEea5pdrFDq-m2g">
            <body>Primitive value for positiveInt</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Int"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aoEtMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aoEtcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aorxcFMEea5pdrFDq-m2g" name="time">
        <ownedComment xmi:id="_4apS18FMEea5pdrFDq-m2g">
          <body>A time during the day, with no date specified</body>
        </ownedComment>
        <ownedComment xmi:id="_4apS0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for time Type: A time during the day, with no date specified</body>
        </ownedComment>
        <ownedComment xmi:id="_4apS1cFMEea5pdrFDq-m2g">
          <body>Primitive Type time</body>
        </ownedComment>
        <generalization xmi:id="_4apS1MFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4ap54MFMEea5pdrFDq-m2g" name="value" isOrdered="true">
          <ownedComment xmi:id="_4aqg8sFMEea5pdrFDq-m2g">
            <body>Primitive value for time</body>
          </ownedComment>
          <ownedComment xmi:id="_4aqg8MFMEea5pdrFDq-m2g">
            <body>Primitive value for time</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Time"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ap54cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ap54sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4aqg9MFMEea5pdrFDq-m2g" name="unsignedInt">
        <ownedComment xmi:id="_4arIBsFMEea5pdrFDq-m2g">
          <body>An integer with a value that is not negative (e.g. >= 0)</body>
        </ownedComment>
        <ownedComment xmi:id="_4arIAcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for unsignedInt type: An integer with a value that is not negative (e.g. >= 0)</body>
        </ownedComment>
        <ownedComment xmi:id="_4arIBMFMEea5pdrFDq-m2g">
          <body>Primitive Type unsignedInt</body>
        </ownedComment>
        <generalization xmi:id="_4arIA8FMEea5pdrFDq-m2g" general="_4agv9cFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4arICMFMEea5pdrFDq-m2g" name="value" isOrdered="true" redefinedProperty="_4ah-F8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4arvE8FMEea5pdrFDq-m2g">
            <body>Primitive value for unsignedInt</body>
          </ownedComment>
          <ownedComment xmi:id="_4arvEcFMEea5pdrFDq-m2g">
            <body>Primitive value for unsignedInt</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#Int"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4arICcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4arICsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4arvFcFMEea5pdrFDq-m2g" name="Address">
        <ownedComment xmi:id="_4as9MsFMEea5pdrFDq-m2g">
          <body>An address expressed using postal conventions (as opposed to GPS or other location definition formats).  This data type may be used to convey addresses for use in delivering mail as well as for visiting locations and which might not be valid for mail delivery.  There are a variety of postal address formats defined around the world.</body>
        </ownedComment>
        <ownedComment xmi:id="_4asWIsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Address Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4asWJMFMEea5pdrFDq-m2g">
          <body>Need to be able to record postal addresses, along with notes about their use.</body>
        </ownedComment>
        <ownedComment xmi:id="_4as9MMFMEea5pdrFDq-m2g">
          <body>An address expressed using postal conventions (as opposed to GPS or other location definition formats)</body>
        </ownedComment>
        <ownedComment xmi:id="_4as9NMFMEea5pdrFDq-m2g">
          <body>Note: address is for postal addresses, not physical locations.</body>
        </ownedComment>
        <generalization xmi:id="_4asWJsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4as9NsFMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4auLUMFMEea5pdrFDq-m2g">
            <body>The purpose of this address.</body>
          </ownedComment>
          <ownedComment xmi:id="_4atkQsFMEea5pdrFDq-m2g">
            <body>home | work | temp | old - purpose of this address</body>
          </ownedComment>
          <ownedComment xmi:id="_4auLUsFMEea5pdrFDq-m2g">
            <body>This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.</body>
          </ownedComment>
          <ownedComment xmi:id="_4auLVMFMEea5pdrFDq-m2g">
            <body>Allows an appropriate address to be chosen from a list of many.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4as9N8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4as9OMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4auLVsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4auyZMFMEea5pdrFDq-m2g">
            <body>Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.</body>
          </ownedComment>
          <ownedComment xmi:id="_4auyYsFMEea5pdrFDq-m2g">
            <body>postal | physical | both</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4auLV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4auLWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4auyZsFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4avZcsFMEea5pdrFDq-m2g">
            <body>A full text representation of the address.</body>
          </ownedComment>
          <ownedComment xmi:id="_4avZcMFMEea5pdrFDq-m2g">
            <body>Text representation of the address</body>
          </ownedComment>
          <ownedComment xmi:id="_4avZdMFMEea5pdrFDq-m2g">
            <body>Can provide both a text representation and parts.</body>
          </ownedComment>
          <ownedComment xmi:id="_4avZdsFMEea5pdrFDq-m2g">
            <body>A renderable, unencoded form.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4auyZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4auyaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4avZeMFMEea5pdrFDq-m2g" name="line" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4awAgMFMEea5pdrFDq-m2g">
            <body>This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.</body>
          </ownedComment>
          <ownedComment xmi:id="_4avZfMFMEea5pdrFDq-m2g">
            <body>Street name, number, direction &amp; P.O. Box etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4awAgsFMEea5pdrFDq-m2g">
            <body>home | work | temp | old - purpose of this address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4avZecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4avZesFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4awAhMFMEea5pdrFDq-m2g" name="city" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4awAisFMEea5pdrFDq-m2g">
            <body>The name of the city, town, village or other community or delivery center.</body>
          </ownedComment>
          <ownedComment xmi:id="_4awAiMFMEea5pdrFDq-m2g">
            <body>Name of city, town etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4awAhcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4awAhsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4awAjMFMEea5pdrFDq-m2g" name="district" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4awnlcFMEea5pdrFDq-m2g">
            <body>The name of the administrative area (county).</body>
          </ownedComment>
          <ownedComment xmi:id="_4awnk8FMEea5pdrFDq-m2g">
            <body>District name (aka county)</body>
          </ownedComment>
          <ownedComment xmi:id="_4awnl8FMEea5pdrFDq-m2g">
            <body>District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4awnkMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4awnkcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4awnmcFMEea5pdrFDq-m2g" name="state" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4axOoMFMEea5pdrFDq-m2g">
            <body>Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).</body>
          </ownedComment>
          <ownedComment xmi:id="_4awnncFMEea5pdrFDq-m2g">
            <body>Sub-unit of country (abbreviations ok)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4awnmsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4awnm8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4axOosFMEea5pdrFDq-m2g" name="postalCode" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4axOqMFMEea5pdrFDq-m2g">
            <body>A postal code designating a region defined by the postal service.</body>
          </ownedComment>
          <ownedComment xmi:id="_4axOpsFMEea5pdrFDq-m2g">
            <body>Postal code for area</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4axOo8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4axOpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4axOqsFMEea5pdrFDq-m2g" name="country" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ax1scFMEea5pdrFDq-m2g">
            <body>Country - a nation as commonly understood or generally accepted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4axOrsFMEea5pdrFDq-m2g">
            <body>Country (e.g. can be ISO 3166 2 or 3 letter code)</body>
          </ownedComment>
          <ownedComment xmi:id="_4ax1s8FMEea5pdrFDq-m2g">
            <body>ISO 3166 3 letter codes can be used in place of a full country name.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4axOq8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4axOrMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4a0R8MFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a0R9sFMEea5pdrFDq-m2g">
            <body>Time period when address was/is in use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a0R9MFMEea5pdrFDq-m2g">
            <body>Time period when address was/is in use</body>
          </ownedComment>
          <ownedComment xmi:id="_4a0R-MFMEea5pdrFDq-m2g">
            <body>Allows addresses to be placed in historical context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a0R8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a0R8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ax1tcFMEea5pdrFDq-m2g" name="Period">
        <ownedComment xmi:id="_4azD1sFMEea5pdrFDq-m2g">
          <body>A time period defined by a start and end date and optionally time.</body>
        </ownedComment>
        <ownedComment xmi:id="_4azD0cFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Period Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4azD1MFMEea5pdrFDq-m2g">
          <body>Time range defined by start and end date/time</body>
        </ownedComment>
        <ownedComment xmi:id="_4azD2MFMEea5pdrFDq-m2g">
          <body>This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. &quot;the patient was an inpatient of the hospital for this time range&quot;) or one value from the range applies (e.g. &quot;give to the patient between these two times&quot;). If duration is required, specify the type as Interval|Duration.</body>
        </ownedComment>
        <ownedRule xmi:id="_4ax1tsFMEea5pdrFDq-m2g" name="per-1" constrainedElement="_4ax1tcFMEea5pdrFDq-m2g _4azD2sFMEea5pdrFDq-m2g _4azq5cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4ax1t8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:start)) or not(exists(f:end)) or (f:start/@value &lt;= f:end/@value)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4azD08FMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4azD2sFMEea5pdrFDq-m2g" name="start" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4azq4cFMEea5pdrFDq-m2g">
            <body>The start of the period. The boundary is inclusive.</body>
          </ownedComment>
          <ownedComment xmi:id="_4azD3sFMEea5pdrFDq-m2g">
            <body>Starting time with inclusive boundary</body>
          </ownedComment>
          <ownedComment xmi:id="_4azq48FMEea5pdrFDq-m2g">
            <body>If the low element is missing, the meaning is that the low boundary is not known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4azD28FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4azD3MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4azq5cFMEea5pdrFDq-m2g" name="end" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4azq68FMEea5pdrFDq-m2g">
            <body>The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.</body>
          </ownedComment>
          <ownedComment xmi:id="_4azq6cFMEea5pdrFDq-m2g">
            <body>End time with inclusive boundary, if not ongoing</body>
          </ownedComment>
          <ownedComment xmi:id="_4azq7cFMEea5pdrFDq-m2g">
            <body>The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4azq5sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4azq58FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4a0R-sFMEea5pdrFDq-m2g" name="Age">
        <ownedComment xmi:id="_4a5xjMFMEea5pdrFDq-m2g">
          <body>A duration of time during which an organism (or a process) has existed.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a1gEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Age Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4a5xisFMEea5pdrFDq-m2g">
          <body>A duration of time during which an organism (or a process) has existed</body>
        </ownedComment>
        <ownedRule xmi:id="_4a0R-8FMEea5pdrFDq-m2g" name="age-1" constrainedElement="_4a0R-sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4a0R_MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org') and not(contains(f:value/@value, '-'))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4a5xicFMEea5pdrFDq-m2g" general="_4a1gFMFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4a1gFMFMEea5pdrFDq-m2g" name="Quantity">
        <ownedComment xmi:id="_4a2uOMFMEea5pdrFDq-m2g">
          <body>A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a2uMcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Quantity Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4a2uM8FMEea5pdrFDq-m2g">
          <body>Need to able to capture all sorts of measured values, even if the measured value are not precisely quantified. Values include exact measures such as 3.51g, customary units such as 3 tablets, and currencies such as $100.32USD.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a2uNsFMEea5pdrFDq-m2g">
          <body>A measured or measurable amount</body>
        </ownedComment>
        <ownedComment xmi:id="_4a2uOsFMEea5pdrFDq-m2g">
          <body>The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.</body>
        </ownedComment>
        <ownedRule xmi:id="_4a1gFcFMEea5pdrFDq-m2g" name="qty-3" constrainedElement="_4a1gFMFMEea5pdrFDq-m2g _4a5Kc8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4a1gFsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:code)) or exists(f:system)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4a2uNcFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4a3VQMFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a3VRsFMEea5pdrFDq-m2g">
            <body>The value of the measured amount. The value includes an implicit precision in the presentation of the value.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a3VRMFMEea5pdrFDq-m2g">
            <body>Numerical value (with implicit precision)</body>
          </ownedComment>
          <ownedComment xmi:id="_4a3VSMFMEea5pdrFDq-m2g">
            <body>The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).</body>
          </ownedComment>
          <ownedComment xmi:id="_4a3VSsFMEea5pdrFDq-m2g">
            <body>Precision is handled implicitly in almost all cases of measurement.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a3VQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a3VQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4a3VTMFMEea5pdrFDq-m2g" name="comparator" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a4jYcFMEea5pdrFDq-m2g">
            <body>How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is &quot;&lt;&quot; , then the real value is &lt; stated value.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a38VcFMEea5pdrFDq-m2g">
            <body>&lt; | &lt;= | >= | > - how to understand the value</body>
          </ownedComment>
          <ownedComment xmi:id="_4a4jY8FMEea5pdrFDq-m2g">
            <body>This is labeled as &quot;Is Modifier&quot; because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a4jZcFMEea5pdrFDq-m2g">
            <body>Need a framework for handling measures where the value is &lt;5ug/L or >400mg/L due to the limitations of measuring methodology.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a3VTcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a38UMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4a4jZ8FMEea5pdrFDq-m2g" name="unit" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a4jbcFMEea5pdrFDq-m2g">
            <body>A human-readable form of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a4ja8FMEea5pdrFDq-m2g">
            <body>Unit representation</body>
          </ownedComment>
          <ownedComment xmi:id="_4a5KccFMEea5pdrFDq-m2g">
            <body>There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a4jaMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a4jacFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4a5Kc8FMEea5pdrFDq-m2g" name="system" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a5KecFMEea5pdrFDq-m2g">
            <body>The identification of the system that provides the coded form of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a5Kd8FMEea5pdrFDq-m2g">
            <body>System that defines coded unit form</body>
          </ownedComment>
          <ownedComment xmi:id="_4a5Ke8FMEea5pdrFDq-m2g">
            <body>Need to know the system that defines the coded form of the unit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a5KdMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a5KdcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4a5KfcFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a5xg8FMEea5pdrFDq-m2g">
            <body>A computer processable form of the unit in some unit representation system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a5xgcFMEea5pdrFDq-m2g">
            <body>Coded form of the unit</body>
          </ownedComment>
          <ownedComment xmi:id="_4a5xhcFMEea5pdrFDq-m2g">
            <body>The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a5xh8FMEea5pdrFDq-m2g">
            <body>Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a5KfsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a5Kf8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4a5xjsFMEea5pdrFDq-m2g" name="Annotation">
        <ownedComment xmi:id="_4a6_o8FMEea5pdrFDq-m2g">
          <body>A  text note which also  contains information about who made the statement and when.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a6YksFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Annotation Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4a6_ocFMEea5pdrFDq-m2g">
          <body>Text node with attribution</body>
        </ownedComment>
        <ownedComment xmi:id="_4a6_pcFMEea5pdrFDq-m2g">
          <body>For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate &quot;modifying&quot; information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).</body>
        </ownedComment>
        <generalization xmi:id="_4a6_oMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4k2XscFMEea5pdrFDq-m2g" name="author[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4k2Xt8FMEea5pdrFDq-m2g">
            <body>The individual responsible for making the annotation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4k2XtcFMEea5pdrFDq-m2g">
            <body>Individual responsible for the annotation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4k2XssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4k2Xs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4k2-wcFMEea5pdrFDq-m2g" name="time" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4k2-x8FMEea5pdrFDq-m2g">
            <body>Indicates when this particular annotation was made.</body>
          </ownedComment>
          <ownedComment xmi:id="_4k2-xcFMEea5pdrFDq-m2g">
            <body>When the annotation was made</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4k2-wsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4k2-w8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4k2-ycFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4k3l0sFMEea5pdrFDq-m2g">
            <body>The text of the annotation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4k3l0MFMEea5pdrFDq-m2g">
            <body>The annotation  - text content</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4k2-ysFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4k2-y8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4a_RHsFMEea5pdrFDq-m2g" name="Meta">
        <ownedComment xmi:id="_4bAfNMFMEea5pdrFDq-m2g">
          <body>The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a_4IsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Meta Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4bAfMsFMEea5pdrFDq-m2g">
          <body>Metadata about a resource</body>
        </ownedComment>
        <generalization xmi:id="_4bAfMcFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4bAfNsFMEea5pdrFDq-m2g" name="versionId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bAfPMFMEea5pdrFDq-m2g">
            <body>The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bAfOsFMEea5pdrFDq-m2g">
            <body>Version specific identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_4bAfPsFMEea5pdrFDq-m2g">
            <body>The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bAfN8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bAfOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bAfQMFMEea5pdrFDq-m2g" name="lastUpdated" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bBGRMFMEea5pdrFDq-m2g">
            <body>When the resource last changed - e.g. when the version changed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bBGQsFMEea5pdrFDq-m2g">
            <body>When the resource version last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_4bBGRsFMEea5pdrFDq-m2g">
            <body>This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bAfQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bBGQMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bBGSMFMEea5pdrFDq-m2g" name="profile" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bBGTsFMEea5pdrFDq-m2g">
            <body>A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url]().</body>
          </ownedComment>
          <ownedComment xmi:id="_4bBGTMFMEea5pdrFDq-m2g">
            <body>Profiles this resource claims to conform to</body>
          </ownedComment>
          <ownedComment xmi:id="_4bBGUMFMEea5pdrFDq-m2g">
            <body>It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bBGScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bBGSsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bEJoMFMEea5pdrFDq-m2g" name="security" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bEwqMFMEea5pdrFDq-m2g">
            <body>Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bEwpsFMEea5pdrFDq-m2g">
            <body>Security Labels applied to this resource</body>
          </ownedComment>
          <ownedComment xmi:id="_4bEwqsFMEea5pdrFDq-m2g">
            <body>The security labels can be updated without changing the stated version of the resource  The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bEwoMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bEwocFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bFXscFMEea5pdrFDq-m2g" name="tag" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bFXusFMEea5pdrFDq-m2g">
            <body>Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bFXuMFMEea5pdrFDq-m2g">
            <body>Tags applied to this resource</body>
          </ownedComment>
          <ownedComment xmi:id="_4bF-wcFMEea5pdrFDq-m2g">
            <body>The tags can be updated without changing the stated version of the resource.  The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bFXssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bFXs8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4bBtUcFMEea5pdrFDq-m2g" name="Coding">
        <ownedComment xmi:id="_4bCUZsFMEea5pdrFDq-m2g">
          <body>A reference to a code defined by a terminology system.</body>
        </ownedComment>
        <ownedComment xmi:id="_4bBtVMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Coding Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4bCUYcFMEea5pdrFDq-m2g">
          <body>References to codes are very common in healthcare models.</body>
        </ownedComment>
        <ownedComment xmi:id="_4bCUZMFMEea5pdrFDq-m2g">
          <body>A reference to a code defined by a terminology system</body>
        </ownedComment>
        <ownedComment xmi:id="_4bCUaMFMEea5pdrFDq-m2g">
          <body>Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.</body>
        </ownedComment>
        <generalization xmi:id="_4bCUY8FMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4bCUasFMEea5pdrFDq-m2g" name="system" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bCUcMFMEea5pdrFDq-m2g">
            <body>The identification of the code system that defines the meaning of the symbol in the code.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bCUbsFMEea5pdrFDq-m2g">
            <body>Identity of the terminology system</body>
          </ownedComment>
          <ownedComment xmi:id="_4bC7ccFMEea5pdrFDq-m2g">
            <body>The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bC7c8FMEea5pdrFDq-m2g">
            <body>Need to be unambiguous about the source of the definition of the symbol.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bCUa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bCUbMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bC7dcFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bC7e8FMEea5pdrFDq-m2g">
            <body>The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bC7ecFMEea5pdrFDq-m2g">
            <body>Version of the system - if relevant</body>
          </ownedComment>
          <ownedComment xmi:id="_4bDigMFMEea5pdrFDq-m2g">
            <body>Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bC7dsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bC7d8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bDigsFMEea5pdrFDq-m2g" name="code" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bDiiMFMEea5pdrFDq-m2g">
            <body>A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).</body>
          </ownedComment>
          <ownedComment xmi:id="_4bDihsFMEea5pdrFDq-m2g">
            <body>Symbol in syntax defined by the system</body>
          </ownedComment>
          <ownedComment xmi:id="_4bDiisFMEea5pdrFDq-m2g">
            <body>Need to refer to a particular code in the system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bDig8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bDihMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bDijMFMEea5pdrFDq-m2g" name="display" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bEJkMFMEea5pdrFDq-m2g">
            <body>A representation of the meaning of the code in the system, following the rules of the system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bDikMFMEea5pdrFDq-m2g">
            <body>Representation defined by the system</body>
          </ownedComment>
          <ownedComment xmi:id="_4bEJksFMEea5pdrFDq-m2g">
            <body>Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bDijcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bDijsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bEJlMFMEea5pdrFDq-m2g" name="userSelected" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bEJmsFMEea5pdrFDq-m2g">
            <body>Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).</body>
          </ownedComment>
          <ownedComment xmi:id="_4bEJmMFMEea5pdrFDq-m2g">
            <body>If this coding was chosen directly by the user</body>
          </ownedComment>
          <ownedComment xmi:id="_4bEJnMFMEea5pdrFDq-m2g">
            <body>Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bEJnsFMEea5pdrFDq-m2g">
            <body>This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bEJlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bEJlsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4bNTh8FMEea5pdrFDq-m2g" name="Narrative">
        <ownedComment xmi:id="_4bPItMFMEea5pdrFDq-m2g">
          <body>A human-readable formatted text, including images.</body>
        </ownedComment>
        <ownedComment xmi:id="_4bOho8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Narrative Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4bPIssFMEea5pdrFDq-m2g">
          <body>A human-readable formatted text, including images</body>
        </ownedComment>
        <ownedRule xmi:id="_4bNTiMFMEea5pdrFDq-m2g" name="txt-1" constrainedElement="_4cfF58FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4bNTicFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4bN6kcFMEea5pdrFDq-m2g" name="txt-2" constrainedElement="_4cfF58FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4bN6ksFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4bPIscFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4bPItsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bPvwsFMEea5pdrFDq-m2g">
            <body>The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bPvwMFMEea5pdrFDq-m2g">
            <body>generated | extensions | additional | empty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bPIt8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bPIuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cfF58FMEea5pdrFDq-m2g" name="div" type="_4bPvxMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cfs8sFMEea5pdrFDq-m2g">
            <body>The actual narrative content, a stripped down version of XHTML.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cfs8MFMEea5pdrFDq-m2g">
            <body>Limited xhtml content</body>
          </ownedComment>
          <ownedComment xmi:id="_4cfs9MFMEea5pdrFDq-m2g">
            <body>The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, &lt;a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cfF6MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cfF6cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4bPvxMFMEea5pdrFDq-m2g" name="xhtml">
        <ownedComment xmi:id="_4bQW18FMEea5pdrFDq-m2g">
          <body>XHTML</body>
        </ownedComment>
        <ownedComment xmi:id="_4bQW0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for xhtml Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4bQW1cFMEea5pdrFDq-m2g">
          <body>Primitive Type xhtml</body>
        </ownedComment>
        <generalization xmi:id="_4bQW1MFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4bQW2cFMEea5pdrFDq-m2g" name="extension">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bQW2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bQW28FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cee0cFMEea5pdrFDq-m2g" name="value" type="_4bQ94MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4cee1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4cfF5cFMEea5pdrFDq-m2g">
            <body>Actual xhtml</body>
          </ownedComment>
          <ownedComment xmi:id="_4cfF48FMEea5pdrFDq-m2g">
            <body>Actual xhtml</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cee0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cee08FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4bQ94MFMEea5pdrFDq-m2g" name="Value">
          <generalization xmi:id="_4cd3xsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4bQ94cFMEea5pdrFDq-m2g" name="BackboneElement" isAbstract="true">
        <ownedComment xmi:id="_4cdQt8FMEea5pdrFDq-m2g">
          <body>Base definition for all elements that are defined inside a resource - but not those in a data type.</body>
        </ownedComment>
        <ownedComment xmi:id="_4cdQssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for BackboneElement Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4cdQtcFMEea5pdrFDq-m2g">
          <body>Base for elements defined inside a resource</body>
        </ownedComment>
        <generalization xmi:id="_4cdQtMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4cdQucFMEea5pdrFDq-m2g" name="modifierExtension" type="_4aLYwcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cd3wsFMEea5pdrFDq-m2g">
            <body>May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cd3wMFMEea5pdrFDq-m2g">
            <body>Extensions that cannot be ignored</body>
          </ownedComment>
          <ownedComment xmi:id="_4cd3xMFMEea5pdrFDq-m2g">
            <body>There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cdQusFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cdQu8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4cee1cFMEea5pdrFDq-m2g" memberEnd="_4cfF4MFMEea5pdrFDq-m2g _4cee0cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4cfF4MFMEea5pdrFDq-m2g" type="_4bPvxMFMEea5pdrFDq-m2g" association="_4cee1cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cfF4cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cfF4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ciwRMFMEea5pdrFDq-m2g" name="Identifier">
        <ownedComment xmi:id="_4cjXWcFMEea5pdrFDq-m2g">
          <body>A technical identifier - identifies some entity uniquely and unambiguously.</body>
        </ownedComment>
        <ownedComment xmi:id="_4cjXUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Identifier Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4cjXVMFMEea5pdrFDq-m2g">
          <body>Need to be able to identify things with confidence and be sure that the identification is not subject to misinterpretation.</body>
        </ownedComment>
        <ownedComment xmi:id="_4cjXV8FMEea5pdrFDq-m2g">
          <body>An identifier intended for computation</body>
        </ownedComment>
        <generalization xmi:id="_4cjXVsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4cj-YMFMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cklcsFMEea5pdrFDq-m2g">
            <body>The purpose of this identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cklcMFMEea5pdrFDq-m2g">
            <body>usual | official | temp | secondary (If known)</body>
          </ownedComment>
          <ownedComment xmi:id="_4ckldMFMEea5pdrFDq-m2g">
            <body>This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ckldsFMEea5pdrFDq-m2g">
            <body>Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cj-YcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cj-YsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cmarcFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4co258FMEea5pdrFDq-m2g">
            <body>A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.</body>
          </ownedComment>
          <ownedComment xmi:id="_4co25cFMEea5pdrFDq-m2g">
            <body>Description of identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_4cpd8MFMEea5pdrFDq-m2g">
            <body>This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cpd8sFMEea5pdrFDq-m2g">
            <body>Allows users to make use of identifiers when the identifier system is not known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cmarsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cmar8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cpd9MFMEea5pdrFDq-m2g" name="system" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cpd-sFMEea5pdrFDq-m2g">
            <body>Establishes the namespace in which set of possible id values is unique.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cpd-MFMEea5pdrFDq-m2g">
            <body>The namespace for the identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_4cpd_MFMEea5pdrFDq-m2g">
            <body>There are many sequences of identifiers.  To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cpd9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cpd9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cqFAMFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cqFBsFMEea5pdrFDq-m2g">
            <body>The portion of the identifier typically relevant to the user and which is unique within the context of the system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cqFBMFMEea5pdrFDq-m2g">
            <body>The value that is unique</body>
          </ownedComment>
          <ownedComment xmi:id="_4cqFCMFMEea5pdrFDq-m2g">
            <body>If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cqFAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cqFAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cqFCsFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cqsEsFMEea5pdrFDq-m2g">
            <body>Time period during which identifier is/was valid for use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cqsEMFMEea5pdrFDq-m2g">
            <body>Time period when id is/was valid for use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cqFC8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cqFDMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dQh_sFMEea5pdrFDq-m2g" name="assigner" type="_4lCk_MFMEea5pdrFDq-m2g" isOrdered="true" association="_4dRJAMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dRJBsFMEea5pdrFDq-m2g">
            <body>Organization that issued/manages the identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRJBMFMEea5pdrFDq-m2g">
            <body>Organization that issued id (may be just text)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRJCMFMEea5pdrFDq-m2g">
            <body>The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dQh_8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dQiAMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ckleMFMEea5pdrFDq-m2g" name="CodeableConcept">
        <ownedComment xmi:id="_4clMicFMEea5pdrFDq-m2g">
          <body>A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.</body>
        </ownedComment>
        <ownedComment xmi:id="_4clMgsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CodeableConcept Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4clMhMFMEea5pdrFDq-m2g">
          <body>This is a common pattern in healthcare - a concept that may be defined by one or more codes from formal definitions including LOINC and SNOMED CT, and/or defined by the provision of text that captures a human sense of the concept.</body>
        </ownedComment>
        <ownedComment xmi:id="_4clMh8FMEea5pdrFDq-m2g">
          <body>Concept - reference to a terminology or just  text</body>
        </ownedComment>
        <ownedComment xmi:id="_4clzkcFMEea5pdrFDq-m2g">
          <body>Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.</body>
        </ownedComment>
        <generalization xmi:id="_4clMhsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4clzk8FMEea5pdrFDq-m2g" name="coding" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4clzmcFMEea5pdrFDq-m2g">
            <body>A reference to a code defined by a terminology system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4clzl8FMEea5pdrFDq-m2g">
            <body>Code defined by a terminology system</body>
          </ownedComment>
          <ownedComment xmi:id="_4clzm8FMEea5pdrFDq-m2g">
            <body>Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.</body>
          </ownedComment>
          <ownedComment xmi:id="_4clzncFMEea5pdrFDq-m2g">
            <body>Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4clzlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4clzlcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cmaocFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cmap8FMEea5pdrFDq-m2g">
            <body>A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cmapcFMEea5pdrFDq-m2g">
            <body>Plain text representation of the concept</body>
          </ownedComment>
          <ownedComment xmi:id="_4cmaqcFMEea5pdrFDq-m2g">
            <body>Very often the text is the same as a displayName of one of the codings.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cmaq8FMEea5pdrFDq-m2g">
            <body>The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cmaosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cmao8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4cwLocFMEea5pdrFDq-m2g" name="ContactPoint">
        <ownedComment xmi:id="_4cxZwcFMEea5pdrFDq-m2g">
          <body>Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4cwyssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ContactPoint Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4cwytMFMEea5pdrFDq-m2g">
          <body>Need to track phone, fax, mobile, sms numbers, email addresses, twitter tags, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4cwyt8FMEea5pdrFDq-m2g">
          <body>Details of a Technology mediated contact point (phone, fax, email, etc.)</body>
        </ownedComment>
        <ownedRule xmi:id="_4cwLosFMEea5pdrFDq-m2g" name="cpt-2" constrainedElement="_4cwLocFMEea5pdrFDq-m2g _4cxZw8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4cwLo8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:value)) or exists(f:system)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4cwytsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4cxZw8FMEea5pdrFDq-m2g" name="system" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cyA0sFMEea5pdrFDq-m2g">
            <body>Telecommunications form for contact point - what communications system is required to make use of the contact.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cyA0MFMEea5pdrFDq-m2g">
            <body>phone | fax | email | pager | url | other</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cxZxMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cxZxcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cyA1MFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cyA2sFMEea5pdrFDq-m2g">
            <body>The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).</body>
          </ownedComment>
          <ownedComment xmi:id="_4cyA2MFMEea5pdrFDq-m2g">
            <body>The actual contact point details</body>
          </ownedComment>
          <ownedComment xmi:id="_4cyA3MFMEea5pdrFDq-m2g">
            <body>Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cyn4cFMEea5pdrFDq-m2g">
            <body>Need to support legacy numbers that are not in a tightly controlled format.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cyA1cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cyA1sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cyn48FMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4czO8sFMEea5pdrFDq-m2g">
            <body>Identifies the purpose for the contact point.</body>
          </ownedComment>
          <ownedComment xmi:id="_4czO8MFMEea5pdrFDq-m2g">
            <body>home | work | temp | old | mobile - purpose of this contact point</body>
          </ownedComment>
          <ownedComment xmi:id="_4czO9MFMEea5pdrFDq-m2g">
            <body>This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old.</body>
          </ownedComment>
          <ownedComment xmi:id="_4czO9sFMEea5pdrFDq-m2g">
            <body>Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cyn5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cyn5cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4czO-MFMEea5pdrFDq-m2g" name="rank" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cz2AcFMEea5pdrFDq-m2g">
            <body>Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values.</body>
          </ownedComment>
          <ownedComment xmi:id="_4czO_MFMEea5pdrFDq-m2g">
            <body>Specify preferred order of use (1 = highest)</body>
          </ownedComment>
          <ownedComment xmi:id="_4cz2A8FMEea5pdrFDq-m2g">
            <body>Note that rank does not necessarily follow the order in which the contacts are represented in the instance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4czO-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4czO-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cz2BcFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cz2C8FMEea5pdrFDq-m2g">
            <body>Time period when the contact point was/is in use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cz2CcFMEea5pdrFDq-m2g">
            <body>Time period when the contact point was/is in use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cz2BsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cz2B8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4c4HcMFMEea5pdrFDq-m2g" name="HumanName">
        <ownedComment xmi:id="_4c4uiMFMEea5pdrFDq-m2g">
          <body>A human's name with the ability to identify parts and usage.</body>
        </ownedComment>
        <ownedComment xmi:id="_4c4ugcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for HumanName Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4c4ug8FMEea5pdrFDq-m2g">
          <body>Need to be able to record names, along with notes about their use.</body>
        </ownedComment>
        <ownedComment xmi:id="_4c4uhsFMEea5pdrFDq-m2g">
          <body>Name of a human - parts and usage</body>
        </ownedComment>
        <ownedComment xmi:id="_4c4uisFMEea5pdrFDq-m2g">
          <body>Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.</body>
        </ownedComment>
        <generalization xmi:id="_4c4uhcFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4c4ujMFMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c58osFMEea5pdrFDq-m2g">
            <body>Identifies the purpose for this name.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c58oMFMEea5pdrFDq-m2g">
            <body>usual | official | temp | nickname | anonymous | old | maiden</body>
          </ownedComment>
          <ownedComment xmi:id="_4c58pMFMEea5pdrFDq-m2g">
            <body>This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c58psFMEea5pdrFDq-m2g">
            <body>Allows the appropriate name for a particular context of use to be selected from among a set of names.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c4ujcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c5VkMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c58qMFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c58rsFMEea5pdrFDq-m2g">
            <body>A full text representation of the name.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c58rMFMEea5pdrFDq-m2g">
            <body>Text representation of the full name</body>
          </ownedComment>
          <ownedComment xmi:id="_4c6jsMFMEea5pdrFDq-m2g">
            <body>Can provide both a text representation and structured parts.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c6jssFMEea5pdrFDq-m2g">
            <body>A renderable, unencoded form.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c58qcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c58qsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c6jtMFMEea5pdrFDq-m2g" name="family" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c6jusFMEea5pdrFDq-m2g">
            <body>The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c6juMFMEea5pdrFDq-m2g">
            <body>Family name (often called 'Surname')</body>
          </ownedComment>
          <ownedComment xmi:id="_4c6jvMFMEea5pdrFDq-m2g">
            <body>Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c6jtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c6jtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c7KwcFMEea5pdrFDq-m2g" name="given" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c7Kx8FMEea5pdrFDq-m2g">
            <body>Given name.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c7KxcFMEea5pdrFDq-m2g">
            <body>Given names (not always 'first'). Includes middle names</body>
          </ownedComment>
          <ownedComment xmi:id="_4c7KycFMEea5pdrFDq-m2g">
            <body>If only initials are recorded, they may be used in place of the full name.  Not called &quot;first name&quot; since given names do not always come first.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c7KwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c7Kw8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c7Ky8FMEea5pdrFDq-m2g" name="prefix" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c7x08FMEea5pdrFDq-m2g">
            <body>Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c7x0cFMEea5pdrFDq-m2g">
            <body>Parts that come before the name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c7KzMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c7KzcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c7x1cFMEea5pdrFDq-m2g" name="suffix" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c7x28FMEea5pdrFDq-m2g">
            <body>Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c7x2cFMEea5pdrFDq-m2g">
            <body>Parts that come after the name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c7x1sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c7x18FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c7x3cFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c8Y5cFMEea5pdrFDq-m2g">
            <body>Indicates the period of time when this name was valid for the named person.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c8Y48FMEea5pdrFDq-m2g">
            <body>Time period when name was/is in use</body>
          </ownedComment>
          <ownedComment xmi:id="_4c8Y58FMEea5pdrFDq-m2g">
            <body>Allows names to be placed in historical context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c8Y4MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c8Y4cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dRJAMFMEea5pdrFDq-m2g" memberEnd="_4dRJAcFMEea5pdrFDq-m2g _4dQh_sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dRJAcFMEea5pdrFDq-m2g" type="_4ciwRMFMEea5pdrFDq-m2g" association="_4dRJAMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dRJAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dRJA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4dVacMFMEea5pdrFDq-m2g" name="Attachment">
        <ownedComment xmi:id="_4dWokcFMEea5pdrFDq-m2g">
          <body>For referring to data content defined in other formats.</body>
        </ownedComment>
        <ownedComment xmi:id="_4dWBgsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Attachment Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4dWBhMFMEea5pdrFDq-m2g">
          <body>Many models need to include data defined in other specifications that is complex and opaque to the healthcare model. This includes documents, media recordings, structured data, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4dWBh8FMEea5pdrFDq-m2g">
          <body>Content in a format defined elsewhere</body>
        </ownedComment>
        <ownedComment xmi:id="_4dWok8FMEea5pdrFDq-m2g">
          <body>When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as &quot;Attachment&quot;.</body>
        </ownedComment>
        <ownedRule xmi:id="_4dVaccFMEea5pdrFDq-m2g" name="att-1" constrainedElement="_4dVacMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4dVacsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:data)) or exists(f:contentType)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4dWBhsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4dWolcFMEea5pdrFDq-m2g" name="contentType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dWonMFMEea5pdrFDq-m2g">
            <body>Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dWomsFMEea5pdrFDq-m2g">
            <body>Mime type of the content, with charset etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dXPocFMEea5pdrFDq-m2g">
            <body>Processors of the data need to be able to know how to interpret the data.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dWolsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dWol8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dXPo8FMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dX2sMFMEea5pdrFDq-m2g">
            <body>The human language of the content. The value can be any valid value according to BCP 47.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dXPqMFMEea5pdrFDq-m2g">
            <body>Human language of the content (BCP-47)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dX2ssFMEea5pdrFDq-m2g">
            <body>Users need to be able to choose between the languages in a set of attachments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dXPpMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dXPpcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dX2tMFMEea5pdrFDq-m2g" name="data" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dX2usFMEea5pdrFDq-m2g">
            <body>The actual data of the attachment - a sequence of bytes. In XML, represented using base64.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dX2uMFMEea5pdrFDq-m2g">
            <body>Data inline, base64ed</body>
          </ownedComment>
          <ownedComment xmi:id="_4dX2vMFMEea5pdrFDq-m2g">
            <body>The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dX2vsFMEea5pdrFDq-m2g">
            <body>The data needs to able to be transmitted inline.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dX2tcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dX2tsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dYdwcFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dYdx8FMEea5pdrFDq-m2g">
            <body>An alternative location where the data can be accessed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dYdxcFMEea5pdrFDq-m2g">
            <body>Uri where the data can be found</body>
          </ownedComment>
          <ownedComment xmi:id="_4dYdycFMEea5pdrFDq-m2g">
            <body>If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dYdy8FMEea5pdrFDq-m2g">
            <body>The data needs to be transmitted by reference.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dYdwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dYdw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dYdzcFMEea5pdrFDq-m2g" name="size" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dZE08FMEea5pdrFDq-m2g">
            <body>The number of bytes of data that make up this attachment (before base64 encoding, if that is done).</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZE0cFMEea5pdrFDq-m2g">
            <body>Number of bytes of content (if url provided)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZE1cFMEea5pdrFDq-m2g">
            <body>The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZE18FMEea5pdrFDq-m2g">
            <body>Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dYdzsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dYdz8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dZE2cFMEea5pdrFDq-m2g" name="hash" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dZr4MFMEea5pdrFDq-m2g">
            <body>The calculated hash of the data using SHA-1. Represented using base64.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZE3cFMEea5pdrFDq-m2g">
            <body>Hash of the data (sha-1, base64ed)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZr4sFMEea5pdrFDq-m2g">
            <body>The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZr5MFMEea5pdrFDq-m2g">
            <body>Included so that applications can verify that the contents of a location have not changed and so that a signature of the content can implicitly sign the content of an image without having to include the data in the instance or reference the url in the signature.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dZE2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dZE28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dZr5sFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dZr7MFMEea5pdrFDq-m2g">
            <body>A label or set of text to display in place of the data.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dZr6sFMEea5pdrFDq-m2g">
            <body>Label to display in place of the data</body>
          </ownedComment>
          <ownedComment xmi:id="_4daS8MFMEea5pdrFDq-m2g">
            <body>Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dZr58FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dZr6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4daS8sFMEea5pdrFDq-m2g" name="creation" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4daS-MFMEea5pdrFDq-m2g">
            <body>The date that the attachment was first created.</body>
          </ownedComment>
          <ownedComment xmi:id="_4daS9sFMEea5pdrFDq-m2g">
            <body>Date attachment was first created</body>
          </ownedComment>
          <ownedComment xmi:id="_4daS-sFMEea5pdrFDq-m2g">
            <body>This is often tracked as an integrity issue for use of the attachment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4daS88FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4daS9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4k3l1MFMEea5pdrFDq-m2g" name="Count">
        <ownedComment xmi:id="_4k4z-cFMEea5pdrFDq-m2g">
          <body>A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k4z8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Count Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4k4z9MFMEea5pdrFDq-m2g">
          <body>Need to able to capture all sorts of measured values, even if the measured value are not precisely quantified. Values include exact measures such as 3.51g, customary units such as 3 tablets, and currencies such as $100.32USD.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k4z98FMEea5pdrFDq-m2g">
          <body>A measured or measurable amount</body>
        </ownedComment>
        <ownedComment xmi:id="_4k4z-8FMEea5pdrFDq-m2g">
          <body>The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.</body>
        </ownedComment>
        <ownedRule xmi:id="_4k3l1cFMEea5pdrFDq-m2g" name="cnt-3" constrainedElement="_4k3l1MFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4k3l1sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:code or not(f:value)) and (not(exists(f:system)) or (f:system/@value='http://unitsofmeasure.org' and f:code/@value='1')) and not(contains(f:value/@value, '.'))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4k4z9sFMEea5pdrFDq-m2g" general="_4a1gFMFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4k5bAMFMEea5pdrFDq-m2g" name="Distance">
        <ownedComment xmi:id="_4k6CF8FMEea5pdrFDq-m2g">
          <body>A length - a value with a unit that is a physical distance.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k6CEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Distance Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4k6CFcFMEea5pdrFDq-m2g">
          <body>A length - a value with a unit that is a physical distance</body>
        </ownedComment>
        <ownedRule xmi:id="_4k5bAcFMEea5pdrFDq-m2g" name="dis-1" constrainedElement="_4k5bAMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4k5bAsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4k6CFMFMEea5pdrFDq-m2g" general="_4a1gFMFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4k6pIMFMEea5pdrFDq-m2g" name="Duration">
        <ownedComment xmi:id="_4k7QN8FMEea5pdrFDq-m2g">
          <body>A length of time.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k7QMsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Duration Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4k7QNcFMEea5pdrFDq-m2g">
          <body>A length of time</body>
        </ownedComment>
        <ownedRule xmi:id="_4k6pIcFMEea5pdrFDq-m2g" name="drt-1" constrainedElement="_4k6pIMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4k6pIsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4k7QNMFMEea5pdrFDq-m2g" general="_4a1gFMFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4k73QcFMEea5pdrFDq-m2g" name="Money">
        <ownedComment xmi:id="_4k9FYcFMEea5pdrFDq-m2g">
          <body>An amount of economic utility in some recognised currency.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k8eUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Money Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4k8eVcFMEea5pdrFDq-m2g">
          <body>An amount of economic utility in some recognised currency</body>
        </ownedComment>
        <ownedRule xmi:id="_4k73QsFMEea5pdrFDq-m2g" name="mny-1" constrainedElement="_4k73QcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4k73Q8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='urn:iso:std:iso:4217')</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4k8eVMFMEea5pdrFDq-m2g" general="_4a1gFMFMEea5pdrFDq-m2g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4k9FY8FMEea5pdrFDq-m2g" name="Range">
        <ownedComment xmi:id="_4k-ThsFMEea5pdrFDq-m2g">
          <body>A set of ordered Quantities defined by a low and high limit.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k9sc8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Range Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4k-TgcFMEea5pdrFDq-m2g">
          <body>Need to be able to specify ranges of values.</body>
        </ownedComment>
        <ownedComment xmi:id="_4k-ThMFMEea5pdrFDq-m2g">
          <body>Set of values bounded by low and high</body>
        </ownedComment>
        <ownedComment xmi:id="_4k-TiMFMEea5pdrFDq-m2g">
          <body>The stated low and high value are assumed to have arbitrarily high precision when it comes to determining which values are in the range. I.e. 1.99 is not in the range 2 -> 3.</body>
        </ownedComment>
        <ownedRule xmi:id="_4k9FZMFMEea5pdrFDq-m2g" name="rng-2" constrainedElement="_4k9FY8FMEea5pdrFDq-m2g _4lAIsMFMEea5pdrFDq-m2g _4lAIusFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4k9FZcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:low/f:value/@value)) or not(exists(f:high/f:value/@value)) or (number(f:low/f:value/@value) &lt;= number(f:high/f:value/@value))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4k-Tg8FMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4lAIsMFMEea5pdrFDq-m2g" name="low" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lAItsFMEea5pdrFDq-m2g">
            <body>The low limit. The boundary is inclusive.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lAItMFMEea5pdrFDq-m2g">
            <body>Low limit</body>
          </ownedComment>
          <ownedComment xmi:id="_4lAIuMFMEea5pdrFDq-m2g">
            <body>If the low element is missing, the low boundary is not known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lAIscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lAIssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lAIusFMEea5pdrFDq-m2g" name="high" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lAvwsFMEea5pdrFDq-m2g">
            <body>The high limit. The boundary is inclusive.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lAvwMFMEea5pdrFDq-m2g">
            <body>High limit</body>
          </ownedComment>
          <ownedComment xmi:id="_4lAvxMFMEea5pdrFDq-m2g">
            <body>If the high element is missing, the high boundary is not known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lAIu8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lAIvMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4k-TisFMEea5pdrFDq-m2g" name="SimpleQuantity">
        <ownedComment xmi:id="_4k_hpsFMEea5pdrFDq-m2g">
          <body>The comparator is not used on a SimpleQuantity</body>
        </ownedComment>
        <ownedComment xmi:id="_4k_hocFMEea5pdrFDq-m2g">
          <body>A fixed quantity (no comparator)</body>
        </ownedComment>
        <ownedComment xmi:id="_4k_hpMFMEea5pdrFDq-m2g">
          <body>A fixed quantity (no comparator)</body>
        </ownedComment>
        <ownedRule xmi:id="_4k-Ti8FMEea5pdrFDq-m2g" name="sqty-1" constrainedElement="_4k-TisFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4k-TjMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:comparator))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4k_ho8FMEea5pdrFDq-m2g" general="_4a1gFMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4k_hqMFMEea5pdrFDq-m2g" name="comparator" redefinedProperty="_4a3VTMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4k_hrMFMEea5pdrFDq-m2g">
            <body>Not allowed to be used in this context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4k_hqcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4k_hqsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lAvxsFMEea5pdrFDq-m2g" name="Ratio">
        <ownedComment xmi:id="_4lB958FMEea5pdrFDq-m2g">
          <body>A relationship of two Quantity values - expressed as a numerator and a denominator.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lB94MFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Ratio Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4lB94sFMEea5pdrFDq-m2g">
          <body>Need to able to capture ratios for some measurements (titers) and some rates (costs).</body>
        </ownedComment>
        <ownedComment xmi:id="_4lB95cFMEea5pdrFDq-m2g">
          <body>A ratio of two Quantity values - a numerator and a denominator</body>
        </ownedComment>
        <ownedRule xmi:id="_4lAvx8FMEea5pdrFDq-m2g" name="rat-1" constrainedElement="_4lAvxsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lAvyMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4lB95MFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4lB96cFMEea5pdrFDq-m2g" name="numerator" type="_4a1gFMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lCk8sFMEea5pdrFDq-m2g">
            <body>The value of the numerator.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lCk8MFMEea5pdrFDq-m2g">
            <body>Numerator value</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lB96sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lB968FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lCk9MFMEea5pdrFDq-m2g" name="denominator" type="_4a1gFMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lCk-sFMEea5pdrFDq-m2g">
            <body>The value of the denominator.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lCk-MFMEea5pdrFDq-m2g">
            <body>Denominator value</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lCk9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lCk9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lCk_MFMEea5pdrFDq-m2g" name="Reference">
        <ownedComment xmi:id="_4lDzF8FMEea5pdrFDq-m2g">
          <body>A reference from one resource to another.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lDzEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Reference Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4lDzFcFMEea5pdrFDq-m2g">
          <body>A reference from one resource to another</body>
        </ownedComment>
        <ownedComment xmi:id="_4lDzGcFMEea5pdrFDq-m2g">
          <body>References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.</body>
        </ownedComment>
        <ownedRule xmi:id="_4lCk_cFMEea5pdrFDq-m2g" name="ref-1" constrainedElement="_4lCk_MFMEea5pdrFDq-m2g _4lEaIMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lCk_sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4lDzFMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4lEaIMFMEea5pdrFDq-m2g" name="reference" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lEaJsFMEea5pdrFDq-m2g">
            <body>A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lEaJMFMEea5pdrFDq-m2g">
            <body>Literal reference, Relative, internal or absolute URL</body>
          </ownedComment>
          <ownedComment xmi:id="_4lEaKMFMEea5pdrFDq-m2g">
            <body>Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lEaIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lEaIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lEaKsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lFBMMFMEea5pdrFDq-m2g">
            <body>An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lEaLsFMEea5pdrFDq-m2g">
            <body>Logical reference, when literal reference is not known</body>
          </ownedComment>
          <ownedComment xmi:id="_4lFBMsFMEea5pdrFDq-m2g">
            <body>When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.   When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lEaK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lEaLMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lFBNMFMEea5pdrFDq-m2g" name="display" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lFBOsFMEea5pdrFDq-m2g">
            <body>Plain text narrative that identifies the resource in addition to the resource reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lFBOMFMEea5pdrFDq-m2g">
            <body>Text alternative for the resource</body>
          </ownedComment>
          <ownedComment xmi:id="_4lFBPMFMEea5pdrFDq-m2g">
            <body>This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lFBNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lFBNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lFBPsFMEea5pdrFDq-m2g" name="SampledData">
        <ownedComment xmi:id="_4lGPVcFMEea5pdrFDq-m2g">
          <body>A series of measurements taken by a device, with upper and lower limits. There may be more than one dimension in the data.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lFoQsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for SampledData Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4lGPUMFMEea5pdrFDq-m2g">
          <body>There is a need for a concise way to handle the data produced by devices that sample a physical state at a high frequency.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lGPU8FMEea5pdrFDq-m2g">
          <body>A series of measurements taken by a device</body>
        </ownedComment>
        <ownedComment xmi:id="_4lGPV8FMEea5pdrFDq-m2g">
          <body>The data is not interpretable without at least origin, period, and dimensions, but these are optional to allow a separation between the template of measurement and the actual measurement, such as between DeviceCapabilities and DeviceLog.  When providing a summary view (for example with Observation.value[x]) SampledData should be represented with a brief display text such as &quot;Sampled Data&quot;.</body>
        </ownedComment>
        <generalization xmi:id="_4lGPUsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4lGPWcFMEea5pdrFDq-m2g" name="origin" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lG2YMFMEea5pdrFDq-m2g">
            <body>The base quantity that a measured value of zero represents. In addition, this provides the units of the entire measurement series.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lGPXcFMEea5pdrFDq-m2g">
            <body>Zero value and units</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lGPWsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lGPW8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lG2YsFMEea5pdrFDq-m2g" name="period" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lG2aMFMEea5pdrFDq-m2g">
            <body>The length of time between sampling times, measured in milliseconds.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lG2ZsFMEea5pdrFDq-m2g">
            <body>Number of milliseconds between samples</body>
          </ownedComment>
          <ownedComment xmi:id="_4lG2asFMEea5pdrFDq-m2g">
            <body>This is usually a whole number.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lG2Y8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lG2ZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lG2bMFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lHdcsFMEea5pdrFDq-m2g">
            <body>A correction factor that is applied to the sampled data points before they are added to the origin.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lHdcMFMEea5pdrFDq-m2g">
            <body>Multiply data by this before adding to origin</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lG2bcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lG2bsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lHddMFMEea5pdrFDq-m2g" name="lowerLimit" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lHdesFMEea5pdrFDq-m2g">
            <body>The lower limit of detection of the measured points. This is needed if any of the data points have the value &quot;L&quot; (lower than detection limit).</body>
          </ownedComment>
          <ownedComment xmi:id="_4lHdeMFMEea5pdrFDq-m2g">
            <body>Lower limit of detection</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lHddcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lHddsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lIEgcFMEea5pdrFDq-m2g" name="upperLimit" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lIEh8FMEea5pdrFDq-m2g">
            <body>The upper limit of detection of the measured points. This is needed if any of the data points have the value &quot;U&quot; (higher than detection limit).</body>
          </ownedComment>
          <ownedComment xmi:id="_4lIEhcFMEea5pdrFDq-m2g">
            <body>Upper limit of detection</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lIEgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lIEg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lIEicFMEea5pdrFDq-m2g" name="dimensions" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lIrkcFMEea5pdrFDq-m2g">
            <body>The number of sample points at each time point. If this value is greater than one, then the dimensions will be interlaced - all the sample points for a point in time will be recorded at once.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lIEjcFMEea5pdrFDq-m2g">
            <body>Number of sample points at each time point</body>
          </ownedComment>
          <ownedComment xmi:id="_4lIrk8FMEea5pdrFDq-m2g">
            <body>If there is more than one dimension, the code for the type of data will define the meaning of the dimensions (typically ECG data).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lIEisFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lIEi8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lIrlcFMEea5pdrFDq-m2g" name="data" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lIrm8FMEea5pdrFDq-m2g">
            <body>A series of data points which are decimal values separated by a single space (character u20). The special values &quot;E&quot; (error), &quot;L&quot; (below detection limit) and &quot;U&quot; (above detection limit) can also be used in place of a decimal value.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lIrmcFMEea5pdrFDq-m2g">
            <body>Decimal values with spaces, or &quot;E&quot; | &quot;U&quot; | &quot;L&quot;</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lIrlsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lIrl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lJSoMFMEea5pdrFDq-m2g" name="Signature">
        <ownedComment xmi:id="_4lJ5t8FMEea5pdrFDq-m2g">
          <body>A digital signature along with supporting context. The signature may be electronic/cryptographic in nature, or a graphical image representing a hand-written signature, or a signature process. Different Signature approaches have different utilities.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lJ5sMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Signature Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4lJ5ssFMEea5pdrFDq-m2g">
          <body>There are a number of places where content must be signed in healthcare.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lJ5tcFMEea5pdrFDq-m2g">
          <body>A digital Signature - XML DigSig, JWT, Graphical image of signature, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lJ5ucFMEea5pdrFDq-m2g">
          <body>The elements of the Signature Resource are for ease of access of these elements. Foro digital signatures (Xml DigSig, JWT), the non-repudiation proof comes from the Signature  validation, which includes validation of the referenced objects (e.g. Resources) (a.k.a., Content) in the XML-Signature Detached form.</body>
        </ownedComment>
        <generalization xmi:id="_4lJ5tMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4lJ5u8FMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lKgxcFMEea5pdrFDq-m2g">
            <body>An indication of the reason that the entity signed this document. This may be explicitly included as part of the signature information and can be used when determining accountability for various actions concerning the document.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lKgw8FMEea5pdrFDq-m2g">
            <body>Indication of the reason the entity signed the object(s)</body>
          </ownedComment>
          <ownedComment xmi:id="_4lKgx8FMEea5pdrFDq-m2g">
            <body>Examples include attesting to: authorship, correct transcription, and witness of specific event. Also known as a &amp;quot;Commitment Type Indication&amp;quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lJ5vMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lJ5vcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lLH0MFMEea5pdrFDq-m2g" name="when" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lLH1sFMEea5pdrFDq-m2g">
            <body>When the digital signature was signed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lLH1MFMEea5pdrFDq-m2g">
            <body>When the signature was created</body>
          </ownedComment>
          <ownedComment xmi:id="_4lLH2MFMEea5pdrFDq-m2g">
            <body>This should agree with the information in the signature.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lLH0cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lLH0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lTquMFMEea5pdrFDq-m2g" name="who[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lTqvsFMEea5pdrFDq-m2g">
            <body>A reference to an application-usable description of the identity that signed  (e.g. the signature used their private key).</body>
          </ownedComment>
          <ownedComment xmi:id="_4lTqvMFMEea5pdrFDq-m2g">
            <body>Who signed</body>
          </ownedComment>
          <ownedComment xmi:id="_4lTqwMFMEea5pdrFDq-m2g">
            <body>This should agree with the information in the signature.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lTqucFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lTqusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lURwsFMEea5pdrFDq-m2g" name="onBehalfOf[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lURyMFMEea5pdrFDq-m2g">
            <body>A reference to an application-usable description of the identity that is represented by the signature.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lURxsFMEea5pdrFDq-m2g">
            <body>The party represented</body>
          </ownedComment>
          <ownedComment xmi:id="_4lURysFMEea5pdrFDq-m2g">
            <body>The party that can't sign. For example a child.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lURzMFMEea5pdrFDq-m2g">
            <body>used when the signature is on behalf of a non-signer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lURw8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lURxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lU40cFMEea5pdrFDq-m2g" name="contentType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lU42MFMEea5pdrFDq-m2g">
            <body>A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jwt for JWT, and image/* for a graphical image of a signature, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lU41sFMEea5pdrFDq-m2g">
            <body>The technical format of the signature</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lU40sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lU408FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lU42sFMEea5pdrFDq-m2g" name="blob" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lVf5MFMEea5pdrFDq-m2g">
            <body>The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lVf4sFMEea5pdrFDq-m2g">
            <body>The actual signature content (XML DigSig. JWT, picture, etc.)</body>
          </ownedComment>
          <ownedComment xmi:id="_4lVf5sFMEea5pdrFDq-m2g">
            <body>Where the signature type is an XML DigSig, the signed content is a FHIR Resource(s), the signature is of the XML form of the Resource(s) using  XML-Signature (XMLDIG) &quot;Detached Signature&quot; form.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lU428FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lVf4MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lVf6MFMEea5pdrFDq-m2g" name="Timing">
        <ownedComment xmi:id="_4la_dcFMEea5pdrFDq-m2g">
          <body>Specifies an event that may occur multiple times. Timing schedules are used to record when things are expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds.</body>
        </ownedComment>
        <ownedComment xmi:id="_4laYY8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Timing Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4la_cMFMEea5pdrFDq-m2g">
          <body>Need to able to track proposed timing schedules. There are several different ways to do this: one or more specified times, a simple rules like three times a day, or  before/after meals.</body>
        </ownedComment>
        <ownedComment xmi:id="_4la_c8FMEea5pdrFDq-m2g">
          <body>A timing schedule that specifies an event that may occur multiple times</body>
        </ownedComment>
        <ownedComment xmi:id="_4la_d8FMEea5pdrFDq-m2g">
          <body>A timing schedule can be either a list of events - intervals on which the event occurs, or a single event with repeating criteria or just repeating criteria with no actual event.  When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.</body>
        </ownedComment>
        <ownedRule xmi:id="_4lVf6cFMEea5pdrFDq-m2g" name="tim-9" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lVf6sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:offset)) or exists(f:when)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lWG8cFMEea5pdrFDq-m2g" name="tim-5" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lWG8sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:period/@value >= 0 or not(f:period/@value)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lWuAcFMEea5pdrFDq-m2g" name="tim-6" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lWuAsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:periodMax)) or exists(f:period)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lWuBMFMEea5pdrFDq-m2g" name="tim-7" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lWuBcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:durationMax)) or exists(f:duration)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lXVEcFMEea5pdrFDq-m2g" name="tim-8" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lXVEsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:countMax)) or exists(f:count)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lX8IcFMEea5pdrFDq-m2g" name="tim-1" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lX8IsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:duration)) or exists(f:durationUnit)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lX8JMFMEea5pdrFDq-m2g" name="tim-10" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lX8JcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:timeofDay)) or (not(exists(f:when)) and not(exists(f:frequency)) and not (exists(f:period)))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lYjMcFMEea5pdrFDq-m2g" name="tim-11" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lYjMsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:timeofDay)) or (not(exists(f:frequency)) and not (exists(f:period)))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lZKQcFMEea5pdrFDq-m2g" name="tim-2" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lZKQsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:period)) or exists(f:periodUnit)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lZKRMFMEea5pdrFDq-m2g" name="tim-3" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lZKRcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not((f:period or f:frequency) and f:when)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4lZxUcFMEea5pdrFDq-m2g" name="tim-4" constrainedElement="_4lbmhMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4lZxUsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:duration/@value >= 0 or not(f:duration/@value)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4la_csFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4la_ecFMEea5pdrFDq-m2g" name="event" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lbmgMFMEea5pdrFDq-m2g">
            <body>Identifies specific times when the event occurs.</body>
          </ownedComment>
          <ownedComment xmi:id="_4la_fcFMEea5pdrFDq-m2g">
            <body>When the event occurs</body>
          </ownedComment>
          <ownedComment xmi:id="_4lbmgsFMEea5pdrFDq-m2g">
            <body>In an MAR, for instance, you need to take a general specification, and turn it into a precise specification.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4la_esFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4la_e8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lbmhMFMEea5pdrFDq-m2g" name="repeat" type="_4lcNkMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lbmisFMEea5pdrFDq-m2g">
            <body>A set of rules that describe when the event should occur.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lbmiMFMEea5pdrFDq-m2g">
            <body>When the event is to occur</body>
          </ownedComment>
          <ownedComment xmi:id="_4lbmjMFMEea5pdrFDq-m2g">
            <body>Many timing schedules are determined by regular repetitions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lbmhcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lbmhsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lnMtsFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lpB5sFMEea5pdrFDq-m2g">
            <body>A code for the timing pattern. Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lpB5MFMEea5pdrFDq-m2g">
            <body>BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H +</body>
          </ownedComment>
          <ownedComment xmi:id="_4lpB6MFMEea5pdrFDq-m2g">
            <body>BID etc are defined as 'at institutionally specified times'. For example, an institution may choose that BID is &quot;always at 7am and 6pm&quot;.  If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or the a structured representation should be used (in this case, specifying the two event times).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lnMt8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lnMuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4lcNkMFMEea5pdrFDq-m2g" name="Element-1">
          <generalization xmi:id="_4lcNkcFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4lc0ocFMEea5pdrFDq-m2g" name="bounds[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lc0p8FMEea5pdrFDq-m2g">
              <body>Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lc0pcFMEea5pdrFDq-m2g">
              <body>Length/Range of lengths, or (Start and/or end) limits</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lc0osFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lc0o8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lc0qsFMEea5pdrFDq-m2g" name="count" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ldbssFMEea5pdrFDq-m2g">
              <body>A total count of the desired number of repetitions.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ldbsMFMEea5pdrFDq-m2g">
              <body>Number of times to repeat</body>
            </ownedComment>
            <ownedComment xmi:id="_4ldbtMFMEea5pdrFDq-m2g">
              <body>If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ldbtsFMEea5pdrFDq-m2g">
              <body>Repetitions may be limited by end time or total occurrences.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lc0q8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lc0rMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ldbuMFMEea5pdrFDq-m2g" name="countMax" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4leCwMFMEea5pdrFDq-m2g">
              <body>A maximum value for the count of the desired repetitions (e.g. do something 6-8 times).</body>
            </ownedComment>
            <ownedComment xmi:id="_4ldbvMFMEea5pdrFDq-m2g">
              <body>Maximum number of times to repeat</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ldbucFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ldbusFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4leCwsFMEea5pdrFDq-m2g" name="duration" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4leCyMFMEea5pdrFDq-m2g">
              <body>How long this thing happens for when it happens.</body>
            </ownedComment>
            <ownedComment xmi:id="_4leCxsFMEea5pdrFDq-m2g">
              <body>How long when it happens</body>
            </ownedComment>
            <ownedComment xmi:id="_4leCysFMEea5pdrFDq-m2g">
              <body>For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).</body>
            </ownedComment>
            <ownedComment xmi:id="_4leCzMFMEea5pdrFDq-m2g">
              <body>Some activities are not instantaneous and need to be maintained for a period of time.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4leCw8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4leCxMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lep0MFMEea5pdrFDq-m2g" name="durationMax" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lep1sFMEea5pdrFDq-m2g">
              <body>The upper limit of how long this thing happens for when it happens.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lep1MFMEea5pdrFDq-m2g">
              <body>How long when it happens (Max)</body>
            </ownedComment>
            <ownedComment xmi:id="_4lep2MFMEea5pdrFDq-m2g">
              <body>For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).</body>
            </ownedComment>
            <ownedComment xmi:id="_4lep2sFMEea5pdrFDq-m2g">
              <body>Some activities are not instantaneous and need to be maintained for a period of time.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lep0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lep0sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lep3MFMEea5pdrFDq-m2g" name="durationUnit" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lgfBMFMEea5pdrFDq-m2g">
              <body>The units of time for the duration, in UCUM units.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lgfAsFMEea5pdrFDq-m2g">
              <body>s | min | h | d | wk | mo | a - unit of time (UCUM)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lep3cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lep3sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lgfBsFMEea5pdrFDq-m2g" name="frequency" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lhGEcFMEea5pdrFDq-m2g">
              <body>The number of times to repeat the action within the specified period / period range (i.e. both period and periodMax provided).</body>
            </ownedComment>
            <ownedComment xmi:id="_4lgfCsFMEea5pdrFDq-m2g">
              <body>Event occurs frequency times per period</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lgfB8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lgfCMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lhGE8FMEea5pdrFDq-m2g" name="frequencyMax" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lhGGcFMEea5pdrFDq-m2g">
              <body>If present, indicates that the frequency is a range - so repeat between [frequency] and [frequencyMax] times within the period or period range.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lhGF8FMEea5pdrFDq-m2g">
              <body>Event occurs up to frequencyMax times per period</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lhGFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lhGFcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lhGG8FMEea5pdrFDq-m2g" name="period" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lhtIsFMEea5pdrFDq-m2g">
              <body>Indicates the duration of time over which repetitions are to occur; e.g. to express &quot;3 times per day&quot;, 3 would be the frequency and &quot;1 day&quot; would be the period.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lhtIMFMEea5pdrFDq-m2g">
              <body>Event occurs frequency times per period</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lhGHMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lhGHcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lhtJMFMEea5pdrFDq-m2g" name="periodMax" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lhtKsFMEea5pdrFDq-m2g">
              <body>If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as &quot;do this once every 3-5 days.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lhtKMFMEea5pdrFDq-m2g">
              <body>Upper limit of period (3-4 hours)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lhtJcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lhtJsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lhtLMFMEea5pdrFDq-m2g" name="periodUnit" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4liUM8FMEea5pdrFDq-m2g">
              <body>The units of time for the period in UCUM units.</body>
            </ownedComment>
            <ownedComment xmi:id="_4liUMcFMEea5pdrFDq-m2g">
              <body>s | min | h | d | wk | mo | a - unit of time (UCUM)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lhtLcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lhtLsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4liUNcFMEea5pdrFDq-m2g" name="dayOfWeek" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4li7Q8FMEea5pdrFDq-m2g">
              <body>If one or more days of week is provided, then the action happens only on the specified day(s).</body>
            </ownedComment>
            <ownedComment xmi:id="_4li7QcFMEea5pdrFDq-m2g">
              <body>mon | tue | wed | thu | fri | sat | sun</body>
            </ownedComment>
            <ownedComment xmi:id="_4li7RcFMEea5pdrFDq-m2g">
              <body>If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4liUNsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4liUN8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ljiUMFMEea5pdrFDq-m2g" name="timeOfDay" type="_4aorxcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ljiVsFMEea5pdrFDq-m2g">
              <body>Specified time of day for action to take place.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ljiVMFMEea5pdrFDq-m2g">
              <body>Time of day for action</body>
            </ownedComment>
            <ownedComment xmi:id="_4ljiWMFMEea5pdrFDq-m2g">
              <body>When time of day is speciifed, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ljiUcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ljiUsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ljiWsFMEea5pdrFDq-m2g" name="when" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lmlosFMEea5pdrFDq-m2g">
              <body>A real world event that the occurrence of the event should be tied to.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lmloMFMEea5pdrFDq-m2g">
              <body>Regular life events the event is tied to</body>
            </ownedComment>
            <ownedComment xmi:id="_4lmlpMFMEea5pdrFDq-m2g">
              <body>Timings are frequently determined by occurrences such as waking, eating and sleep.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ljiW8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ljiXMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4lmlpsFMEea5pdrFDq-m2g" name="offset" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4lnMtMFMEea5pdrFDq-m2g">
              <body>The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.</body>
            </ownedComment>
            <ownedComment xmi:id="_4lnMssFMEea5pdrFDq-m2g">
              <body>Minutes from event (before or after)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lmlp8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lnMsMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lyy58FMEea5pdrFDq-m2g" name="UsageContext">
        <ownedComment xmi:id="_4lzZ-cFMEea5pdrFDq-m2g">
          <body>Specifies clinical/business/etc metadata that can be used to retrieve, index and/or categorize an artifact. This metadata can either be specific to the applicable population (e.g., age category, DRG) or the specific context of care (e.g., venue, care setting, provider of care).</body>
        </ownedComment>
        <ownedComment xmi:id="_4lzZ8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for UsageContext Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4lzZ9MFMEea5pdrFDq-m2g">
          <body>Consumers of the resource must be able to determine the intended applicability for the resource. Ideally, this information would be used programmatically to determine when and how it should be incorporated or exposed.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lzZ98FMEea5pdrFDq-m2g">
          <body>Describes the context of use for a conformance or knowledge resource</body>
        </ownedComment>
        <generalization xmi:id="_4lzZ9sFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4l0BAcFMEea5pdrFDq-m2g" name="code" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l0oEsFMEea5pdrFDq-m2g">
            <body>A code that identifies the type of context being specified by this usage context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l0oEMFMEea5pdrFDq-m2g">
            <body>Type of context being specified</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l0BAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l0BA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l0oFMFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l0oGsFMEea5pdrFDq-m2g">
            <body>A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l0oGMFMEea5pdrFDq-m2g">
            <body>Value that defines the context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l0oFcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l0oFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4l2dTMFMEea5pdrFDq-m2g" name="Contributor">
        <ownedComment xmi:id="_4l3rZMFMEea5pdrFDq-m2g">
          <body>A contributor to the content of a knowledge asset, including authors, editors, reviewers, and endorsers.</body>
        </ownedComment>
        <ownedComment xmi:id="_4l3EUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Contributor Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4l3EVMFMEea5pdrFDq-m2g">
          <body>Need to track contributor information in the same way across multiple resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_4l3rYsFMEea5pdrFDq-m2g">
          <body>Contributor information</body>
        </ownedComment>
        <generalization xmi:id="_4l3rYcFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4l3rZsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l4Sc8FMEea5pdrFDq-m2g">
            <body>The type of contributor.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l4SccFMEea5pdrFDq-m2g">
            <body>author | editor | reviewer | endorser</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l3rZ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l3raMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l4SdcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l45gcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization responsible for the contribution.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l4SecFMEea5pdrFDq-m2g">
            <body>Name of the contributor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l4SdsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l4Sd8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l6usMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l6utsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the contributor.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l6utMFMEea5pdrFDq-m2g">
            <body>Contact details of the contributor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l6uscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l6ussFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4l45g8FMEea5pdrFDq-m2g" name="ContactDetail">
        <ownedComment xmi:id="_4l5gmcFMEea5pdrFDq-m2g">
          <body>Specifies contact information for a person or organization.</body>
        </ownedComment>
        <ownedComment xmi:id="_4l5gksFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ContactDetail Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4l5glMFMEea5pdrFDq-m2g">
          <body>Need to track contact information in the same way across multiple resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_4l5gl8FMEea5pdrFDq-m2g">
          <body>Contact information</body>
        </ownedComment>
        <generalization xmi:id="_4l5glsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4l5gm8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l6Ho8FMEea5pdrFDq-m2g">
            <body>The name of an individual to contact.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l6HocFMEea5pdrFDq-m2g">
            <body>Name of an individual to contact</body>
          </ownedComment>
          <ownedComment xmi:id="_4l6HpcFMEea5pdrFDq-m2g">
            <body>If there is no named individual, the telecom information is for the organization as a whole.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l5gnMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l5gncFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l6Hp8FMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l6HrcFMEea5pdrFDq-m2g">
            <body>The contact details for the individual (if a name was provided) or the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l6Hq8FMEea5pdrFDq-m2g">
            <body>Contact details for individual or organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l6HqMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l6HqcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4l8j6cFMEea5pdrFDq-m2g" name="RelatedArtifact">
        <ownedComment xmi:id="_4l9K-cFMEea5pdrFDq-m2g">
          <body>Related artifacts such as additional documentation, justification, or bibliographic references.</body>
        </ownedComment>
        <ownedComment xmi:id="_4l9K8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for RelatedArtifact Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4l9K9MFMEea5pdrFDq-m2g">
          <body>Knowledge resources must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.</body>
        </ownedComment>
        <ownedComment xmi:id="_4l9K98FMEea5pdrFDq-m2g">
          <body>Related artifacts for a knowledge resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4l9yAMFMEea5pdrFDq-m2g">
          <body>Each related artifact is either an attachment, or a reference to another knowledge resource, but not both.</body>
        </ownedComment>
        <generalization xmi:id="_4l9K9sFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4l9yAsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l-ZE8FMEea5pdrFDq-m2g">
            <body>The type of relationship to the related artifact.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l-ZEcFMEea5pdrFDq-m2g">
            <body>documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l9yA8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l9yBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l-ZFcFMEea5pdrFDq-m2g" name="display" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l-ZG8FMEea5pdrFDq-m2g">
            <body>A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l-ZGcFMEea5pdrFDq-m2g">
            <body>Brief description of the related artifact</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l-ZFsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l-ZF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l_AIcFMEea5pdrFDq-m2g" name="citation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l_AJ8FMEea5pdrFDq-m2g">
            <body>A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l_AJcFMEea5pdrFDq-m2g">
            <body>Bibliographic citation for the artifact</body>
          </ownedComment>
          <ownedComment xmi:id="_4l_AKcFMEea5pdrFDq-m2g">
            <body>Additional structured information about citations should be captured as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l_AIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l_AI8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l_AK8FMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l_nMsFMEea5pdrFDq-m2g">
            <body>A url for the artifact that can be followed to access the actual content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l_nMMFMEea5pdrFDq-m2g">
            <body>Url for the related artifact</body>
          </ownedComment>
          <ownedComment xmi:id="_4l_nNMFMEea5pdrFDq-m2g">
            <body>If a document or resource element is present, this element SHALL NOT be provided (use the url or reference in the Attachment or resource reference).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l_ALMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l_ALcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l_nNsFMEea5pdrFDq-m2g" name="document" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l_nPMFMEea5pdrFDq-m2g">
            <body>The document being referenced, represented as an attachment. This is exclusive with the resource element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l_nOsFMEea5pdrFDq-m2g">
            <body>The related document</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l_nN8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l_nOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mAOQMFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4mAORMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mAOSsFMEea5pdrFDq-m2g">
            <body>The related resource, such as a library, value set, profile, or other knowledge resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mAOSMFMEea5pdrFDq-m2g">
            <body>The related resource</body>
          </ownedComment>
          <ownedComment xmi:id="_4mAOTMFMEea5pdrFDq-m2g">
            <body>If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mAOQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mAOQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4mAORMFMEea5pdrFDq-m2g" memberEnd="_4mAORcFMEea5pdrFDq-m2g _4mAOQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4mAORcFMEea5pdrFDq-m2g" type="_4l8j6cFMEea5pdrFDq-m2g" association="_4mAORMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mAORsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mAOR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4mA1WcFMEea5pdrFDq-m2g" name="ParameterDefinition">
        <ownedComment xmi:id="_4mBcZ8FMEea5pdrFDq-m2g">
          <body>The parameters to the module. This collection specifies both the input and output parameters. Input parameters are provided by the caller as part of the $evaluate operation. Output parameters are included in the GuidanceResponse.</body>
        </ownedComment>
        <ownedComment xmi:id="_4mBcYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ParameterDefinition Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4mBcZcFMEea5pdrFDq-m2g">
          <body>Definition of a parameter to a module</body>
        </ownedComment>
        <generalization xmi:id="_4mBcZMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4mCDcMFMEea5pdrFDq-m2g" name="name" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mCDdsFMEea5pdrFDq-m2g">
            <body>The name of the parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mCDdMFMEea5pdrFDq-m2g">
            <body>Parameter name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mCDccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mCDcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mCDeMFMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mCqhMFMEea5pdrFDq-m2g">
            <body>Whether the parameter is input or output for the module.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mCqgsFMEea5pdrFDq-m2g">
            <body>input | output</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mCDecFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mCDesFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mCqhsFMEea5pdrFDq-m2g" name="min" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mDRkMFMEea5pdrFDq-m2g">
            <body>The minimum number of times this parameter SHALL appear in the request or response.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mCqisFMEea5pdrFDq-m2g">
            <body>Minimum cardinality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mCqh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mCqiMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mDRksFMEea5pdrFDq-m2g" name="max" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mDRmMFMEea5pdrFDq-m2g">
            <body>The maximum number of times this element is permitted to appear in the request or response.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mDRlsFMEea5pdrFDq-m2g">
            <body>Maximum cardinality (a number of *)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mDRk8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mDRlMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mDRmsFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mD4osFMEea5pdrFDq-m2g">
            <body>A brief discussion of what the parameter is for and how it is used by the module.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mD4oMFMEea5pdrFDq-m2g">
            <body>A brief description of the parameter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mDRm8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mDRnMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mD4pMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mEftMFMEea5pdrFDq-m2g">
            <body>The type of the parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mEfssFMEea5pdrFDq-m2g">
            <body>Type for the parameter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mD4pcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mD4psFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ns3ZMFMEea5pdrFDq-m2g" name="profile" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_4ns3aMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4ns3bsFMEea5pdrFDq-m2g">
            <body>If specified, this indicates a profile that the input data must conform to, or that the output data will conform to.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ns3bMFMEea5pdrFDq-m2g">
            <body>The profile of the parameter, any</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ns3ZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ns3ZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4mhLrMFMEea5pdrFDq-m2g" name="ElementDefinition">
        <ownedComment xmi:id="_4mpHcMFMEea5pdrFDq-m2g">
          <body>Captures constraints on each element within the resource, profile, or extension.</body>
        </ownedComment>
        <ownedComment xmi:id="_4mogYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ElementDefinition Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4mogZcFMEea5pdrFDq-m2g">
          <body>Definition of an element in a resource or extension</body>
        </ownedComment>
        <ownedRule xmi:id="_4mhLrcFMEea5pdrFDq-m2g" name="eld-2" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4mxqVMFMEea5pdrFDq-m2g _4mxqXMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mhLrsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:min)) or not(exists(f:max)) or (not(f:max/@value) and not(f:min/@value)) or (f:max/@value = '*') or (number(f:max/@value) >= f:min/@value)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mhyscFMEea5pdrFDq-m2g" name="eld-5" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m0GmsFMEea5pdrFDq-m2g _4m5mIMFMEea5pdrFDq-m2g _4m6NMMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mhyssFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:contentReference) and (exists(f:type) or exists(f:*[starts-with(local-name(.), 'value')]) or exists(f:*[starts-with(local-name(.), 'defaultValue')])  or exists(f:*[starts-with(local-name(.), 'fixed')]) or exists(f:*[starts-with(local-name(.), 'pattern')]) or exists(f:*[starts-with(local-name(.), 'example')]) or exists(f:*[starts-with(local-name(.), 'f:minValue')]) or exists(f:*[starts-with(local-name(.), 'f:maxValue')]) or exists(f:maxLength) or exists(f:binding)))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4miZwcFMEea5pdrFDq-m2g" name="eld-7" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m6NMMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4miZwsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:*[starts-with(local-name(.), 'pattern')])) or (count(f:type)&lt;=1)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4miZxMFMEea5pdrFDq-m2g" name="eld-6" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m5mIMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4miZxcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:*[starts-with(local-name(.), 'fixed')])) or (count(f:type)&lt;=1)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mjA0cFMEea5pdrFDq-m2g" name="eld-11" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4nD-McFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mjA0sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:binding)) or (count(f:type/f:code) = 0) or  f:type/f:code/@value=('code','Coding','CodeableConcept','Quantity','Extension', 'string', 'uri')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mjn4cFMEea5pdrFDq-m2g" name="eld-8" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m5mIMFMEea5pdrFDq-m2g _4m6NMMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mjn4sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:*[starts-with(local-name(.), 'pattern')])) or not(exists(f:*[starts-with(local-name(.), 'fixed')]))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mkO8MFMEea5pdrFDq-m2g" name="eld-14" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m-epcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mkO8cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:constraint) = count(distinct-values(f:constraint/f:key/@value))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mkO88FMEea5pdrFDq-m2g" name="eld-13" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m0to8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mkO9MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(for $type in f:type return $type/preceding-sibling::f:type[f:code/@value=$type/f:code/@value and f:profile/@value = $type/f:profile/@value]))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mk2AcFMEea5pdrFDq-m2g" name="eld-16" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mk2AsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:sliceName/@value)) or matches(f:sliceName/@value, '^[a-zA-Z0-9\\-\\_]+$')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mldEcFMEea5pdrFDq-m2g" name="eld-15" constrainedElement="_4mhLrMFMEea5pdrFDq-m2g _4m4YBsFMEea5pdrFDq-m2g _4m4_E8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mldEsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:*[starts-with(local-name(.), 'fixed')])) or not(exists(f:meaningWhenMissing))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mldFMFMEea5pdrFDq-m2g" name="eld-1" constrainedElement="_4msKxMFMEea5pdrFDq-m2g _4mtY58FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mldFcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:discriminator) or (f:description)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mmEIcFMEea5pdrFDq-m2g" name="eld-3" constrainedElement="_4mxqXMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mmEIsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>@value='*' or (normalize-space(@value)!='' and normalize-space(translate(@value, '0123456789',''))='')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mmrMcFMEea5pdrFDq-m2g" name="eld-4" constrainedElement="_4m0to8FMEea5pdrFDq-m2g _4m2i3cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mmrMsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:aggregation)) or exists(f:code[@value = 'Reference'])</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mnSQcFMEea5pdrFDq-m2g" name="eld-10" constrainedElement="_4nD-McFMEea5pdrFDq-m2g _4nFzYsFMEea5pdrFDq-m2g _4nol8cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mnSQsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(exists(f:valueSetUri) or exists(f:valueSetReference)) or exists(f:description)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mn5UcFMEea5pdrFDq-m2g" name="eld-12" constrainedElement="_4nD-McFMEea5pdrFDq-m2g _4nol8cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mn5UsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:valueSetUri)) or (starts-with(string(f:valueSetUri/@value), 'http:') or starts-with(string(f:valueSetUri/@value), 'https:') or starts-with(string(f:valueSetUri/@value), 'urn:'))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4mogZMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4mpHcsFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mpHeMFMEea5pdrFDq-m2g">
            <body>The path identifies the element and is expressed as a &quot;.&quot;-separated list of ancestor elements, beginning with the name of the resource or extension.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mpHdsFMEea5pdrFDq-m2g">
            <body>Path of the element in the heirarchy of elements</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mpHc8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mpHdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mpHesFMEea5pdrFDq-m2g" name="representation" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mqVkcFMEea5pdrFDq-m2g">
            <body>Codes that define how this element is represented in instances, when the deviation varies from the normal case.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mpuhcFMEea5pdrFDq-m2g">
            <body>xmlAttr | xmlText | typeAttr | cdaText | xhtml</body>
          </ownedComment>
          <ownedComment xmi:id="_4mqVk8FMEea5pdrFDq-m2g">
            <body>In resources, this is rarely used except for special cases where the representation deviates from the normal, and can only be done in the base standard (and profiles must reproduce what the base standard does). This element is used quite commonly in Logical models when the logical models represent a specific wire format (e.g. CDA, v2 etc).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mpHe8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mpugMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mqVlcFMEea5pdrFDq-m2g" name="sliceName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mqVm8FMEea5pdrFDq-m2g">
            <body>The name of this element definition slice, when slicing is working. The name must be a token with no dots or spaces. This is a unique name referring to a specific set of constraints applied to this element, used to provide a name to different slices of the same element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mqVmcFMEea5pdrFDq-m2g">
            <body>Name for this particular element (in a set of slices)</body>
          </ownedComment>
          <ownedComment xmi:id="_4mqVncFMEea5pdrFDq-m2g">
            <body>The name SHALL be unique within the structure within the context of the constrained resource element.  (Though to avoid confusion, uniqueness across all elements is recommended.).</body>
          </ownedComment>
          <ownedComment xmi:id="_4mq8oMFMEea5pdrFDq-m2g">
            <body>May also be used for code generation purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mqVlsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mqVl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mq8osFMEea5pdrFDq-m2g" name="label" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mq8qMFMEea5pdrFDq-m2g">
            <body>The text to display beside the element indicating its meaning or to use to prompt for the element in a user display or form.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mq8psFMEea5pdrFDq-m2g">
            <body>Name for element to display with or prompt for element</body>
          </ownedComment>
          <ownedComment xmi:id="_4mq8qsFMEea5pdrFDq-m2g">
            <body>Question and label serve similar purposes in they both can be used to prompt for capturing a data element.  Whether the question form or label form should be used will depend on the type of instrument being used to capture the information.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mq8o8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mq8pMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mq8rMFMEea5pdrFDq-m2g" name="code" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mrjtsFMEea5pdrFDq-m2g">
            <body>A code that provides the meaning for the element according to a particular terminology.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mrjtMFMEea5pdrFDq-m2g">
            <body>Defining code</body>
          </ownedComment>
          <ownedComment xmi:id="_4msKwMFMEea5pdrFDq-m2g">
            <body>The data element definition and other constraints SHALL be a proper constraint on the meaning (as defined in the code system, including relationships) of any code listed here.  Where multiple codes exist in a terminology that could correspond to the data element, the most granular code(s) should be selected, so long as they are not more restrictive than the data element itself.</body>
          </ownedComment>
          <ownedComment xmi:id="_4msKwsFMEea5pdrFDq-m2g">
            <body>Links the meaning of an element to an external terminology.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mq8rcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mq8rsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4msKxMFMEea5pdrFDq-m2g" name="slicing" type="_4msKzsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4msKysFMEea5pdrFDq-m2g">
            <body>Indicates that the element is sliced into a set of alternative definitions (i.e. in a structure definition, there are multiple different constraints on a single element in the base resource). Slicing can be used in any resource that has cardinality ..* on the base resource, or any resource with a choice of types. The set of slices is any elements that come after this in the element sequence that have the same path, until a shorter path occurs (the shorter path terminates the set).</body>
          </ownedComment>
          <ownedComment xmi:id="_4msKyMFMEea5pdrFDq-m2g">
            <body>This element is sliced - slices follow</body>
          </ownedComment>
          <ownedComment xmi:id="_4msKzMFMEea5pdrFDq-m2g">
            <body>The first element in the sequence, the one that carries the slicing, is the definition that applies to all the slices. This is based on the unconstrained element, but can apply any constraints as appropriate. This may include the common constraints on the children of the element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4msKxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4msKxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mvOFsFMEea5pdrFDq-m2g" name="short" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mv1JMFMEea5pdrFDq-m2g">
            <body>A concise description of what this element means (e.g. for use in autogenerated summaries).</body>
          </ownedComment>
          <ownedComment xmi:id="_4mv1IsFMEea5pdrFDq-m2g">
            <body>Concise definition for xml presentation</body>
          </ownedComment>
          <ownedComment xmi:id="_4mv1JsFMEea5pdrFDq-m2g">
            <body>May change the term to provide language more appropriate to the context of the profile or to reflect slicing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mvOF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mv1IMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mv1KMFMEea5pdrFDq-m2g" name="definition" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mv1LsFMEea5pdrFDq-m2g">
            <body>Provides a complete explanation of the meaning of the data element for human readability.  For the case of elements derived from existing elements (e.g. constraints), the definition SHALL be consistent with the base definition, but convey the meaning of the element in the particular context of use of the resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mv1LMFMEea5pdrFDq-m2g">
            <body>Full formal definition as narrative text</body>
          </ownedComment>
          <ownedComment xmi:id="_4mwcMcFMEea5pdrFDq-m2g">
            <body>It is easy for a different definition to change the meaning of an element and this can have nasty downstream consequences. Please be careful when providing definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mwcM8FMEea5pdrFDq-m2g">
            <body>To allow a user to state the usage of an element in a particular context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mv1KcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mv1KsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mwcNcFMEea5pdrFDq-m2g" name="comments" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mwcO8FMEea5pdrFDq-m2g">
            <body>Explanatory notes and implementation guidance about the data element, including notes about how to use the data properly, exceptions to proper use, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mwcOcFMEea5pdrFDq-m2g">
            <body>Comments about the use of this element</body>
          </ownedComment>
          <ownedComment xmi:id="_4mwcPcFMEea5pdrFDq-m2g">
            <body>If it is possible to capture usage rules using constraints, that mechanism should be used in preference to this element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mwcNsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mwcN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mxDQMFMEea5pdrFDq-m2g" name="requirements" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mxDRsFMEea5pdrFDq-m2g">
            <body>This element is for traceability of why the element was created and why the constraints exist as they do. This may be used to point to source materials or specifications that drove the structure of this element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mxDRMFMEea5pdrFDq-m2g">
            <body>Why this resource has been created</body>
          </ownedComment>
          <ownedComment xmi:id="_4mxDSMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the element (that's done in comments), rather it's for traceability of *why* the element is either needed or why the constraints exist as they do.  This may be used to point to source materials or specifications that drove the structure of this data element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mxDQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mxDQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mxDSsFMEea5pdrFDq-m2g" name="alias" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mxqUMFMEea5pdrFDq-m2g">
            <body>Identifies additional names by which this element might also be known.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mxDTsFMEea5pdrFDq-m2g">
            <body>Other names</body>
          </ownedComment>
          <ownedComment xmi:id="_4mxqUsFMEea5pdrFDq-m2g">
            <body>Allows for better easier recognition of the element by multiple communities, including international communities.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mxDS8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mxDTMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mxqVMFMEea5pdrFDq-m2g" name="min" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mxqWsFMEea5pdrFDq-m2g">
            <body>The minimum number of times this element SHALL appear in the instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mxqWMFMEea5pdrFDq-m2g">
            <body>Minimum Cardinality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mxqVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mxqVsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mxqXMFMEea5pdrFDq-m2g" name="max" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4myRYsFMEea5pdrFDq-m2g">
            <body>The maximum number of times this element is permitted to appear in the instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4myRYMFMEea5pdrFDq-m2g">
            <body>Maximum Cardinality (a number or *)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mxqXcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mxqXsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4myRZMFMEea5pdrFDq-m2g" name="base" type="_4myRbsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4myRasFMEea5pdrFDq-m2g">
            <body>Information about the base definition of the element, provided to make it unnecessary for tools to trace the deviation of the element through the derived and related profiles. This information is provided when the element definition is not the original definition of an element - i.g. either in a constraint on another type, or for elements from a super type in a snap shot.</body>
          </ownedComment>
          <ownedComment xmi:id="_4myRaMFMEea5pdrFDq-m2g">
            <body>Base definition information for tools</body>
          </ownedComment>
          <ownedComment xmi:id="_4myRbMFMEea5pdrFDq-m2g">
            <body>The base information does not carry any information that could not be determined from the path and related profiles, but making this determination requires both that the related profiles are available, and that the algorithm to determine them be available. So they are deformalised into this location for tooling convenience, and to ensure that the base information is available without dependencies.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4myRZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4myRZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m0GmsFMEea5pdrFDq-m2g" name="contentReference" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m0tocFMEea5pdrFDq-m2g">
            <body>Identifies the identity of an element defined elsewhere in the profile whose content rules should be applied to the current element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m0GnsFMEea5pdrFDq-m2g">
            <body>Reference to definition of content for the element</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m0Gm8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m0GnMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m0to8FMEea5pdrFDq-m2g" name="type" type="_4m0trcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m0tqcFMEea5pdrFDq-m2g">
            <body>The data type or resource that the value of this element is permitted to be.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m0tp8FMEea5pdrFDq-m2g">
            <body>Data type and Profile for this element</body>
          </ownedComment>
          <ownedComment xmi:id="_4m0tq8FMEea5pdrFDq-m2g">
            <body>The Type of the element can be left blank in a differential constraint, in which case the type is inherited from the resource. Abstract types are not permitted to appear as a type when multiple types are listed.  (I.e. Abstract types cannot be part of a choice).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m0tpMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m0tpcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m4YBsFMEea5pdrFDq-m2g" name="defaultValue[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m4YDMFMEea5pdrFDq-m2g">
            <body>The value that should be used if there is no value stated in the instance (e.g. 'if not otherwise specified, the abstract is false').</body>
          </ownedComment>
          <ownedComment xmi:id="_4m4YCsFMEea5pdrFDq-m2g">
            <body>Specified value if missing from instance</body>
          </ownedComment>
          <ownedComment xmi:id="_4m4_EMFMEea5pdrFDq-m2g">
            <body>Default values can only be specified on a resource, data type, or extension definition, and never in a profile that applies to one of these. Specifying a default value means that the property can never been unknown - it must always have a value. Further, the default value can never be changed. For these reasons, default values are (and should be) used extremely sparingly.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m4YB8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m4YCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m4_E8FMEea5pdrFDq-m2g" name="meaningWhenMissing" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m4_GcFMEea5pdrFDq-m2g">
            <body>The Implicit meaning that is to be understood when this element is missing (e.g. 'when this element is missing, the period is ongoing'.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m4_F8FMEea5pdrFDq-m2g">
            <body>Implicit meaning when this element is missing</body>
          </ownedComment>
          <ownedComment xmi:id="_4m4_G8FMEea5pdrFDq-m2g">
            <body>Implicit meanings for missing values can only be specified on a resource, data type, or extension definition, and never in a profile that applies to one of these. An implicit meaning for a missing value can never be changed, and specifying one has the consequence that constraining its use in profiles eliminates use cases as possibilities, not merely moving them out of scope.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m4_FMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m4_FcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m5mIMFMEea5pdrFDq-m2g" name="fixed[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m5mJsFMEea5pdrFDq-m2g">
            <body>Specifies a value that SHALL be exactly the value  for this element in the instance. For purposes of comparison, non-significant whitespace is ignored, and all values must be an exact match (case and accent sensitive). Missing elements/attributes must also be missing.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m5mJMFMEea5pdrFDq-m2g">
            <body>Value must be exactly this</body>
          </ownedComment>
          <ownedComment xmi:id="_4m5mKMFMEea5pdrFDq-m2g">
            <body>This is not recommended for Coding and CodeableConcept since these often have highly contextual properties such as version or display.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m5mIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m5mIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m6NMMFMEea5pdrFDq-m2g" name="pattern[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m6NNsFMEea5pdrFDq-m2g">
            <body>Specifies a value that the value in the instance SHALL follow - that is, any value in the pattern must be found in the instance. Other additional values may be found too. This is effectively constraint by example.  The values of elements present in the pattern must match exactly (case-sensitive, accent-sensitive, etc.).</body>
          </ownedComment>
          <ownedComment xmi:id="_4m6NNMFMEea5pdrFDq-m2g">
            <body>Value must have at least these property values</body>
          </ownedComment>
          <ownedComment xmi:id="_4m6NOMFMEea5pdrFDq-m2g">
            <body>Mostly used for fixing values of CodeableConcept. At present, pattern[x] is not recommended as a basis for slicing while issues related to this are investigated during the STU period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m6NMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m6NMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m60QMFMEea5pdrFDq-m2g" name="example" type="_4m60SsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m60RsFMEea5pdrFDq-m2g">
            <body>A sample value for this element demonstrating the type of information that would typically be found in the element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m60RMFMEea5pdrFDq-m2g">
            <body>Example value (as defined for type)</body>
          </ownedComment>
          <ownedComment xmi:id="_4m60SMFMEea5pdrFDq-m2g">
            <body>Examples will most commonly be present for data where it's not implicitly obvious from either the data type or value set what the values might be.  (I.e. Example values for dates or quantities would generally be unnecessary.)  If the example value is fully populated, the publication tool can generate an instance automatically.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m60QcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m60QsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m8CacFMEea5pdrFDq-m2g" name="minValue[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m8pccFMEea5pdrFDq-m2g">
            <body>The minimum allowed value for the element. The value is inclusive. This is allowed for the types date, dateTime, instant, time, decimal, integer, and Quantity.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m8CbcFMEea5pdrFDq-m2g">
            <body>Minimum Allowed Value (for some types)</body>
          </ownedComment>
          <ownedComment xmi:id="_4m8pc8FMEea5pdrFDq-m2g">
            <body>Except for date/date/instant, the type of the minValue[x] SHALL be the same as the specified type of the element. For the date/dateTime/instant values, the type of minValue[x] SHALL be either the same, or a a [Duration](datatypes.html#duration) which specifies a relative time limit to the current time. The duration value is positive, and is subtracted from the current clock to determine the minimum allowable value.   A minimum value for a Quantity is interpreted as an canonical minimum - e.g. you cannot provide 100mg if the minimum value is 10g.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m8CasFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m8Ca8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m8pdsFMEea5pdrFDq-m2g" name="maxValue[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m8pfMFMEea5pdrFDq-m2g">
            <body>The maximum allowed value for the element. The value is inclusive. This is allowed for the types date, dateTime, instant, time, decimal, integer, and Quantity.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m8pesFMEea5pdrFDq-m2g">
            <body>Maximum Allowed Value (for some types)</body>
          </ownedComment>
          <ownedComment xmi:id="_4m9QgMFMEea5pdrFDq-m2g">
            <body>Except for date/date/instant, the type of the maxValue[x] SHALL be the same as the specified type of the element. For the date/dateTime/instant values, the type of maxValue[x] SHALL be either the same, or a a [Duration](datatypes.html#duration) which specifies a relative time limit to the current time. The duration value is positive, and is added to the current clock to determine the maximum allowable value.   A maximum value for a Quantity is interpreted as an canonical maximum - e.g. you cannot provide 10g if the maximum value is 50mg.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m8pd8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m8peMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m9Qg8FMEea5pdrFDq-m2g" name="maxLength" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m9QicFMEea5pdrFDq-m2g">
            <body>Indicates the maximum length in characters that is permitted to be present in conformant instances and which is expected to be supported by conformant consumers that support the element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m9Qh8FMEea5pdrFDq-m2g">
            <body>Max length for strings</body>
          </ownedComment>
          <ownedComment xmi:id="_4m9Qi8FMEea5pdrFDq-m2g">
            <body>Receivers are not required to reject instances that exceed the maximum length.  The full length could be stored.  In some cases, data might be truncated, though truncation should be undertaken with care and an understanding of the consequences of doing so. If not specified, there is no conformance expectation for length support.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m9QhMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m9QhcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m93kMFMEea5pdrFDq-m2g" name="condition" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m93lsFMEea5pdrFDq-m2g">
            <body>A reference to an invariant that may make additional statements about the cardinality or value in the instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m93lMFMEea5pdrFDq-m2g">
            <body>Reference to invariant about presence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m93kcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m93ksFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4m93mMFMEea5pdrFDq-m2g" name="constraint" type="_4m-eosFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4m93nsFMEea5pdrFDq-m2g">
            <body>Formal constraints such as co-occurrence and other constraints that can be computationally evaluated within the context of the instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4m93nMFMEea5pdrFDq-m2g">
            <body>Condition that must evaluate to true</body>
          </ownedComment>
          <ownedComment xmi:id="_4m-eoMFMEea5pdrFDq-m2g">
            <body>Constraints should be declared on the &quot;context&quot; element - the lowest element in the hierarchy that is common to all nodes referenced by the constraint.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m93mcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m93msFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nCJBsFMEea5pdrFDq-m2g" name="mustSupport" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nCJDMFMEea5pdrFDq-m2g">
            <body>If true, implementations that produce or consume resources SHALL provide &quot;support&quot; for the element in some meaningful way.  If false, the element may be ignored and not supported.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nCJCsFMEea5pdrFDq-m2g">
            <body>If the element must supported</body>
          </ownedComment>
          <ownedComment xmi:id="_4nCwEMFMEea5pdrFDq-m2g">
            <body>&quot;Something useful&quot; is context dependent and impossible to describe in the base FHIR specification. For this reason, tue mustSupport flag is never set to true by the FHIR specification itself - it is only set to true in profiles.   This is done in [Resource Profiles](profiling.html#mustsupport), where the profile labels an element as mustSupport=true. When a profile does this, it SHALL also make clear exactly what kind of &quot;support&quot; is required, as this can mean many things.  Note that an element that has the property IsModifier is not necessarily a &quot;key&quot; element (e.g. one of the important elements to make use of the resource), nor is it automatically mustSupport - however both of these things are more likely to be true for IsModifier elements than for other elements.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nCwEsFMEea5pdrFDq-m2g">
            <body>Allows a profile to set expectations for system capabilities beyond merely respecting cardinality constraints.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nCJB8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nCJCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nCwFMFMEea5pdrFDq-m2g" name="isModifier" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nCwGsFMEea5pdrFDq-m2g">
            <body>If true, the value of this element affects the interpretation of the element or resource that contains it, and the value of the element cannot be ignored. Typically, this is used for status, negation and qualification codes. The effect of this is that the element cannot be ignored by systems: they SHALL either recognize the element and process it, and/or a pre-determination has been made that it is not relevant to their particular system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nCwGMFMEea5pdrFDq-m2g">
            <body>If this modifies the meaning of other elements</body>
          </ownedComment>
          <ownedComment xmi:id="_4nCwHMFMEea5pdrFDq-m2g">
            <body>Only the definition of an element can set IsModifier true - either the specification itself or where an extension is originally defined. Once set, it cannot be changed in derived profiles. An element/extension that has isModifier=true SHOULD also have a minimum cardinality of 1, so that there is no lack of clarity about what to do if it is missing. If it can be missing, the definition SHALL make the meaning of a missing element clear.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nDXIcFMEea5pdrFDq-m2g">
            <body>Allows elements to be introduced into a specification that can't safely be ignored by applications that don't recognize them.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nCwFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nCwFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nDXI8FMEea5pdrFDq-m2g" name="isSummary" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nDXKcFMEea5pdrFDq-m2g">
            <body>Whether the element should be included if a client requests a search with the parameter _summary=true.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nDXJ8FMEea5pdrFDq-m2g">
            <body>Include when _summary = true?</body>
          </ownedComment>
          <ownedComment xmi:id="_4nDXK8FMEea5pdrFDq-m2g">
            <body>Some resources include a set of simple metadata, and some very large data. This element is used to reduce the quantity of data returned in searches. Note that servers may pre-cache summarized resources for optimal performance, so servers may not support per-profile use of the isSummary flag. When a request is made with _summary=true, serailisers only include elements marked as 'isSummary = true'. Other than Attachment.data, all data type properties are included in the summary form. Modifier elements or elements with minimum cardinality = 1 must be marked as summary elements.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nDXLcFMEea5pdrFDq-m2g">
            <body>Allow clients to search through large resources quickly.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nDXJMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nDXJcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nD-McFMEea5pdrFDq-m2g" name="binding" type="_4nElQMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nD-N8FMEea5pdrFDq-m2g">
            <body>Binds to a value set if this element is coded (code, Coding, CodeableConcept).</body>
          </ownedComment>
          <ownedComment xmi:id="_4nD-NcFMEea5pdrFDq-m2g">
            <body>ValueSet details if this is coded</body>
          </ownedComment>
          <ownedComment xmi:id="_4nD-OcFMEea5pdrFDq-m2g">
            <body>For a CodeableConcept, when no codes are allowed - only text, use a binding of strength &quot;required&quot; with a description explaining that no coded values are allowed and what sort of information to put in the &quot;text&quot; element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nD-MsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nD-M8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4npNAMFMEea5pdrFDq-m2g" name="mapping" type="_4npNDMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4npNBsFMEea5pdrFDq-m2g">
            <body>Identifies a concept from an external specification that roughly corresponds to this element.</body>
          </ownedComment>
          <ownedComment xmi:id="_4npNBMFMEea5pdrFDq-m2g">
            <body>Map element to another set of definitions</body>
          </ownedComment>
          <ownedComment xmi:id="_4npNCMFMEea5pdrFDq-m2g">
            <body>Mappings are not necessarily specific enough for safe translation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4npNCsFMEea5pdrFDq-m2g">
            <body>Provides guidance to implementers familiar with or converting content from other specifications.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4npNAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4npNAsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4msKzsFMEea5pdrFDq-m2g" name="Element-1">
          <generalization xmi:id="_4msx0MFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4msx0sFMEea5pdrFDq-m2g" name="discriminator" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mtY48FMEea5pdrFDq-m2g">
              <body>Designates which child elements are used to discriminate between the slices when processing an instance. If one or more discriminators are provided, the value of the child elements in the instance data SHALL completely distinguish which slice the element in the resource matches based on the allowed values for those elements in each of the slices.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mtY4cFMEea5pdrFDq-m2g">
              <body>Element values that are used to distinguish the slices</body>
            </ownedComment>
            <ownedComment xmi:id="_4mtY5cFMEea5pdrFDq-m2g">
              <body>If there is no discriminator, the content is hard to process, so this should be avoided. If the base element has a cardinality of ..1, and there is a choice of types, the discriminator must be &quot;@type&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4msx08FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4msx1MFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4mtY58FMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mt_8MFMEea5pdrFDq-m2g">
              <body>A human-readable text description of how the slicing works. If there is no discriminator, this is required to be present to provide whatever information is possible about how the slices can be differentiated.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mtY68FMEea5pdrFDq-m2g">
              <body>Text description of how slicing works (or not)</body>
            </ownedComment>
            <ownedComment xmi:id="_4mt_8sFMEea5pdrFDq-m2g">
              <body>If it's really not possible to differentiate them, the design should be re-evaluated to make the content usable.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mtY6MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mtY6cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4mt_9MFMEea5pdrFDq-m2g" name="ordered" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mt_-sFMEea5pdrFDq-m2g">
              <body>If the matching elements have to occur in the same order as defined in the profile.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mt_-MFMEea5pdrFDq-m2g">
              <body>If elements must be in same order as slices</body>
            </ownedComment>
            <ownedComment xmi:id="_4mt__MFMEea5pdrFDq-m2g">
              <body>Order should only be required when it is a pressing concern for presentation. Profile authors should consider making the order a feature of the rules about the narrative, not the rules about the data - requiring ordered data makes the profile much less re-usable.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mt_9cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mt_9sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4munAcFMEea5pdrFDq-m2g" name="rules" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mvOEsFMEea5pdrFDq-m2g">
              <body>Whether additional slices are allowed or not. When the slices are ordered, profile authors can also say that additional slices are only allowed at the end.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mvOEMFMEea5pdrFDq-m2g">
              <body>closed | open | openAtEnd</body>
            </ownedComment>
            <ownedComment xmi:id="_4mvOFMFMEea5pdrFDq-m2g">
              <body>Allowing additional elements makes for a much for flexible template - it's open for use in wider contexts, but also means that the content of the resource is not closed, and applications have to decide how to handle content not described by the profile.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4munAsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4munA8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4myRbsFMEea5pdrFDq-m2g" name="Element-2">
          <generalization xmi:id="_4my4cMFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4my4csFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mzfgsFMEea5pdrFDq-m2g">
              <body>The Path that identifies the base element - this matches the ElementDefinition.path for that element. Across FHIR, there is only one base definition of any element - that is, an element definition on a [StructureDefinition](structuredefinition.html#) without a StructureDefinition.base.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mzfgMFMEea5pdrFDq-m2g">
              <body>Path that identifies the base element</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4my4c8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4my4dMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4mzfhMFMEea5pdrFDq-m2g" name="min" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mzfisFMEea5pdrFDq-m2g">
              <body>Minimum cardinality of the base element identified by the path.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mzfiMFMEea5pdrFDq-m2g">
              <body>Min cardinality of the base element</body>
            </ownedComment>
            <ownedComment xmi:id="_4mzfjMFMEea5pdrFDq-m2g">
              <body>This is provided for consistency with max, and may affect code generation of mandatory elements of the base resource are generated differently (some reference implementations have done this).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mzfhcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mzfhsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m0GkMFMEea5pdrFDq-m2g" name="max" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m0GlsFMEea5pdrFDq-m2g">
              <body>Maximum cardinality of the base element identified by the path.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m0GlMFMEea5pdrFDq-m2g">
              <body>Max cardinality of the base element</body>
            </ownedComment>
            <ownedComment xmi:id="_4m0GmMFMEea5pdrFDq-m2g">
              <body>This is provided to code generation, since the wire representation in JSON differs depending on whether the base element has max > 1. Also, some forms of code generation may differ.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m0GkcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m0GksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4m0trcFMEea5pdrFDq-m2g" name="Element-3">
          <generalization xmi:id="_4m1UsMFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4m1UssFMEea5pdrFDq-m2g" name="code" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m17wsFMEea5pdrFDq-m2g">
              <body>URL of Data type or Resource that is a(or the) type used for this element. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. &quot;string&quot; is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs are only allowed in logical models.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m17wMFMEea5pdrFDq-m2g">
              <body>Data type or Resource (reference to definition)</body>
            </ownedComment>
            <ownedComment xmi:id="_4m17xMFMEea5pdrFDq-m2g">
              <body>If the element is a reference to another resource, this element contains &quot;Reference&quot;, and the targetProfile element defines what resources can be referenced. The targetProfile may be a reference to the general definition of a resource (e.g. http://hl7.org/fhir/StructureDefinition/Patient). There would be one pair of type/code for each allowed target resource type.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m1Us8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m1UtMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m17xsFMEea5pdrFDq-m2g" name="profile" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m2i0cFMEea5pdrFDq-m2g">
              <body>Identifies a profile structure or implementation Guide that SHALL hold for the datatype this element refers to. Can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition in another profile. When an implementation guide is specified, the resource SHALL conform to at least one profile defined in the implementation guide.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m17ysFMEea5pdrFDq-m2g">
              <body>Profile (StructureDefinition) to apply (or IG)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m17x8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m17yMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m2i08FMEea5pdrFDq-m2g" name="targetProfile" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m2i2cFMEea5pdrFDq-m2g">
              <body>Identifies a profile structure or implementation Guide that SHALL hold for the target of the reference this element refers to. Can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition in another profile. When an implementation guide is specified, the resource SHALL conform to at least one profile defined in the implementation guide.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m2i18FMEea5pdrFDq-m2g">
              <body>Profile (StructureDefinition) to apply to reference target (or IG)</body>
            </ownedComment>
            <ownedComment xmi:id="_4m2i28FMEea5pdrFDq-m2g">
              <body>NOTE: This element is not used properly by the build tooling at this time - it puts what should go in here in .profile. This will be fixed prior to publication of STU3. When this happens, there will be a constrain that this element must be populated if the value of .code is 'Reference'.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m2i1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m2i1cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m2i3cFMEea5pdrFDq-m2g" name="aggregation" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m3J5sFMEea5pdrFDq-m2g">
              <body>If the type is a reference to another resource, how the resource is or can be aggregated - is it a contained resource, or a reference, and if the context is a bundle, is it included in the bundle.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m3J5MFMEea5pdrFDq-m2g">
              <body>contained | referenced | bundled - how aggregated</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m2i3sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m2i38FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m3w8cFMEea5pdrFDq-m2g" name="versioning" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m4YAsFMEea5pdrFDq-m2g">
              <body>Whether this reference needs to be version specific or version independent, or whetehr either can be used.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m4YAMFMEea5pdrFDq-m2g">
              <body>either | independent | specific</body>
            </ownedComment>
            <ownedComment xmi:id="_4m4YBMFMEea5pdrFDq-m2g">
              <body>The base specification never makes a rule as to which form is allowed, but implementation guides may do this.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m3w8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m3w88FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4m60SsFMEea5pdrFDq-m2g" name="Element-4">
          <generalization xmi:id="_4m60S8FMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4m7bUcFMEea5pdrFDq-m2g" name="label" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m7bV8FMEea5pdrFDq-m2g">
              <body>Describes the purpose of this example amoung the set of examples.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m7bVcFMEea5pdrFDq-m2g">
              <body>Describes the purpose of this example</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m7bUsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m7bU8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m8CYMFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m8CZsFMEea5pdrFDq-m2g">
              <body>The actual value for the element, which must be one of the types allowed for this element.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m8CZMFMEea5pdrFDq-m2g">
              <body>Value of Example (one of allowed types)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m8CYcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m8CYsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4m-eosFMEea5pdrFDq-m2g" name="Element-5">
          <generalization xmi:id="_4m-eo8FMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4m-epcFMEea5pdrFDq-m2g" name="key" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m_Fs8FMEea5pdrFDq-m2g">
              <body>Allows identification of which elements have their cardinalities impacted by the constraint.  Will not be referenced for constraints that do not affect cardinality.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m_FscFMEea5pdrFDq-m2g">
              <body>Target of 'condition' reference above</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m-epsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m-ep8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m_FtcFMEea5pdrFDq-m2g" name="requirements" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4m_Fu8FMEea5pdrFDq-m2g">
              <body>Description of why this constraint is necessary or appropriate.</body>
            </ownedComment>
            <ownedComment xmi:id="_4m_FucFMEea5pdrFDq-m2g">
              <body>Why this constraint is necessary or appropriate</body>
            </ownedComment>
            <ownedComment xmi:id="_4m_FvcFMEea5pdrFDq-m2g">
              <body>To be used if the reason for the constraint may not be intuitive to all implementers.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m_FtsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m_Ft8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4m_swMFMEea5pdrFDq-m2g" name="severity" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nAT0sFMEea5pdrFDq-m2g">
              <body>Identifies the impact constraint violation has on the conformance of the instance.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nAT0MFMEea5pdrFDq-m2g">
              <body>error | warning</body>
            </ownedComment>
            <ownedComment xmi:id="_4nAT1MFMEea5pdrFDq-m2g">
              <body>This allows constraints to be asserted as &quot;shall&quot; (error) and &quot;should&quot; (warning).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4m_swcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4m_swsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nAT1sFMEea5pdrFDq-m2g" name="human" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nAT3MFMEea5pdrFDq-m2g">
              <body>Text that can be used to describe the constraint in messages identifying that the constraint has been violated.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nAT2sFMEea5pdrFDq-m2g">
              <body>Human description of constraint</body>
            </ownedComment>
            <ownedComment xmi:id="_4nAT3sFMEea5pdrFDq-m2g">
              <body>Should be expressed in business terms as much as possible.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nAT18FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nAT2MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nA64MFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nA65sFMEea5pdrFDq-m2g">
              <body>A [FluentPath](http://hl7.org/fluentpath) expression of constraint that can be executed to see if this constraint is met.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nA65MFMEea5pdrFDq-m2g">
              <body>FluentPath expression of constraint</body>
            </ownedComment>
            <ownedComment xmi:id="_4nA66MFMEea5pdrFDq-m2g">
              <body>Used by validation tooling tests of the validity of the resource.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nA64cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nA64sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nA66sFMEea5pdrFDq-m2g" name="xpath" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nBh8sFMEea5pdrFDq-m2g">
              <body>An XPath expression of constraint that can be executed to see if this constraint is met.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nBh8MFMEea5pdrFDq-m2g">
              <body>XPath expression of constraint</body>
            </ownedComment>
            <ownedComment xmi:id="_4nBh9MFMEea5pdrFDq-m2g">
              <body>Elements SHALL use &quot;f&quot; as the namespace prefix for the FHIR namespace, and &quot;x&quot; for the xhtml namespace, and SHALL NOT use any other prefixes.   Note: we are considering deprecating the xpath element. Implementer feedback is welcome.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nBh9sFMEea5pdrFDq-m2g">
              <body>Used in Schematron tests of the validity of the resource.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nA668FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nA67MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nBh-MFMEea5pdrFDq-m2g" name="source" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nCJAsFMEea5pdrFDq-m2g">
              <body>A reference to the original source of the constraint, for traceability purposes.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nCJAMFMEea5pdrFDq-m2g">
              <body>Reference to original source of constraint</body>
            </ownedComment>
            <ownedComment xmi:id="_4nCJBMFMEea5pdrFDq-m2g">
              <body>This is used when, e.g. rendering, where it is not useful to present inherited constraints when rendering the snapshot.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nBh-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nBh-sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4nElQMFMEea5pdrFDq-m2g" name="Element-6">
          <generalization xmi:id="_4nElQcFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4nElQ8FMEea5pdrFDq-m2g" name="strength" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nFMVsFMEea5pdrFDq-m2g">
              <body>Indicates the degree of conformance expectations associated with this binding - that is, the degree to which the provided value set must be adhered to in the instances.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nFMVMFMEea5pdrFDq-m2g">
              <body>required | extensible | preferred | example</body>
            </ownedComment>
            <ownedComment xmi:id="_4nFzYMFMEea5pdrFDq-m2g">
              <body>For further discussion, see [Using Terminologies](terminologies.html).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nElRMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nElRcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nFzYsFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nFzaMFMEea5pdrFDq-m2g">
              <body>Describes the intended use of this particular set of codes.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nFzZsFMEea5pdrFDq-m2g">
              <body>Human explanation of the value set</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nFzY8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nFzZMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nol8cFMEea5pdrFDq-m2g" name="valueSet[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nol98FMEea5pdrFDq-m2g">
              <body>Points to the value set or external definition (e.g. implicit value set) that identifies the set of codes to be used. If the binding refers to an explicit value set - the normal case - then use a Reference(ValueSet) preferably containing the canonical URL for the value set. If the reference is to an implicit value set - usually, an IETF RFC that defines a grammar, such as mime types - then use a uri.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nol9cFMEea5pdrFDq-m2g">
              <body>Source of value set</body>
            </ownedComment>
            <ownedComment xmi:id="_4nol-cFMEea5pdrFDq-m2g">
              <body>For value sets with a referenceResource, the display can contain the value set description.  The reference may be version-specific or not.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nol8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nol88FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4npNDMFMEea5pdrFDq-m2g" name="Element-7">
          <generalization xmi:id="_4npNDcFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4np0EcFMEea5pdrFDq-m2g" name="identity" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nqbIMFMEea5pdrFDq-m2g">
              <body>An internal reference to the definition of a mapping.</body>
            </ownedComment>
            <ownedComment xmi:id="_4np0FcFMEea5pdrFDq-m2g">
              <body>Reference to mapping declaration</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4np0EsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4np0E8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nqbIsFMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nqbKcFMEea5pdrFDq-m2g">
              <body>Identifies the computable language in which mapping.map is expressed.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nqbJ8FMEea5pdrFDq-m2g">
              <body>Computable language of mapping</body>
            </ownedComment>
            <ownedComment xmi:id="_4nqbK8FMEea5pdrFDq-m2g">
              <body>If omitted, then there can be no expectation of computational interpretation of the mapping.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nqbI8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nqbJMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nrCMcFMEea5pdrFDq-m2g" name="map" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nrCN8FMEea5pdrFDq-m2g">
              <body>Expresses what part of the target specification corresponds to this element.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nrCNcFMEea5pdrFDq-m2g">
              <body>Details of the mapping</body>
            </ownedComment>
            <ownedComment xmi:id="_4nrCOcFMEea5pdrFDq-m2g">
              <body>For most mappings, the syntax is undefined.  Syntax will be provided for mappings to the RIM.  Multiple mappings may be possible and may include constraints on other resource elements that identify when a particular mapping applies.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nrCMsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nrCM8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ns3aMFMEea5pdrFDq-m2g" memberEnd="_4ns3acFMEea5pdrFDq-m2g _4ns3ZMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4ns3acFMEea5pdrFDq-m2g" type="_4mA1WcFMEea5pdrFDq-m2g" association="_4ns3aMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ns3asFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ns3a8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4nteeMFMEea5pdrFDq-m2g" name="DataRequirement">
        <ownedComment xmi:id="_4nuskMFMEea5pdrFDq-m2g">
          <body>Describes a required data item for evaluation in terms of the type of data, and optional code- or date-based filters of the data.</body>
        </ownedComment>
        <ownedComment xmi:id="_4nuFgsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DataRequirement Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4nuFhcFMEea5pdrFDq-m2g">
          <body>Describes a required data item</body>
        </ownedComment>
        <generalization xmi:id="_4nuFhMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4nusksFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nusmcFMEea5pdrFDq-m2g">
            <body>The type of the required data, specified as the type name of a resource. For profiles, this value is set to the type of the base resource of the profile.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nusl8FMEea5pdrFDq-m2g">
            <body>The type of the required data</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nusk8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nuslMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nvToMFMEea5pdrFDq-m2g" name="profile" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nvTpsFMEea5pdrFDq-m2g">
            <body>The profile of the required data, specified as the uri of the profile definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nvTpMFMEea5pdrFDq-m2g">
            <body>The profile of the required data</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nvTocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nvTosFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nvTqMFMEea5pdrFDq-m2g" name="mustSupport" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nvTrsFMEea5pdrFDq-m2g">
            <body>Indicates that specific elements of the type are referenced by the knowledge module and must be supported by the consumer in order to obtain an effective evaluation. This does not mean that a value is required for this element, only that the consuming system must understand the element and be able to provide values for it if they are available.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nvTrMFMEea5pdrFDq-m2g">
            <body>Indicates that specific structure elements are referenced by the knowledge module</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nvTqcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nvTqsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nv6sMFMEea5pdrFDq-m2g" name="codeFilter" type="_4nv6uMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nv6tsFMEea5pdrFDq-m2g">
            <body>Code filters specify additional constraints on the data, specifying the value set of interest for a particular element of the data.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nv6tMFMEea5pdrFDq-m2g">
            <body>Code filters for the data</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nv6scFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nv6ssFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nxv7cFMEea5pdrFDq-m2g" name="dateFilter" type="_4nyW9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nyW88FMEea5pdrFDq-m2g">
            <body>Date filters specify additional constraints on the data in terms of the applicable date range for specific elements.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nyW8cFMEea5pdrFDq-m2g">
            <body>Date filters for the data</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nxv7sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nxv78FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4nv6uMFMEea5pdrFDq-m2g" name="Element-1">
          <generalization xmi:id="_4nv6ucFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4nwhwcFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nwhx8FMEea5pdrFDq-m2g">
              <body>The code-valued attribute of the filter. The specified path must be resolvable from the type of the required data. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant. The path must resolve to an element of type code, Coding, or CodeableConcept.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nwhxcFMEea5pdrFDq-m2g">
              <body>The code-valued attribute of the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nwhwsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nwhw8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nwhycFMEea5pdrFDq-m2g" name="valueSet[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nxI0MFMEea5pdrFDq-m2g">
              <body>The valueset for the code filter. The valueSet and value elements are exclusive. If valueSet is specified, the filter will return only those data items for which the value of the code-valued element specified in the path is a member of the specified valueset.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nwhzcFMEea5pdrFDq-m2g">
              <body>Valueset for the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nwhysFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nwhy8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nxI08FMEea5pdrFDq-m2g" name="valueCode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nxI2cFMEea5pdrFDq-m2g">
              <body>The codes for the code filter. Only one of valueSet, valueCode, valueConding, or valueCodeableConcept may be specified. If values are given, the filter will return only those data items for which the code-valued attribute specified by the path has a value that is one of the specified codes.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nxI18FMEea5pdrFDq-m2g">
              <body>Code value of the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nxI1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nxI1cFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nxI28FMEea5pdrFDq-m2g" name="valueCoding" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nxv48FMEea5pdrFDq-m2g">
              <body>The Codings for the code filter. Only one of valueSet, valueCode, valueConding, or valueCodeableConcept may be specified. If values are given, the filter will return only those data items for which the code-valued attribute specified by the path has a value that is one of the specified Codings.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nxv4cFMEea5pdrFDq-m2g">
              <body>Coding value of the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nxI3MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nxI3cFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nxv5cFMEea5pdrFDq-m2g" name="valueCodeableConcept" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nxv68FMEea5pdrFDq-m2g">
              <body>The CodeableConcepts for the code filter. Only one of valueSet, valueCode, valueConding, or valueCodeableConcept may be specified. If values are given, the filter will return only those data items for which the code-valued attribute specified by the path has a value that is one of the specified CodeableConcepts.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nxv6cFMEea5pdrFDq-m2g">
              <body>CodeableConcept value of the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nxv5sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nxv58FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4nyW9cFMEea5pdrFDq-m2g" name="Element-2">
          <generalization xmi:id="_4nyW9sFMEea5pdrFDq-m2g" general="_4aEEBMFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4ny-AcFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ny-B8FMEea5pdrFDq-m2g">
              <body>The date-valued attribute of the filter. The specified path must be resolvable from the type of the required data. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant. The path must resolve to an element of type dateTime, Period, Schedule, or Timing.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ny-BcFMEea5pdrFDq-m2g">
              <body>The date-valued attribute of the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ny-AsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ny-A8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ny-CcFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ny-D8FMEea5pdrFDq-m2g">
              <body>The value of the filter. If period is specified, the filter will return only those data items that fall within the bounds determined by the Period, inclusive of the period boundaries. If dateTime is specified, the filter will return only those data items that are equal to the specified dateTime. If a Duration is specified, the filter will return only those data items that fall within Duration from now.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ny-DcFMEea5pdrFDq-m2g">
              <body>The value of the filter, as a Period, DateTime, or Duration value</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ny-CsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ny-C8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4oIVMMFMEea5pdrFDq-m2g" name="TriggerDefinition">
        <ownedComment xmi:id="_4oI8RcFMEea5pdrFDq-m2g">
          <body>A description of a triggering event.</body>
        </ownedComment>
        <ownedComment xmi:id="_4oI8QMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for TriggerDefinition Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4oI8Q8FMEea5pdrFDq-m2g">
          <body>Defines an expected trigger for a module</body>
        </ownedComment>
        <generalization xmi:id="_4oI8QsFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4oI8R8FMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oJjVMFMEea5pdrFDq-m2g">
            <body>The type of triggering event.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oJjUsFMEea5pdrFDq-m2g">
            <body>named-event | periodic | data-added | data-modified | data-removed | data-accessed | data-access-ended</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oI8SMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oI8ScFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oJjVsFMEea5pdrFDq-m2g" name="eventName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oKKYcFMEea5pdrFDq-m2g">
            <body>The name of the event (if this is a named-event trigger).</body>
          </ownedComment>
          <ownedComment xmi:id="_4oJjWsFMEea5pdrFDq-m2g">
            <body>Name of the event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oJjV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oJjWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oOb2MFMEea5pdrFDq-m2g" name="eventTiming[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oOb3sFMEea5pdrFDq-m2g">
            <body>The timing of the event (if this is a period trigger).</body>
          </ownedComment>
          <ownedComment xmi:id="_4oOb3MFMEea5pdrFDq-m2g">
            <body>Timing of the event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oOb2cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oOb2sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oPC4cFMEea5pdrFDq-m2g" name="eventData" type="_4nteeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oPC58FMEea5pdrFDq-m2g">
            <body>The triggering data of the event (if this is a data trigger).</body>
          </ownedComment>
          <ownedComment xmi:id="_4oPC5cFMEea5pdrFDq-m2g">
            <body>Triggering data of the event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oPC4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oPC48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4pFXeMFMEea5pdrFDq-m2g" name="DosageInstruction">
        <ownedComment xmi:id="_4pF-h8FMEea5pdrFDq-m2g">
          <body>Indicates how the medication is to be used by the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_4pF-gsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DosageInstruction Type</body>
        </ownedComment>
        <ownedComment xmi:id="_4pF-hcFMEea5pdrFDq-m2g">
          <body>How medication should be taken</body>
        </ownedComment>
        <generalization xmi:id="_4pF-hMFMEea5pdrFDq-m2g" general="_4aEEAcFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4pGlkMFMEea5pdrFDq-m2g" name="sequence" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pGllsFMEea5pdrFDq-m2g">
            <body>Indicates the order in which the dosage instructions should be applied or interpreted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pGllMFMEea5pdrFDq-m2g">
            <body>The order of the dosage instructions</body>
          </ownedComment>
          <ownedComment xmi:id="_4pGlmMFMEea5pdrFDq-m2g">
            <body>If the sequence number of multiple dosageInstructions is the same, then it is implied that the instructions are to be treated as concurrent.  If the sequence number is different, then the dosageInstructions are intended to be sequential.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pGlkcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pGlksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pGlmsFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pHMoMFMEea5pdrFDq-m2g">
            <body>Free text dosage instructions e.g. SIG.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pGlnsFMEea5pdrFDq-m2g">
            <body>Free text dosage instructions e.g. SIG</body>
          </ownedComment>
          <ownedComment xmi:id="_4pHMosFMEea5pdrFDq-m2g">
            <body>Free text dosage instructions can be used for cases where the instructions are too complex to code.  The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated.  If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pGlm8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pGlnMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pHMpMFMEea5pdrFDq-m2g" name="additionalInstructions" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pHzssFMEea5pdrFDq-m2g">
            <body>Supplemental instructions - e.g. &quot;with meals&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pHzsMFMEea5pdrFDq-m2g">
            <body>Supplemental instructions - e.g. &quot;with meals&quot;</body>
          </ownedComment>
          <ownedComment xmi:id="_4pHztMFMEea5pdrFDq-m2g">
            <body>Additional instructions such as &quot;Swallow with plenty of water&quot; which may or may not be coded.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pHMpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pHMpsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pHztsFMEea5pdrFDq-m2g" name="timing" type="_4lVf6MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pIawMFMEea5pdrFDq-m2g">
            <body>When medication should be administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pHzusFMEea5pdrFDq-m2g">
            <body>When medication should be administered</body>
          </ownedComment>
          <ownedComment xmi:id="_4pIawsFMEea5pdrFDq-m2g">
            <body>The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example: &quot;Every 8 hours&quot;; &quot;Three times a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;; &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pHzt8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pHzuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pIaxMFMEea5pdrFDq-m2g" name="asNeeded[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pJB0sFMEea5pdrFDq-m2g">
            <body>Take &quot;as needed&quot; (for x).</body>
          </ownedComment>
          <ownedComment xmi:id="_4pJB0MFMEea5pdrFDq-m2g">
            <body>Take &quot;as needed&quot; (for x)</body>
          </ownedComment>
          <ownedComment xmi:id="_4pJB1MFMEea5pdrFDq-m2g">
            <body>Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pIaxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pIaxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pJo4cFMEea5pdrFDq-m2g" name="site" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pKP8sFMEea5pdrFDq-m2g">
            <body>Body site to administer to.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pKP8MFMEea5pdrFDq-m2g">
            <body>Body site to administer to</body>
          </ownedComment>
          <ownedComment xmi:id="_4pKP9MFMEea5pdrFDq-m2g">
            <body>If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](extension-body-site-instance.html).  May be a summary code, or a reference to a very precise definition of the location, or both.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pKP9sFMEea5pdrFDq-m2g">
            <body>A coded specification of the anatomic site where the medication first enters the body.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pJo4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pJo48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pKP-MFMEea5pdrFDq-m2g" name="route" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pK3BcFMEea5pdrFDq-m2g">
            <body>How drug should enter body.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pK3A8FMEea5pdrFDq-m2g">
            <body>How drug should enter body</body>
          </ownedComment>
          <ownedComment xmi:id="_4pK3B8FMEea5pdrFDq-m2g">
            <body>A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pKP-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pKP-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pLeEMFMEea5pdrFDq-m2g" name="method" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pMFI8FMEea5pdrFDq-m2g">
            <body>Technique for administering medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pMFIcFMEea5pdrFDq-m2g">
            <body>Technique for administering medication</body>
          </ownedComment>
          <ownedComment xmi:id="_4pMFJcFMEea5pdrFDq-m2g">
            <body>A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections.  For examples, Slow Push; Deep IV.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pLeEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pLeEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pMFJ8FMEea5pdrFDq-m2g" name="dose[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pMsMsFMEea5pdrFDq-m2g">
            <body>Amount of medication per dose.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pMsMMFMEea5pdrFDq-m2g">
            <body>Amount of medication per dose</body>
          </ownedComment>
          <ownedComment xmi:id="_4pMsNMFMEea5pdrFDq-m2g">
            <body>The amount of therapeutic or other substance given at one administration event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pMFKMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pMFKcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pMsN8FMEea5pdrFDq-m2g" name="maxDosePerPeriod" type="_4lAvxsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pMsPcFMEea5pdrFDq-m2g">
            <body>Upper limit on medication per unit of time.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pMsO8FMEea5pdrFDq-m2g">
            <body>Upper limit on medication per unit of time</body>
          </ownedComment>
          <ownedComment xmi:id="_4pNTQMFMEea5pdrFDq-m2g">
            <body>The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time.  For example, 1000mg in 24 hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pMsOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pMsOcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pNTQsFMEea5pdrFDq-m2g" name="maxDosePerAdministration" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pNTSMFMEea5pdrFDq-m2g">
            <body>Upper limit on medication per administration.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pNTRsFMEea5pdrFDq-m2g">
            <body>Upper limit on medication per administration</body>
          </ownedComment>
          <ownedComment xmi:id="_4pNTSsFMEea5pdrFDq-m2g">
            <body>The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pNTQ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pNTRMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pNTTMFMEea5pdrFDq-m2g" name="maxDosePerLifetime" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pN6UsFMEea5pdrFDq-m2g">
            <body>Upper limit on medication per lifetime of the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pN6UMFMEea5pdrFDq-m2g">
            <body>Upper limit on medication per lifetime of the patient</body>
          </ownedComment>
          <ownedComment xmi:id="_4pN6VMFMEea5pdrFDq-m2g">
            <body>The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pNTTcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pNTTsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pN6VsFMEea5pdrFDq-m2g" name="rate[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pOhYcFMEea5pdrFDq-m2g">
            <body>Amount of medication per unit of time.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pN6WsFMEea5pdrFDq-m2g">
            <body>Amount of medication per unit of time</body>
          </ownedComment>
          <ownedComment xmi:id="_4pOhY8FMEea5pdrFDq-m2g">
            <body>Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pN6V8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pN6WMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5PGOlMFMEea5pdrFDq-m2g" name="uuid">
        <ownedComment xmi:id="_5PG1p8FMEea5pdrFDq-m2g">
          <body>A UUID, represented as a URI</body>
        </ownedComment>
        <ownedComment xmi:id="_5PG1osFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for uuid type: A UUID, represented as a URI</body>
        </ownedComment>
        <ownedComment xmi:id="_5PG1pcFMEea5pdrFDq-m2g">
          <body>Primitive Type uuid</body>
        </ownedComment>
        <ownedComment xmi:id="_5PG1qcFMEea5pdrFDq-m2g">
          <body>See The Open Group, CDE 1.1 Remote Procedure Call specification, Appendix A.</body>
        </ownedComment>
        <generalization xmi:id="_5PG1pMFMEea5pdrFDq-m2g" general="_4aMm5sFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5PG1q8FMEea5pdrFDq-m2g" name="value" isOrdered="true" redefinedProperty="_4aN1A8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PIDwcFMEea5pdrFDq-m2g">
            <body>Primitive value for uuid</body>
          </ownedComment>
          <ownedComment xmi:id="_5PHctMFMEea5pdrFDq-m2g">
            <body>Primitive value for uuid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/XMLPrimitiveTypes.library.uml#AnyURI"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PHcsMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PHcscFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_4a6_p8FMEea5pdrFDq-m2g" name="Resources">
      <packagedElement xmi:type="uml:Class" xmi:id="_4a6_qMFMEea5pdrFDq-m2g" name="Practitioner">
        <ownedComment xmi:id="_4ciwQMFMEea5pdrFDq-m2g">
          <body>A person who is directly or indirectly involved in the provisioning of healthcare.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a7mssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Practitioner Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4a7mtMFMEea5pdrFDq-m2g">
          <body>Need to track doctors, staff, locums etc. for both healthcare practitioners, funders, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4ciJPcFMEea5pdrFDq-m2g">
          <body>A person with a  formal responsibility in the provisioning of healthcare or related services</body>
        </ownedComment>
        <ownedComment xmi:id="_4ciwQsFMEea5pdrFDq-m2g">
          <body>Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?</body>
        </ownedComment>
        <generalization xmi:id="_4ciJPMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4dRJCsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dRJEMFMEea5pdrFDq-m2g">
            <body>An identifier that applies to this person in this role.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRJDsFMEea5pdrFDq-m2g">
            <body>A identifier for the person as this agent</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRwEcFMEea5pdrFDq-m2g">
            <body>Often, specific identities are assigned for the agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dRJC8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dRJDMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dRwE8FMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dRwGcFMEea5pdrFDq-m2g">
            <body>Whether this practitioner's record is in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRwF8FMEea5pdrFDq-m2g">
            <body>Whether this practitioner's record is in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRwG8FMEea5pdrFDq-m2g">
            <body>Default is true.   If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dRwHcFMEea5pdrFDq-m2g">
            <body>Need to be able to mark a practitioner record as not to be used because it was created in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dRwFMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dRwFcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dSXIMFMEea5pdrFDq-m2g" name="name" type="_4c4HcMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dSXJsFMEea5pdrFDq-m2g">
            <body>The name(s) associated with the practitioner.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dSXJMFMEea5pdrFDq-m2g">
            <body>The name(s) associated with the practitioner</body>
          </ownedComment>
          <ownedComment xmi:id="_4dSXKMFMEea5pdrFDq-m2g">
            <body>The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.  In general select the value to be used in the ResourceReference.display based on this:  1. There is more than 1 name 2. Use = usual 3. Period is current to the date of the usage 4. Use = official 5. Other order as decided by internal business rules.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dSXKsFMEea5pdrFDq-m2g">
            <body>The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dSXIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dSXIsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dSXLMFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dS-NMFMEea5pdrFDq-m2g">
            <body>A contact detail for the practitioner, e.g. a telephone number or an email address.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dS-MsFMEea5pdrFDq-m2g">
            <body>A contact detail for the practitioner (that apply to all roles)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dS-NsFMEea5pdrFDq-m2g">
            <body>Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification  These typically will have home numbers, or mobile numbers that are not role specific.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dS-OMFMEea5pdrFDq-m2g">
            <body>Need to know how to reach a practitioner independent to any roles the practitioner may have.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dSXLcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dS-MMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dS-OsFMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dTlQ8FMEea5pdrFDq-m2g">
            <body>Address(es) of the practitioner that are not role specific (typically home address).  Work addresses are not typically entered in this property as they are usually role dependent.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dTlQcFMEea5pdrFDq-m2g">
            <body>Address(es) of the practitioner that are not role specific (typically home address)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dTlRcFMEea5pdrFDq-m2g">
            <body>The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).</body>
          </ownedComment>
          <ownedComment xmi:id="_4dTlR8FMEea5pdrFDq-m2g">
            <body>The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dS-O8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dS-PMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dTlScFMEea5pdrFDq-m2g" name="gender" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dUzYMFMEea5pdrFDq-m2g">
            <body>Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dUMU8FMEea5pdrFDq-m2g">
            <body>male | female | other | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_4dUzYsFMEea5pdrFDq-m2g">
            <body>Needed to address the person correctly.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dTlSsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dTlS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dUzZMFMEea5pdrFDq-m2g" name="birthDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dUzasFMEea5pdrFDq-m2g">
            <body>The date of birth for the practitioner.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dUzaMFMEea5pdrFDq-m2g">
            <body>The date  on which the practitioner was born</body>
          </ownedComment>
          <ownedComment xmi:id="_4dUzbMFMEea5pdrFDq-m2g">
            <body>Needed for identification.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dUzZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dUzZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4daS_MFMEea5pdrFDq-m2g" name="photo" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4da6A8FMEea5pdrFDq-m2g">
            <body>Image of the person.</body>
          </ownedComment>
          <ownedComment xmi:id="_4da6AcFMEea5pdrFDq-m2g">
            <body>Image of the person</body>
          </ownedComment>
          <ownedComment xmi:id="_4da6BcFMEea5pdrFDq-m2g">
            <body>Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4daS_cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4daS_sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dbhEcFMEea5pdrFDq-m2g" name="role" type="_4da6B8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4dbhFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dbhG8FMEea5pdrFDq-m2g">
            <body>The list of roles/organizations that the practitioner is associated with.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dbhGcFMEea5pdrFDq-m2g">
            <body>Roles/organizations the practitioner is associated with</body>
          </ownedComment>
          <ownedComment xmi:id="_4dbhHcFMEea5pdrFDq-m2g">
            <body>The address to be used for this PractitionerRole is in the referenced location (removing duplication across all the services provided at the location).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dbhEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dbhE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ePZYcFMEea5pdrFDq-m2g" name="qualification" type="_4eOyXMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ePZZcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4ePZa8FMEea5pdrFDq-m2g">
            <body>Qualifications obtained by training and certification.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ePZacFMEea5pdrFDq-m2g">
            <body>Qualifications obtained by training and certification</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ePZYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ePZY8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eR1pMFMEea5pdrFDq-m2g" name="communication" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eScssFMEea5pdrFDq-m2g">
            <body>A language the practitioner is able to use in patient communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eScsMFMEea5pdrFDq-m2g">
            <body>A language the practitioner is able to use in patient communication</body>
          </ownedComment>
          <ownedComment xmi:id="_4eSctMFMEea5pdrFDq-m2g">
            <body>The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eSctsFMEea5pdrFDq-m2g">
            <body>Knowing which language a practitioner speaks can help in facilitating communication with patients.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eR1pcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eR1psFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4da6B8FMEea5pdrFDq-m2g" name="Role">
          <generalization xmi:id="_4da6CMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4dcIIcFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4dcIJcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4dcIK8FMEea5pdrFDq-m2g">
              <body>The organization where the Practitioner performs the roles associated.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dcIKcFMEea5pdrFDq-m2g">
              <body>Organization where the roles are performed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dcIIsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dcII8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dcILcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dcvNcFMEea5pdrFDq-m2g">
              <body>Roles which this practitioner is authorized to perform for the organization.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dcvM8FMEea5pdrFDq-m2g">
              <body>Roles which this practitioner may perform</body>
            </ownedComment>
            <ownedComment xmi:id="_4ddWQMFMEea5pdrFDq-m2g">
              <body>A person may have more than one role. At least one role is required.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ddWQsFMEea5pdrFDq-m2g">
              <body>Need to know what authority the practitioner has - what can they do?</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dcILsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dcIL8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ddWRMFMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dd9UsFMEea5pdrFDq-m2g">
              <body>Specific specialty of the practitioner.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dd9UMFMEea5pdrFDq-m2g">
              <body>Specific specialty of the practitioner</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ddWRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ddWRsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dd9VMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dd9WsFMEea5pdrFDq-m2g">
              <body>Business Identifiers that are specific to a role/location.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dd9WMFMEea5pdrFDq-m2g">
              <body>Business Identifiers that are specific to a role/location</body>
            </ownedComment>
            <ownedComment xmi:id="_4dekYcFMEea5pdrFDq-m2g">
              <body>Some business identifiers are specific to a location and should be able to be associated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dd9VcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dd9VsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dekY8FMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dekacFMEea5pdrFDq-m2g">
              <body>Contact details that are specific to the role/location/service.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dekZ8FMEea5pdrFDq-m2g">
              <body>Contact details that are specific to the role/location/service</body>
            </ownedComment>
            <ownedComment xmi:id="_4deka8FMEea5pdrFDq-m2g">
              <body>Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dekZMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dekZcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dekbcFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dfLdcFMEea5pdrFDq-m2g">
              <body>The period during which the person is authorized to act as a practitioner in these role(s) for the organization.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dfLc8FMEea5pdrFDq-m2g">
              <body>The period during which the practitioner is authorized to perform in these role(s)</body>
            </ownedComment>
            <ownedComment xmi:id="_4dfLd8FMEea5pdrFDq-m2g">
              <body>Even after the agencies is revoked, the fact that it existed must still be recorded.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dfLcMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dfLccFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dpjhcFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_4dpjicFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4dqKkcFMEea5pdrFDq-m2g">
              <body>The location(s) at which this practitioner provides care.</body>
            </ownedComment>
            <ownedComment xmi:id="_4dpjjcFMEea5pdrFDq-m2g">
              <body>The location(s) at which this practitioner provides care</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dpjhsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dpjh8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eOLRMFMEea5pdrFDq-m2g" name="healthcareService" type="_4dqKk8FMEea5pdrFDq-m2g" isOrdered="true" association="_4eOLSMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4eOLTsFMEea5pdrFDq-m2g">
              <body>The list of healthcare services that this worker provides for this role's Organization/Location(s).</body>
            </ownedComment>
            <ownedComment xmi:id="_4eOLTMFMEea5pdrFDq-m2g">
              <body>The list of healthcare services that this worker provides for this role's Organization/Location(s)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eOLRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eOLRsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eOyUMFMEea5pdrFDq-m2g" name="endpoint" type="_4c-OEMFMEea5pdrFDq-m2g" isOrdered="true" association="_4eOyVMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4eOyWsFMEea5pdrFDq-m2g">
              <body>Technical endpoints providing access to services operated for the PractitonerRole.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eOyWMFMEea5pdrFDq-m2g">
              <body>Technical endpoints providing access to services operated for the PractitonerRole</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eOyUcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eOyUsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4eOyXMFMEea5pdrFDq-m2g" name="Qualification">
          <generalization xmi:id="_4eOyXcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4eQAcMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eQAdsFMEea5pdrFDq-m2g">
              <body>An identifier that applies to this person's qualification in this role.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eQAdMFMEea5pdrFDq-m2g">
              <body>An identifier for this qualification for the practitioner</body>
            </ownedComment>
            <ownedComment xmi:id="_4eQAeMFMEea5pdrFDq-m2g">
              <body>Often, specific identities are assigned for the qualification.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eQAccFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eQAcsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eQAesFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eQnhcFMEea5pdrFDq-m2g">
              <body>Coded representation of the qualification.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eQng8FMEea5pdrFDq-m2g">
              <body>Coded representation of the qualification</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eQAe8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eQAfMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eROkMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eROlsFMEea5pdrFDq-m2g">
              <body>Period during which the qualification is valid.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eROlMFMEea5pdrFDq-m2g">
              <body>Period during which the qualification is valid</body>
            </ownedComment>
            <ownedComment xmi:id="_4eROmMFMEea5pdrFDq-m2g">
              <body>Qualifications are often for a limited period of time, and can be revoked.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eROkcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eROksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eROmsFMEea5pdrFDq-m2g" name="issuer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4eROnsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4eR1osFMEea5pdrFDq-m2g">
              <body>Organization that regulates and issues the qualification.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eR1oMFMEea5pdrFDq-m2g">
              <body>Organization that regulates and issues the qualification</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eROm8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eROnMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4a8NwMFMEea5pdrFDq-m2g" name="DomainResource" isAbstract="true">
        <ownedComment xmi:id="_4bNThcFMEea5pdrFDq-m2g">
          <body>A resource that includes narrative, extensions, and contained resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a-C8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DomainResource Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4bNTg8FMEea5pdrFDq-m2g">
          <body>A resource with narrative, extensions, and contained resources</body>
        </ownedComment>
        <ownedRule xmi:id="_4a8NwcFMEea5pdrFDq-m2g" name="dom-2" constrainedElement="_4a8NwMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4a8NwsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(parent::f:contained and f:contained)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4a8NxMFMEea5pdrFDq-m2g" name="dom-1" constrainedElement="_4a8NwMFMEea5pdrFDq-m2g _4cgUAMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4a8NxcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(parent::f:contained and f:text)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4a800cFMEea5pdrFDq-m2g" name="dom-4" constrainedElement="_4a8NwMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4a800sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4a9b4cFMEea5pdrFDq-m2g" name="dom-3" constrainedElement="_4a8NwMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4a9b4sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4bNTgsFMEea5pdrFDq-m2g" general="_4a-C9MFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4cgUAMFMEea5pdrFDq-m2g" name="text" type="_4bNTh8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cgUBsFMEea5pdrFDq-m2g">
            <body>A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cgUBMFMEea5pdrFDq-m2g">
            <body>Text summary of the resource, for human interpretation</body>
          </ownedComment>
          <ownedComment xmi:id="_4cgUCMFMEea5pdrFDq-m2g">
            <body>Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cgUAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cgUAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cg7EMFMEea5pdrFDq-m2g" name="contained" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4cg7FMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4chiIcFMEea5pdrFDq-m2g">
            <body>These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cg7GMFMEea5pdrFDq-m2g">
            <body>Contained, inline Resources</body>
          </ownedComment>
          <ownedComment xmi:id="_4chiI8FMEea5pdrFDq-m2g">
            <body>This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cg7EcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cg7EsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4chiJcFMEea5pdrFDq-m2g" name="extension" type="_4aLYwcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4chiK8FMEea5pdrFDq-m2g">
            <body>May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.</body>
          </ownedComment>
          <ownedComment xmi:id="_4chiKcFMEea5pdrFDq-m2g">
            <body>Additional Content defined by implementations</body>
          </ownedComment>
          <ownedComment xmi:id="_4ciJMMFMEea5pdrFDq-m2g">
            <body>There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4chiJsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4chiJ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ciJMsFMEea5pdrFDq-m2g" name="modifierExtension" type="_4aLYwcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ciJOMFMEea5pdrFDq-m2g">
            <body>May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ciJNsFMEea5pdrFDq-m2g">
            <body>Extensions that cannot be ignored</body>
          </ownedComment>
          <ownedComment xmi:id="_4ciJOsFMEea5pdrFDq-m2g">
            <body>There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ciJM8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ciJNMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4a-C9MFMEea5pdrFDq-m2g" name="Resource" isAbstract="true">
        <ownedComment xmi:id="_4a_REsFMEea5pdrFDq-m2g">
          <body>This is the base resource type for everything.</body>
        </ownedComment>
        <ownedComment xmi:id="_4a-qAsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Resource Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4a_REMFMEea5pdrFDq-m2g">
          <body>Base Resource</body>
        </ownedComment>
        <generalization xmi:id="_4a-qBMFMEea5pdrFDq-m2g" general="_4aDc8cFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4a_RFMFMEea5pdrFDq-m2g" name="id" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4a_RGsFMEea5pdrFDq-m2g">
            <body>The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4a_RGMFMEea5pdrFDq-m2g">
            <body>Logical id of this artifact</body>
          </ownedComment>
          <ownedComment xmi:id="_4a_RHMFMEea5pdrFDq-m2g">
            <body>The only time that a resource does not have an id is when it is being submitted to the server using a create operation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4a_RFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4a_RFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bF-w8FMEea5pdrFDq-m2g" name="meta" type="_4a_RHsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bF-ycFMEea5pdrFDq-m2g">
            <body>The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bF-x8FMEea5pdrFDq-m2g">
            <body>Metadata about the resource</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bF-xMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bF-xcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bF-y8FMEea5pdrFDq-m2g" name="implicitRules" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bF-0cFMEea5pdrFDq-m2g">
            <body>A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bF-z8FMEea5pdrFDq-m2g">
            <body>A set of rules under which this content was created</body>
          </ownedComment>
          <ownedComment xmi:id="_4bGl0cFMEea5pdrFDq-m2g">
            <body>Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bF-zMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bF-zcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bGl08FMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4bMseMFMEea5pdrFDq-m2g">
            <body>The base language in which the resource is written.</body>
          </ownedComment>
          <ownedComment xmi:id="_4bMsdsFMEea5pdrFDq-m2g">
            <body>Language of the resource content</body>
          </ownedComment>
          <ownedComment xmi:id="_4bNTgMFMEea5pdrFDq-m2g">
            <body>Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4bGl1MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4bGl1cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4cg7FMFMEea5pdrFDq-m2g" memberEnd="_4cg7FcFMEea5pdrFDq-m2g _4cg7EMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4cg7FcFMEea5pdrFDq-m2g" type="_4a8NwMFMEea5pdrFDq-m2g" association="_4cg7FMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cg7FsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cg7F8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4cqsFMFMEea5pdrFDq-m2g" name="Organization">
        <ownedComment xmi:id="_4cshR8FMEea5pdrFDq-m2g">
          <body>A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4cshQsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Organization Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4cshRcFMEea5pdrFDq-m2g">
          <body>A grouping of people or organizations with a common purpose</body>
        </ownedComment>
        <ownedRule xmi:id="_4cqsFcFMEea5pdrFDq-m2g" name="org-1" constrainedElement="_4cqsFMFMEea5pdrFDq-m2g _4ctIUcFMEea5pdrFDq-m2g _4cu9hsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4cqsFsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:identifier | f:name) > 0</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4crTIcFMEea5pdrFDq-m2g" name="org-3" constrainedElement="_4c0dEMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4crTIsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:use[@value='home']) = 0</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4cr6McFMEea5pdrFDq-m2g" name="org-2" constrainedElement="_4c1EIcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4cr6MsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:use[@value='home']) = 0</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4cshRMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4ctIUcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ctIV8FMEea5pdrFDq-m2g">
            <body>Identifier for the organization that is used to identify the organization across multiple disparate systems.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ctIVcFMEea5pdrFDq-m2g">
            <body>Identifies this organization  across multiple systems</body>
          </ownedComment>
          <ownedComment xmi:id="_4ctIWcFMEea5pdrFDq-m2g">
            <body>Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ctIUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ctIU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ctvYMFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ctvZsFMEea5pdrFDq-m2g">
            <body>Whether the organization's record is still in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ctvZMFMEea5pdrFDq-m2g">
            <body>Whether the organization's record is still in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_4ctvaMFMEea5pdrFDq-m2g">
            <body>Default is true.  This active flag is not intended to be used to mark an organizations as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ctvasFMEea5pdrFDq-m2g">
            <body>Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ctvYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ctvYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ctvbMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cu9gMFMEea5pdrFDq-m2g">
            <body>The kind of organization that this is.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cuWdMFMEea5pdrFDq-m2g">
            <body>Kind of organization</body>
          </ownedComment>
          <ownedComment xmi:id="_4cu9gsFMEea5pdrFDq-m2g">
            <body>Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cu9hMFMEea5pdrFDq-m2g">
            <body>Need to be able to track the kind of organization that this is - different organization types have different uses.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ctvbcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ctvbsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cu9hsFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cu9jMFMEea5pdrFDq-m2g">
            <body>A name associated with the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cu9isFMEea5pdrFDq-m2g">
            <body>Name used for the organization</body>
          </ownedComment>
          <ownedComment xmi:id="_4cu9jsFMEea5pdrFDq-m2g">
            <body>If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cvkkcFMEea5pdrFDq-m2g">
            <body>Need to use the name as the label of the organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cu9h8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cu9iMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4cvkk8FMEea5pdrFDq-m2g" name="alias" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4cvkmcFMEea5pdrFDq-m2g">
            <body>A list of alternate names that the organization is known as, or was known as in the past.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cvkl8FMEea5pdrFDq-m2g">
            <body>A list of alternate names that the organization is known as, or was known as in the past</body>
          </ownedComment>
          <ownedComment xmi:id="_4cvkm8FMEea5pdrFDq-m2g">
            <body>There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_4cvkncFMEea5pdrFDq-m2g">
            <body>Over time locations and organizations go through many changes and can be known by different names.  For searching knowing previous names that the location was known by can be very useful.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4cvklMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4cvklcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c0dEMFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c0dFsFMEea5pdrFDq-m2g">
            <body>A contact detail for the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c0dFMFMEea5pdrFDq-m2g">
            <body>A contact detail for the organization</body>
          </ownedComment>
          <ownedComment xmi:id="_4c0dGMFMEea5pdrFDq-m2g">
            <body>The use code home is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c0dGsFMEea5pdrFDq-m2g">
            <body>Human contact for the organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c0dEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c0dEsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c1EIcFMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c1EJ8FMEea5pdrFDq-m2g">
            <body>An address for the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c1EJcFMEea5pdrFDq-m2g">
            <body>An address for the organization</body>
          </ownedComment>
          <ownedComment xmi:id="_4c1EKcFMEea5pdrFDq-m2g">
            <body>Organization may have multiple addresses with different uses or applicable periods. The use code home is not to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c1EK8FMEea5pdrFDq-m2g">
            <body>May need to keep track of the organization's addresses for contacting, billing or reporting requirements.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c1EIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c1EI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c1ELcFMEea5pdrFDq-m2g" name="partOf" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4c1rM8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4c1rOcFMEea5pdrFDq-m2g">
            <body>The organization of which this organization forms a part.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c1rN8FMEea5pdrFDq-m2g">
            <body>The organization of which this organization forms a part</body>
          </ownedComment>
          <ownedComment xmi:id="_4c1rO8FMEea5pdrFDq-m2g">
            <body>Need to be able to track the hierarchy of organizations within an organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c1rMMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c1rMcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c2SQcFMEea5pdrFDq-m2g" name="contact" type="_4c1rPcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4c2SRcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4c25UMFMEea5pdrFDq-m2g">
            <body>Contact for the organization for a certain purpose.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c2SScFMEea5pdrFDq-m2g">
            <body>Contact for the organization for a certain purpose</body>
          </ownedComment>
          <ownedComment xmi:id="_4c25UsFMEea5pdrFDq-m2g">
            <body>Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c25VMFMEea5pdrFDq-m2g">
            <body>Need to keep track of assigned contact points within bigger organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c2SQsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c2SQ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dQh8MFMEea5pdrFDq-m2g" name="endpoint" type="_4c-OEMFMEea5pdrFDq-m2g" isOrdered="true" association="_4dQh9MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dQh-sFMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dQh-MFMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the organization</body>
          </ownedComment>
          <ownedComment xmi:id="_4dQh_MFMEea5pdrFDq-m2g">
            <body>Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dQh8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dQh8sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4c1rPcFMEea5pdrFDq-m2g" name="Contact">
          <generalization xmi:id="_4c1rPsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4c25VsFMEea5pdrFDq-m2g" name="purpose" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4c3gZMFMEea5pdrFDq-m2g">
              <body>Indicates a purpose for which the contact can be reached.</body>
            </ownedComment>
            <ownedComment xmi:id="_4c3gYsFMEea5pdrFDq-m2g">
              <body>The type of contact</body>
            </ownedComment>
            <ownedComment xmi:id="_4c3gZsFMEea5pdrFDq-m2g">
              <body>Need to distinguish between multiple contact persons.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c25V8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c25WMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4c8Y6cFMEea5pdrFDq-m2g" name="name" type="_4c4HcMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4c8_8sFMEea5pdrFDq-m2g">
              <body>A name associated with the contact.</body>
            </ownedComment>
            <ownedComment xmi:id="_4c8_8MFMEea5pdrFDq-m2g">
              <body>A name associated with the contact</body>
            </ownedComment>
            <ownedComment xmi:id="_4c8_9MFMEea5pdrFDq-m2g">
              <body>Need to be able to track the person by name.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c8Y6sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c8Y68FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4c8_9sFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4c8__MFMEea5pdrFDq-m2g">
              <body>A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.</body>
            </ownedComment>
            <ownedComment xmi:id="_4c8_-sFMEea5pdrFDq-m2g">
              <body>Contact details (telephone, email, etc.)  for a contact</body>
            </ownedComment>
            <ownedComment xmi:id="_4c9nAcFMEea5pdrFDq-m2g">
              <body>People have (primary) ways to contact them in some way such as phone, email.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c8_98FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c8_-MFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4c9nA8FMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4c9nCcFMEea5pdrFDq-m2g">
              <body>Visiting or postal addresses for the contact.</body>
            </ownedComment>
            <ownedComment xmi:id="_4c9nB8FMEea5pdrFDq-m2g">
              <body>Visiting or postal addresses for the contact</body>
            </ownedComment>
            <ownedComment xmi:id="_4c9nC8FMEea5pdrFDq-m2g">
              <body>May need to keep track of a contact party's address for contacting, billing or reporting requirements.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c9nBMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c9nBcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4c1rM8FMEea5pdrFDq-m2g" memberEnd="_4c1rNMFMEea5pdrFDq-m2g _4c1ELcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4c1rNMFMEea5pdrFDq-m2g" type="_4cqsFMFMEea5pdrFDq-m2g" association="_4c1rM8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c1rNcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c1rNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4c2SRcFMEea5pdrFDq-m2g" memberEnd="_4c2SRsFMEea5pdrFDq-m2g _4c2SQcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4c2SRsFMEea5pdrFDq-m2g" type="_4cqsFMFMEea5pdrFDq-m2g" association="_4c2SRcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c2SR8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c2SSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4c-OEMFMEea5pdrFDq-m2g" name="Endpoint">
        <ownedComment xmi:id="_4c-1JcFMEea5pdrFDq-m2g">
          <body>The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.</body>
        </ownedComment>
        <ownedComment xmi:id="_4c-1IMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Endpoint Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4c-1I8FMEea5pdrFDq-m2g">
          <body>The technical details of an endpoint that can be used for electronic services</body>
        </ownedComment>
        <generalization xmi:id="_4c-1IsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4c-1J8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4c_cMsFMEea5pdrFDq-m2g">
            <body>Identifier for the organization that is used to identify the endpoint across multiple disparate systems.</body>
          </ownedComment>
          <ownedComment xmi:id="_4c_cMMFMEea5pdrFDq-m2g">
            <body>Identifies this endpoint across multiple systems</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c-1KMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c-1KcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4c_cNMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dADRMFMEea5pdrFDq-m2g">
            <body>active | suspended | error | off | test.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dADQsFMEea5pdrFDq-m2g">
            <body>active | suspended | error | off | entered-in-error | test</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4c_cNcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4c_cNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dAqUMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dAqVsFMEea5pdrFDq-m2g">
            <body>A friendly name that this endpoint can be referred to with.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dAqVMFMEea5pdrFDq-m2g">
            <body>A name that this endpoint can be identified by</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dAqUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dAqUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dAqWMFMEea5pdrFDq-m2g" name="managingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4dAqXMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dBRYcFMEea5pdrFDq-m2g">
            <body>The organization that manages this endpoint (even if technically another organisation is hosting this in the cloud, it is the organisation associated with the data).</body>
          </ownedComment>
          <ownedComment xmi:id="_4dAqYMFMEea5pdrFDq-m2g">
            <body>Organization that manages this endpoint (may not be the organization that exposes the endpoint)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dBRY8FMEea5pdrFDq-m2g">
            <body>This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an aplicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational heirarchy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dAqWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dAqWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dBRZcFMEea5pdrFDq-m2g" name="contact" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dBRa8FMEea5pdrFDq-m2g">
            <body>Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dBRacFMEea5pdrFDq-m2g">
            <body>Contact details for source (e.g. troubleshooting)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dBRZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dBRZ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dB4cMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dB4dsFMEea5pdrFDq-m2g">
            <body>The interval during which the endpoint is expected to be operational.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dB4dMFMEea5pdrFDq-m2g">
            <body>Interval the endpoint is expected to be operational</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dB4ccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dB4csFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dB4eMFMEea5pdrFDq-m2g" name="connectionType" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dCfhMFMEea5pdrFDq-m2g">
            <body>A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).</body>
          </ownedComment>
          <ownedComment xmi:id="_4dCfgsFMEea5pdrFDq-m2g">
            <body>Protocol/Profile/Standard to be used with this endpoint connection</body>
          </ownedComment>
          <ownedComment xmi:id="_4dCfhsFMEea5pdrFDq-m2g">
            <body>For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dB4ecFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dB4esFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dDGkMFMEea5pdrFDq-m2g" name="payloadType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dOFtMFMEea5pdrFDq-m2g">
            <body>The payload type describes the acceptable content that can be communicated on the endpoint.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dOFssFMEea5pdrFDq-m2g">
            <body>The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dOFtsFMEea5pdrFDq-m2g">
            <body>The payloadFormat describes the wire format of the data, where the payloadType indicates the specific document/schema that is being transferred. E.g. DischargeSummary or CarePlan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dDGkcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dDGksFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dOswMFMEea5pdrFDq-m2g" name="payloadMimeType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dOsx8FMEea5pdrFDq-m2g">
            <body>The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).</body>
          </ownedComment>
          <ownedComment xmi:id="_4dOsxcFMEea5pdrFDq-m2g">
            <body>Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)</body>
          </ownedComment>
          <ownedComment xmi:id="_4dOsycFMEea5pdrFDq-m2g">
            <body>Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dOswcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dOswsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dPT0MFMEea5pdrFDq-m2g" name="address" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dPT1sFMEea5pdrFDq-m2g">
            <body>The uri that describes the actual end-point to send messages to.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dPT1MFMEea5pdrFDq-m2g">
            <body>The technical address for conneccting to this endpoint</body>
          </ownedComment>
          <ownedComment xmi:id="_4dPT2MFMEea5pdrFDq-m2g">
            <body>For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since their may be more than one, clients should avoid using relative URIs).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dPT0cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dPT0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dPT2sFMEea5pdrFDq-m2g" name="header" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dP64cFMEea5pdrFDq-m2g">
            <body>Additional headers / information to send as part of the notification.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dPT3sFMEea5pdrFDq-m2g">
            <body>Usage depends on the channel type</body>
          </ownedComment>
          <ownedComment xmi:id="_4dP648FMEea5pdrFDq-m2g">
            <body>Exactly what these mean depend on the channel type. The can convey additional information to the recipient and/or meet security requirements.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dPT28FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dPT3MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dP65cFMEea5pdrFDq-m2g" name="publicKey" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dP668FMEea5pdrFDq-m2g">
            <body>The public part of the 'keys' allocated to an Organization by an accredited body to support secure exchange of data over the internet. To be provided by the Organization, where available.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dP66cFMEea5pdrFDq-m2g">
            <body>PKI Public keys to support secure communications</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dP65sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dP658FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dAqXMFMEea5pdrFDq-m2g" memberEnd="_4dAqXcFMEea5pdrFDq-m2g _4dAqWMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dAqXcFMEea5pdrFDq-m2g" type="_4c-OEMFMEea5pdrFDq-m2g" association="_4dAqXMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dAqXsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dAqX8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dQh9MFMEea5pdrFDq-m2g" memberEnd="_4dQh9cFMEea5pdrFDq-m2g _4dQh8MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dQh9cFMEea5pdrFDq-m2g" type="_4cqsFMFMEea5pdrFDq-m2g" association="_4dQh9MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dQh9sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dQh98FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dbhFcFMEea5pdrFDq-m2g" memberEnd="_4dbhFsFMEea5pdrFDq-m2g _4dbhEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dbhFsFMEea5pdrFDq-m2g" type="_4a6_qMFMEea5pdrFDq-m2g" association="_4dbhFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dbhF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dbhGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dcIJcFMEea5pdrFDq-m2g" memberEnd="_4dcIJsFMEea5pdrFDq-m2g _4dcIIcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dcIJsFMEea5pdrFDq-m2g" type="_4da6B8FMEea5pdrFDq-m2g" association="_4dcIJcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dcIJ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dcIKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4dfLecFMEea5pdrFDq-m2g" name="Location">
        <ownedComment xmi:id="_4dgZkcFMEea5pdrFDq-m2g">
          <body>Details and position information for a physical place where services are provided  and resources and participants may be stored, found, contained or accommodated.</body>
        </ownedComment>
        <ownedComment xmi:id="_4dfygsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Location Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4dfyhcFMEea5pdrFDq-m2g">
          <body>Details and position information for a physical place</body>
        </ownedComment>
        <generalization xmi:id="_4dfyhMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4dgZk8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dgZmcFMEea5pdrFDq-m2g">
            <body>Unique code or number identifying the location to its users.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dgZl8FMEea5pdrFDq-m2g">
            <body>Unique code or number identifying the location to its users</body>
          </ownedComment>
          <ownedComment xmi:id="_4dgZm8FMEea5pdrFDq-m2g">
            <body>Organization label locations in registries, need to keep track of those.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dgZlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dgZlcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dgZncFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dhnsMFMEea5pdrFDq-m2g">
            <body>active | suspended | inactive.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dhApsFMEea5pdrFDq-m2g">
            <body>active | suspended | inactive</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dhAoMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dhAocFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dhnssFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dhnuMFMEea5pdrFDq-m2g">
            <body>Name of the location as used by humans. Does not need to be unique.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dhntsFMEea5pdrFDq-m2g">
            <body>Name of the location as used by humans</body>
          </ownedComment>
          <ownedComment xmi:id="_4dhnusFMEea5pdrFDq-m2g">
            <body>If the name of an location changes, consider putting the old name in the alias column so that it can still be located through searches.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dhns8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dhntMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dhnvMFMEea5pdrFDq-m2g" name="alias" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4diOw8FMEea5pdrFDq-m2g">
            <body>A list of alternate names that the location is known as, or was known as in the past.</body>
          </ownedComment>
          <ownedComment xmi:id="_4diOwcFMEea5pdrFDq-m2g">
            <body>A list of alternate names that the location is known as, or was known as in the past</body>
          </ownedComment>
          <ownedComment xmi:id="_4diOxcFMEea5pdrFDq-m2g">
            <body>There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4diOx8FMEea5pdrFDq-m2g">
            <body>Over time locations and organizations go through many changes and can be known by different names.  For searching knowing previous names that the location was known by can be very useful.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dhnvcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dhnvsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4diOycFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4di10MFMEea5pdrFDq-m2g">
            <body>Description of the Location, which helps in finding or referencing the place.</body>
          </ownedComment>
          <ownedComment xmi:id="_4diOzcFMEea5pdrFDq-m2g">
            <body>Additional details about the location that could be displayed as further information to identify the location beyond its name</body>
          </ownedComment>
          <ownedComment xmi:id="_4di10sFMEea5pdrFDq-m2g">
            <body>Humans need additional information to verify a correct location has been identified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4diOysFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4diOy8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4di11MFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4djc4sFMEea5pdrFDq-m2g">
            <body>Indicates whether a resource instance represents a specific location or a class of locations.</body>
          </ownedComment>
          <ownedComment xmi:id="_4djc4MFMEea5pdrFDq-m2g">
            <body>instance | kind</body>
          </ownedComment>
          <ownedComment xmi:id="_4djc5MFMEea5pdrFDq-m2g">
            <body>When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4di11cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4di11sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4djc5sFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dkD9cFMEea5pdrFDq-m2g">
            <body>Indicates the type of function performed at the location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dkD88FMEea5pdrFDq-m2g">
            <body>Type of function performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4djc58FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4djc6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dkD98FMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dkrBcFMEea5pdrFDq-m2g">
            <body>The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dkrA8FMEea5pdrFDq-m2g">
            <body>Contact details of the location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dkrAMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dkrAcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dkrB8FMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dkrDcFMEea5pdrFDq-m2g">
            <body>Physical location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dkrC8FMEea5pdrFDq-m2g">
            <body>Physical location</body>
          </ownedComment>
          <ownedComment xmi:id="_4dlSEMFMEea5pdrFDq-m2g">
            <body>This was kept as 0..1 as there is no use property on the address, so wouldn't be able to identify different address types.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dlSEsFMEea5pdrFDq-m2g">
            <body>If locations can be visited, we need to keep track of their address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dkrCMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dkrCcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dlSFMFMEea5pdrFDq-m2g" name="physicalType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dl5IsFMEea5pdrFDq-m2g">
            <body>Physical form of the location, e.g. building, room, vehicle, road.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dl5IMFMEea5pdrFDq-m2g">
            <body>Physical form of the location</body>
          </ownedComment>
          <ownedComment xmi:id="_4dl5JMFMEea5pdrFDq-m2g">
            <body>For purposes of showing relevant locations in queries, we need to categorize locations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dlSFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dlSFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dmgMcFMEea5pdrFDq-m2g" name="position" type="_4dl5JsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4dmgNcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dmgO8FMEea5pdrFDq-m2g">
            <body>The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).</body>
          </ownedComment>
          <ownedComment xmi:id="_4dmgOcFMEea5pdrFDq-m2g">
            <body>The absolute geographic location</body>
          </ownedComment>
          <ownedComment xmi:id="_4dnHQMFMEea5pdrFDq-m2g">
            <body>For mobile applications and automated route-finding knowing the exact location of the Location is required.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dmgMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dmgM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dnuW8FMEea5pdrFDq-m2g" name="managingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4doVYcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4doVZ8FMEea5pdrFDq-m2g">
            <body>The organization responsible for the provisioning and upkeep of the location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4doVZcFMEea5pdrFDq-m2g">
            <body>Organization responsible for provisioning and upkeep</body>
          </ownedComment>
          <ownedComment xmi:id="_4doVacFMEea5pdrFDq-m2g">
            <body>This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4doVa8FMEea5pdrFDq-m2g">
            <body>Need to know who manages the location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dnuXMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dnuXcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4doVbcFMEea5pdrFDq-m2g" name="partOf" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_4do8ccFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4do8d8FMEea5pdrFDq-m2g">
            <body>Another Location which this Location is physically part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_4do8dcFMEea5pdrFDq-m2g">
            <body>Another Location this one is physically part of</body>
          </ownedComment>
          <ownedComment xmi:id="_4do8ecFMEea5pdrFDq-m2g">
            <body>For purposes of location, display and identification, knowing which locations are located within other locations is important.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4doVbsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4doVb8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4do8e8FMEea5pdrFDq-m2g" name="endpoint" type="_4c-OEMFMEea5pdrFDq-m2g" isOrdered="true" association="_4do8f8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dpjgcFMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4do8g8FMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the location</body>
          </ownedComment>
          <ownedComment xmi:id="_4dpjg8FMEea5pdrFDq-m2g">
            <body>Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4do8fMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4do8fcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4dl5JsFMEea5pdrFDq-m2g" name="Position">
          <generalization xmi:id="_4dl5J8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4dnHQsFMEea5pdrFDq-m2g" name="longitude" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dnHSMFMEea5pdrFDq-m2g">
              <body>Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).</body>
            </ownedComment>
            <ownedComment xmi:id="_4dnHRsFMEea5pdrFDq-m2g">
              <body>Longitude with WGS84 datum</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dnHQ8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dnHRMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dnHSsFMEea5pdrFDq-m2g" name="latitude" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dnuUcFMEea5pdrFDq-m2g">
              <body>Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).</body>
            </ownedComment>
            <ownedComment xmi:id="_4dnHTsFMEea5pdrFDq-m2g">
              <body>Latitude with WGS84 datum</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dnHS8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dnHTMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4dnuU8FMEea5pdrFDq-m2g" name="altitude" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4dnuWcFMEea5pdrFDq-m2g">
              <body>Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).</body>
            </ownedComment>
            <ownedComment xmi:id="_4dnuV8FMEea5pdrFDq-m2g">
              <body>Altitude with WGS84 datum</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dnuVMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dnuVcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dmgNcFMEea5pdrFDq-m2g" memberEnd="_4dmgNsFMEea5pdrFDq-m2g _4dmgMcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dmgNsFMEea5pdrFDq-m2g" type="_4dfLecFMEea5pdrFDq-m2g" association="_4dmgNcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dmgN8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dmgOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4doVYcFMEea5pdrFDq-m2g" memberEnd="_4doVYsFMEea5pdrFDq-m2g _4dnuW8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4doVYsFMEea5pdrFDq-m2g" type="_4dfLecFMEea5pdrFDq-m2g" association="_4doVYcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4doVY8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4doVZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4do8ccFMEea5pdrFDq-m2g" memberEnd="_4do8csFMEea5pdrFDq-m2g _4doVbcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4do8csFMEea5pdrFDq-m2g" type="_4dfLecFMEea5pdrFDq-m2g" association="_4do8ccFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4do8c8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4do8dMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4do8f8FMEea5pdrFDq-m2g" memberEnd="_4do8gMFMEea5pdrFDq-m2g _4do8e8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4do8gMFMEea5pdrFDq-m2g" type="_4dfLecFMEea5pdrFDq-m2g" association="_4do8f8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4do8gcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4do8gsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dpjicFMEea5pdrFDq-m2g" memberEnd="_4dpjisFMEea5pdrFDq-m2g _4dpjhcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dpjisFMEea5pdrFDq-m2g" type="_4da6B8FMEea5pdrFDq-m2g" association="_4dpjicFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dpji8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dpjjMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4dqKk8FMEea5pdrFDq-m2g" name="HealthcareService">
        <ownedComment xmi:id="_4dqxp8FMEea5pdrFDq-m2g">
          <body>The details of a healthcare service available at a location.</body>
        </ownedComment>
        <ownedComment xmi:id="_4dqxosFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for HealthcareService Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4dqxpcFMEea5pdrFDq-m2g">
          <body>The details of a healthcare service available at a location</body>
        </ownedComment>
        <generalization xmi:id="_4dqxpMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4dqxqcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4drYssFMEea5pdrFDq-m2g">
            <body>External identifiers for this item.</body>
          </ownedComment>
          <ownedComment xmi:id="_4drYsMFMEea5pdrFDq-m2g">
            <body>External identifiers for this item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dqxqsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dqxq8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4drYtMFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4drYusFMEea5pdrFDq-m2g">
            <body>Whether this healthcareservice record is in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4drYuMFMEea5pdrFDq-m2g">
            <body>Whether this healthcareservice is in active use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4drYtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4drYtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dr_wMFMEea5pdrFDq-m2g" name="providedBy" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4dr_xMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4dr_ysFMEea5pdrFDq-m2g">
            <body>The organization that provides this healthcare service.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dr_yMFMEea5pdrFDq-m2g">
            <body>Organization that provides this service</body>
          </ownedComment>
          <ownedComment xmi:id="_4dr_zMFMEea5pdrFDq-m2g">
            <body>This property is recommended to be the same as the Location's managingOrganization, and if not provided should be interpreted as such. If the Location does not have a managing Organization, then this property should be populated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dr_wcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dr_wsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dr_zsFMEea5pdrFDq-m2g" name="serviceCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dsm1cFMEea5pdrFDq-m2g">
            <body>Identifies the broad category of service being performed or delivered.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dsm08FMEea5pdrFDq-m2g">
            <body>Broad category of service being performed or delivered</body>
          </ownedComment>
          <ownedComment xmi:id="_4dsm18FMEea5pdrFDq-m2g">
            <body>Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dr_z8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dr_0MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dtN4cFMEea5pdrFDq-m2g" name="serviceType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4dt08sFMEea5pdrFDq-m2g">
            <body>The specific type of service that may be delivered or performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4dt08MFMEea5pdrFDq-m2g">
            <body>Type of service that may be delivered or performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dtN4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dtN48FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4dt09MFMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eBW8MFMEea5pdrFDq-m2g">
            <body>Collection of specialties handled by the service site. This is more of a medical term.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eAv5MFMEea5pdrFDq-m2g">
            <body>Specialties handled by the HealthcareService</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dt09cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dt09sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eBW8sFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_4eBW9sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4eBW_MFMEea5pdrFDq-m2g">
            <body>The location(s) where this healthcare service may be provided.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eBW-sFMEea5pdrFDq-m2g">
            <body>Location(s) where service may be provided</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eBW88FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eBW9MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eB-AMFMEea5pdrFDq-m2g" name="serviceName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eB-BsFMEea5pdrFDq-m2g">
            <body>Further description of the service as it would be presented to a consumer while searching.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eB-BMFMEea5pdrFDq-m2g">
            <body>Description of service as presented to a consumer while searching</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eB-AcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eB-AsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eB-CMFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eClEsFMEea5pdrFDq-m2g">
            <body>Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eClEMFMEea5pdrFDq-m2g">
            <body>Additional description and/or any specific issues not covered elsewhere</body>
          </ownedComment>
          <ownedComment xmi:id="_4eClFMFMEea5pdrFDq-m2g">
            <body>Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eB-CcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eB-CsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eClFsFMEea5pdrFDq-m2g" name="extraDetails" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eClHMFMEea5pdrFDq-m2g">
            <body>Extra details about the service that can't be placed in the other fields.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eClGsFMEea5pdrFDq-m2g">
            <body>Extra details about the service that can't be placed in the other fields</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eClF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eClGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eDMIMFMEea5pdrFDq-m2g" name="photo" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eDMJsFMEea5pdrFDq-m2g">
            <body>If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eDMJMFMEea5pdrFDq-m2g">
            <body>Facilitates quick identification of the service</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eDMIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eDMIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eDMKMFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eDzMMFMEea5pdrFDq-m2g">
            <body>List of contacts related to this specific healthcare service.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eDMLMFMEea5pdrFDq-m2g">
            <body>Contacts related to the healthcare service</body>
          </ownedComment>
          <ownedComment xmi:id="_4eDzMsFMEea5pdrFDq-m2g">
            <body>If this is empty, then refer to the location's contacts.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eDMKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eDMKsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eDzNMFMEea5pdrFDq-m2g" name="coverageArea" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_4eDzOMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4eDzPsFMEea5pdrFDq-m2g">
            <body>The location(s) that this service is available to (not where the service is provided).</body>
          </ownedComment>
          <ownedComment xmi:id="_4eDzPMFMEea5pdrFDq-m2g">
            <body>Location(s) service is inteded for/available to</body>
          </ownedComment>
          <ownedComment xmi:id="_4eDzQMFMEea5pdrFDq-m2g">
            <body>The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as &quot;in-home&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eDzNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eDzNsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eEaQMFMEea5pdrFDq-m2g" name="serviceProvisionCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eFBUsFMEea5pdrFDq-m2g">
            <body>The code(s) that detail the conditions under which the healthcare service is available/offered.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eFBUMFMEea5pdrFDq-m2g">
            <body>Conditions under which service is available/offered</body>
          </ownedComment>
          <ownedComment xmi:id="_4eFBVMFMEea5pdrFDq-m2g">
            <body>The provision means being commissioned by, contractually obliged or financially sourced. Types of costings that may apply to this healthcare service, such if the service may be available for free, some discounts available, or fees apply.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eEaQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eEaQsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eFBVsFMEea5pdrFDq-m2g" name="eligibility" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eFoYsFMEea5pdrFDq-m2g">
            <body>Does this service have specific eligibility requirements that need to be met in order to use the service?</body>
          </ownedComment>
          <ownedComment xmi:id="_4eFoYMFMEea5pdrFDq-m2g">
            <body>Specific eligibility requirements required to use the service</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eFBV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eFBWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eFoZMFMEea5pdrFDq-m2g" name="eligibilityNote" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eFoasFMEea5pdrFDq-m2g">
            <body>Describes the eligibility conditions for the service.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eFoaMFMEea5pdrFDq-m2g">
            <body>Describes the eligibility conditions for the service</body>
          </ownedComment>
          <ownedComment xmi:id="_4eFobMFMEea5pdrFDq-m2g">
            <body>The description of service eligibility should, in general, not exceed one or two paragraphs. It should be sufficient for a prospective consumer to determine if they are likely to be eligible or not. Where eligibility requirements and conditions are complex, it may simply be noted that an eligibility assessment is required. Where eligibility is determined by an outside source, such as an Act of Parliament, this should be noted, preferably with a reference to a commonly available copy of the source document such as a web page.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eFoZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eFoZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eGPcMFMEea5pdrFDq-m2g" name="programName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eGPdsFMEea5pdrFDq-m2g">
            <body>Program Names that can be used to categorize the service.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eGPdMFMEea5pdrFDq-m2g">
            <body>Program Names that categorize the service</body>
          </ownedComment>
          <ownedComment xmi:id="_4eGPeMFMEea5pdrFDq-m2g">
            <body>Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eGPccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eGPcsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eGPesFMEea5pdrFDq-m2g" name="characteristic" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eG2g8FMEea5pdrFDq-m2g">
            <body>Collection of characteristics (attributes).</body>
          </ownedComment>
          <ownedComment xmi:id="_4eG2gcFMEea5pdrFDq-m2g">
            <body>Collection of characteristics (attributes)</body>
          </ownedComment>
          <ownedComment xmi:id="_4eG2hcFMEea5pdrFDq-m2g">
            <body>These could be such things as is wheelchair accessible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eGPe8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eGPfMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eG2h8FMEea5pdrFDq-m2g" name="referralMethod" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eHdlcFMEea5pdrFDq-m2g">
            <body>Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eHdk8FMEea5pdrFDq-m2g">
            <body>Ways that the service accepts referrals</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eG2iMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eG2icFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eIEoMFMEea5pdrFDq-m2g" name="publicKey" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eIEpsFMEea5pdrFDq-m2g">
            <body>The public part of the 'keys' allocated to an Organization by an accredited body to support secure exchange of data over the internet. To be provided by the Organization, where available.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eIEpMFMEea5pdrFDq-m2g">
            <body>PKI Public keys to support secure communications</body>
          </ownedComment>
          <ownedComment xmi:id="_4eIEqMFMEea5pdrFDq-m2g">
            <body>Note: This is a base64 encoded digital certificate.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eIEocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eIEosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eIEqsFMEea5pdrFDq-m2g" name="appointmentRequired" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eIrscFMEea5pdrFDq-m2g">
            <body>Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eIErsFMEea5pdrFDq-m2g">
            <body>If an appointment is required for access to this service</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eIEq8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eIErMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eIrtsFMEea5pdrFDq-m2g" name="availableTime" type="_4eIrs8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4eJSw8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4eJSycFMEea5pdrFDq-m2g">
            <body>A collection of times that the Service Site is available.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eJSx8FMEea5pdrFDq-m2g">
            <body>Times the Service Site is available</body>
          </ownedComment>
          <ownedComment xmi:id="_4eJSy8FMEea5pdrFDq-m2g">
            <body>More detailed availability information may be provided in associated Schedule/Slot resources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eJSwMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eJSwcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eMWEcFMEea5pdrFDq-m2g" name="notAvailable" type="_4eLvBcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4eMWFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4eMWG8FMEea5pdrFDq-m2g">
            <body>The HealthcareService is not available during this period of time due to the provided reason.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eMWGcFMEea5pdrFDq-m2g">
            <body>Not available during this time due to provided reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eMWEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eMWE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eM9LMFMEea5pdrFDq-m2g" name="availabilityExceptions" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eNkNcFMEea5pdrFDq-m2g">
            <body>A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eNkM8FMEea5pdrFDq-m2g">
            <body>Description of availability exceptions</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eNkMMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eNkMcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eNkN8FMEea5pdrFDq-m2g" name="endpoint" type="_4c-OEMFMEea5pdrFDq-m2g" isOrdered="true" association="_4eNkO8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4eOLQMFMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eNkP8FMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the location</body>
          </ownedComment>
          <ownedComment xmi:id="_4eOLQsFMEea5pdrFDq-m2g">
            <body>Organizations may have different systems covering different services at the different locations and need to be able to define the technical connection details for how to connect to them, and for what purpose.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eNkOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eNkOcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4eIrs8FMEea5pdrFDq-m2g" name="AvailableTime">
          <generalization xmi:id="_4eIrtMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4eJ50cFMEea5pdrFDq-m2g" name="daysOfWeek" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eKg4sFMEea5pdrFDq-m2g">
              <body>Indicates which days of the week are available between the start and end Times.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eKg4MFMEea5pdrFDq-m2g">
              <body>mon | tue | wed | thu | fri | sat | sun</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eJ50sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eJ508FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eKg5MFMEea5pdrFDq-m2g" name="allDay" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eKg6sFMEea5pdrFDq-m2g">
              <body>Is this always available? (hence times are irrelevant) e.g. 24 hour service.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eKg6MFMEea5pdrFDq-m2g">
              <body>Always available? e.g. 24 hour service</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eKg5cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eKg5sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eLH8MFMEea5pdrFDq-m2g" name="availableStartTime" type="_4aorxcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eLH9sFMEea5pdrFDq-m2g">
              <body>The opening time of day. Note: If the AllDay flag is set, then this time is ignored.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eLH9MFMEea5pdrFDq-m2g">
              <body>Opening time of day (ignored if allDay = true)</body>
            </ownedComment>
            <ownedComment xmi:id="_4eLH-MFMEea5pdrFDq-m2g">
              <body>The timezone is expected to be for where this HealthcareService is provided at.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eLH8cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eLH8sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eLH-sFMEea5pdrFDq-m2g" name="availableEndTime" type="_4aorxcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eLvAcFMEea5pdrFDq-m2g">
              <body>The closing time of day. Note: If the AllDay flag is set, then this time is ignored.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eLH_sFMEea5pdrFDq-m2g">
              <body>Closing time of day (ignored if allDay = true)</body>
            </ownedComment>
            <ownedComment xmi:id="_4eLvA8FMEea5pdrFDq-m2g">
              <body>The timezone is expected to be for where this HealthcareService is provided at.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eLH-8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eLH_MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4eLvBcFMEea5pdrFDq-m2g" name="NotAvailable">
          <generalization xmi:id="_4eLvBsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4eMWHcFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eM9IsFMEea5pdrFDq-m2g">
              <body>The reason that can be presented to the user as to why this time is not available.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eM9IMFMEea5pdrFDq-m2g">
              <body>Reason presented to the user explaining why time not available</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eMWHsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eMWH8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eM9JMFMEea5pdrFDq-m2g" name="during" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eM9KsFMEea5pdrFDq-m2g">
              <body>Service is not available (seasonally or for a public holiday) from this date.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eM9KMFMEea5pdrFDq-m2g">
              <body>Service not availablefrom this date</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eM9JcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eM9JsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4dr_xMFMEea5pdrFDq-m2g" memberEnd="_4dr_xcFMEea5pdrFDq-m2g _4dr_wMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4dr_xcFMEea5pdrFDq-m2g" type="_4dqKk8FMEea5pdrFDq-m2g" association="_4dr_xMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dr_xsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dr_x8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eBW9sFMEea5pdrFDq-m2g" memberEnd="_4eBW98FMEea5pdrFDq-m2g _4eBW8sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eBW98FMEea5pdrFDq-m2g" type="_4dqKk8FMEea5pdrFDq-m2g" association="_4eBW9sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eBW-MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eBW-cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eDzOMFMEea5pdrFDq-m2g" memberEnd="_4eDzOcFMEea5pdrFDq-m2g _4eDzNMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eDzOcFMEea5pdrFDq-m2g" type="_4dqKk8FMEea5pdrFDq-m2g" association="_4eDzOMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eDzOsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eDzO8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eJSw8FMEea5pdrFDq-m2g" memberEnd="_4eJSxMFMEea5pdrFDq-m2g _4eIrtsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eJSxMFMEea5pdrFDq-m2g" type="_4dqKk8FMEea5pdrFDq-m2g" association="_4eJSw8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eJSxcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eJSxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eMWFcFMEea5pdrFDq-m2g" memberEnd="_4eMWFsFMEea5pdrFDq-m2g _4eMWEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eMWFsFMEea5pdrFDq-m2g" type="_4dqKk8FMEea5pdrFDq-m2g" association="_4eMWFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eMWF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eMWGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eNkO8FMEea5pdrFDq-m2g" memberEnd="_4eNkPMFMEea5pdrFDq-m2g _4eNkN8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eNkPMFMEea5pdrFDq-m2g" type="_4dqKk8FMEea5pdrFDq-m2g" association="_4eNkO8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eNkPcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eNkPsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eOLSMFMEea5pdrFDq-m2g" memberEnd="_4eOLScFMEea5pdrFDq-m2g _4eOLRMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eOLScFMEea5pdrFDq-m2g" type="_4da6B8FMEea5pdrFDq-m2g" association="_4eOLSMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eOLSsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eOLS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eOyVMFMEea5pdrFDq-m2g" memberEnd="_4eOyVcFMEea5pdrFDq-m2g _4eOyUMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eOyVcFMEea5pdrFDq-m2g" type="_4da6B8FMEea5pdrFDq-m2g" association="_4eOyVMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eOyVsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eOyV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ePZZcFMEea5pdrFDq-m2g" memberEnd="_4ePZZsFMEea5pdrFDq-m2g _4ePZYcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4ePZZsFMEea5pdrFDq-m2g" type="_4a6_qMFMEea5pdrFDq-m2g" association="_4ePZZcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ePZZ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ePZaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eROnsFMEea5pdrFDq-m2g" memberEnd="_4eROn8FMEea5pdrFDq-m2g _4eROmsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eROn8FMEea5pdrFDq-m2g" type="_4eOyXMFMEea5pdrFDq-m2g" association="_4eROnsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eROoMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eROocFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4eScuMFMEea5pdrFDq-m2g" name="Patient">
        <ownedComment xmi:id="_4eTq2cFMEea5pdrFDq-m2g">
          <body>Demographics and other administrative information about an individual or animal receiving care or other health-related services.</body>
        </ownedComment>
        <ownedComment xmi:id="_4eTq0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Patient Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4eTq1MFMEea5pdrFDq-m2g">
          <body>Tracking patient is the center of the healthcare process.</body>
        </ownedComment>
        <ownedComment xmi:id="_4eTq18FMEea5pdrFDq-m2g">
          <body>Information about an individual or animal receiving health care services</body>
        </ownedComment>
        <ownedRule xmi:id="_4eScucFMEea5pdrFDq-m2g" name="pat-1" constrainedElement="_4ea_ksFMEea5pdrFDq-m2g _4eep9sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4eScusFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4eTq1sFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4eUR4cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eUR58FMEea5pdrFDq-m2g">
            <body>An identifier for this patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eUR5cFMEea5pdrFDq-m2g">
            <body>An identifier for this patient</body>
          </ownedComment>
          <ownedComment xmi:id="_4eUR6cFMEea5pdrFDq-m2g">
            <body>Patients are almost always assigned specific numerical identifiers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eUR4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eUR48FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eUR68FMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eU488FMEea5pdrFDq-m2g">
            <body>Whether this patient record is in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eU48cFMEea5pdrFDq-m2g">
            <body>Whether this patient's record is in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_4eU49cFMEea5pdrFDq-m2g">
            <body>Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eU498FMEea5pdrFDq-m2g">
            <body>Need to be able to mark a patient record as not to be used because it was created in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eUR7MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eUR7cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eU4-cFMEea5pdrFDq-m2g" name="name" type="_4c4HcMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eVgAMFMEea5pdrFDq-m2g">
            <body>A name associated with the individual.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eU4_cFMEea5pdrFDq-m2g">
            <body>A name associated with the patient</body>
          </ownedComment>
          <ownedComment xmi:id="_4eVgAsFMEea5pdrFDq-m2g">
            <body>A patient may have multiple names with different uses or applicable periods. For animals, the name is a &quot;HumanName&quot; in the sense that is assigned and used by humans and has the same patterns.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eVgBMFMEea5pdrFDq-m2g">
            <body>Need to be able to track the patient by multiple names. Examples are your official name and a partner name.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eU4-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eU4-8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eVgBsFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eVgDMFMEea5pdrFDq-m2g">
            <body>A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eVgCsFMEea5pdrFDq-m2g">
            <body>A contact detail for the individual</body>
          </ownedComment>
          <ownedComment xmi:id="_4eVgDsFMEea5pdrFDq-m2g">
            <body>A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).</body>
          </ownedComment>
          <ownedComment xmi:id="_4eWHEMFMEea5pdrFDq-m2g">
            <body>People have (primary) ways to contact them in some way such as phone, email.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eVgB8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eVgCMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eWHEsFMEea5pdrFDq-m2g" name="gender" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eWuIMFMEea5pdrFDq-m2g">
            <body>Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eWHF8FMEea5pdrFDq-m2g">
            <body>male | female | other | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_4eWuIsFMEea5pdrFDq-m2g">
            <body>The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a &quot;hard&quot; error.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eWuJMFMEea5pdrFDq-m2g">
            <body>Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eWHE8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eWHFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eWuJsFMEea5pdrFDq-m2g" name="birthDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eWuLMFMEea5pdrFDq-m2g">
            <body>The date of birth for the individual.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eWuKsFMEea5pdrFDq-m2g">
            <body>The date of birth for the individual</body>
          </ownedComment>
          <ownedComment xmi:id="_4eWuLsFMEea5pdrFDq-m2g">
            <body>At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension &quot;patient-birthTime&quot; available that should be used where Time is required (such as in maternaty/infant care systems).</body>
          </ownedComment>
          <ownedComment xmi:id="_4eXVMcFMEea5pdrFDq-m2g">
            <body>Age of the individual drives many clinical processes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eWuJ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eWuKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eXVM8FMEea5pdrFDq-m2g" name="deceased[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eXVOcFMEea5pdrFDq-m2g">
            <body>Indicates if the individual is deceased or not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eXVN8FMEea5pdrFDq-m2g">
            <body>Indicates if the individual is deceased or not</body>
          </ownedComment>
          <ownedComment xmi:id="_4eX8QcFMEea5pdrFDq-m2g">
            <body>If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eX8Q8FMEea5pdrFDq-m2g">
            <body>The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eXVNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eXVNcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eX8RsFMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eYjUsFMEea5pdrFDq-m2g">
            <body>Addresses for the individual.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eYjUMFMEea5pdrFDq-m2g">
            <body>Addresses for the individual</body>
          </ownedComment>
          <ownedComment xmi:id="_4eYjVMFMEea5pdrFDq-m2g">
            <body>Patient may have multiple addresses with different uses or applicable periods.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eYjVsFMEea5pdrFDq-m2g">
            <body>May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eX8R8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eX8SMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eYjWMFMEea5pdrFDq-m2g" name="maritalStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eZKZsFMEea5pdrFDq-m2g">
            <body>This field contains a patient's most recent marital (civil) status.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eZKZMFMEea5pdrFDq-m2g">
            <body>Marital (civil) status of a patient</body>
          </ownedComment>
          <ownedComment xmi:id="_4eZxcMFMEea5pdrFDq-m2g">
            <body>Most, if not all systems capture it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eYjWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eYjWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eZxcsFMEea5pdrFDq-m2g" name="multipleBirth[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eZxeMFMEea5pdrFDq-m2g">
            <body>Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer).</body>
          </ownedComment>
          <ownedComment xmi:id="_4eZxdsFMEea5pdrFDq-m2g">
            <body>Whether patient is part of a multiple birth</body>
          </ownedComment>
          <ownedComment xmi:id="_4eZxesFMEea5pdrFDq-m2g">
            <body>Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3 If a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated).</body>
          </ownedComment>
          <ownedComment xmi:id="_4eZxfMFMEea5pdrFDq-m2g">
            <body>For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eZxc8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eZxdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4eaYgcFMEea5pdrFDq-m2g" name="photo" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4eaYh8FMEea5pdrFDq-m2g">
            <body>Image of the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4eaYhcFMEea5pdrFDq-m2g">
            <body>Image of the patient</body>
          </ownedComment>
          <ownedComment xmi:id="_4eaYicFMEea5pdrFDq-m2g">
            <body>Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eaYgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eaYg8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ea_ksFMEea5pdrFDq-m2g" name="contact" type="_4eaYi8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ea_lsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4ebmocFMEea5pdrFDq-m2g">
            <body>A contact party (e.g. guardian, partner, friend) for the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ea_msFMEea5pdrFDq-m2g">
            <body>A contact party (e.g. guardian, partner, friend) for the patient</body>
          </ownedComment>
          <ownedComment xmi:id="_4ebmo8FMEea5pdrFDq-m2g">
            <body>Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ebmpcFMEea5pdrFDq-m2g">
            <body>Need to track people you can contact about the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ea_k8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ea_lMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ef4EcFMEea5pdrFDq-m2g" name="animal" type="_4efRC8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ef4FcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4ef4G8FMEea5pdrFDq-m2g">
            <body>This patient is known to be an animal.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ef4GcFMEea5pdrFDq-m2g">
            <body>This patient is known to be an animal (non-human)</body>
          </ownedComment>
          <ownedComment xmi:id="_4egfIMFMEea5pdrFDq-m2g">
            <body>The animal element is labeled &quot;Is Modifier&quot; since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records.   The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).</body>
          </ownedComment>
          <ownedComment xmi:id="_4egfIsFMEea5pdrFDq-m2g">
            <body>Many clinical systems are extended to care for animal patients as well as human.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ef4EsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ef4E8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kRv88FMEea5pdrFDq-m2g" name="communication" type="_4kRv8MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4kSXAcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4kSXB8FMEea5pdrFDq-m2g">
            <body>Languages which may be used to communicate with the patient about his or her health.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kSXBcFMEea5pdrFDq-m2g">
            <body>A list of Languages which may be used to communicate with the patient about his or her health</body>
          </ownedComment>
          <ownedComment xmi:id="_4kSXCcFMEea5pdrFDq-m2g">
            <body>If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kSXC8FMEea5pdrFDq-m2g">
            <body>If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kRv9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kRv9cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kUMMsFMEea5pdrFDq-m2g" name="generalPractitioner" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4kUMNsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4kUzQMFMEea5pdrFDq-m2g">
            <body>Patient's nominated care provider.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kUMOsFMEea5pdrFDq-m2g">
            <body>Patient's nominated primary care provider</body>
          </ownedComment>
          <ownedComment xmi:id="_4kUzQsFMEea5pdrFDq-m2g">
            <body>This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kUMM8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kUMNMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kUzRcFMEea5pdrFDq-m2g" name="managingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4kUzScFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4kUzT8FMEea5pdrFDq-m2g">
            <body>Organization that is the custodian of the patient record.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kUzTcFMEea5pdrFDq-m2g">
            <body>Organization that is the custodian of the patient record</body>
          </ownedComment>
          <ownedComment xmi:id="_4kVaUcFMEea5pdrFDq-m2g">
            <body>There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).</body>
          </ownedComment>
          <ownedComment xmi:id="_4kVaU8FMEea5pdrFDq-m2g">
            <body>Need to know who recognizes this patient record, manages and updates it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kUzRsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kUzR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kWBYcFMEea5pdrFDq-m2g" name="link" type="_4kVaVcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4kWBZcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4kWBa8FMEea5pdrFDq-m2g">
            <body>Link to another patient resource that concerns the same actual patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kWBacFMEea5pdrFDq-m2g">
            <body>Link to another patient resource that concerns the same actual person</body>
          </ownedComment>
          <ownedComment xmi:id="_4kWBbcFMEea5pdrFDq-m2g">
            <body>There is no assumption that linked patient records have mutual links.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kWBb8FMEea5pdrFDq-m2g">
            <body>There are multiple usecases:   * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kWBYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kWBY8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4eaYi8FMEea5pdrFDq-m2g" name="Contact">
          <generalization xmi:id="_4ea_kMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4ebmp8FMEea5pdrFDq-m2g" name="relationship" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ecNtMFMEea5pdrFDq-m2g">
              <body>The nature of the relationship between the patient and the contact person.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ecNssFMEea5pdrFDq-m2g">
              <body>The kind of relationship</body>
            </ownedComment>
            <ownedComment xmi:id="_4ecNtsFMEea5pdrFDq-m2g">
              <body>Used to determine which contact person is the most relevant to approach, depending on circumstances.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ebmqMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ebmqcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ecNuMFMEea5pdrFDq-m2g" name="name" type="_4c4HcMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ec0w8FMEea5pdrFDq-m2g">
              <body>A name associated with the contact person.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ec0wcFMEea5pdrFDq-m2g">
              <body>A name associated with the contact person</body>
            </ownedComment>
            <ownedComment xmi:id="_4ec0xcFMEea5pdrFDq-m2g">
              <body>Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ecNucFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ecNusFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ec0x8FMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ec0zcFMEea5pdrFDq-m2g">
              <body>A contact detail for the person, e.g. a telephone number or an email address.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ec0y8FMEea5pdrFDq-m2g">
              <body>A contact detail for the person</body>
            </ownedComment>
            <ownedComment xmi:id="_4edb0cFMEea5pdrFDq-m2g">
              <body>Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.</body>
            </ownedComment>
            <ownedComment xmi:id="_4edb08FMEea5pdrFDq-m2g">
              <body>People have (primary) ways to contact them in some way such as phone, email.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ec0yMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ec0ycFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4edb1cFMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eeC4cFMEea5pdrFDq-m2g">
              <body>Address for the contact person.</body>
            </ownedComment>
            <ownedComment xmi:id="_4edb2cFMEea5pdrFDq-m2g">
              <body>Address for the contact person</body>
            </ownedComment>
            <ownedComment xmi:id="_4eeC48FMEea5pdrFDq-m2g">
              <body>Need to keep track where the contact person can be contacted per postal mail or visited.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4edb1sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4edb18FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eeC5cFMEea5pdrFDq-m2g" name="gender" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4eep8sFMEea5pdrFDq-m2g">
              <body>Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eep8MFMEea5pdrFDq-m2g">
              <body>male | female | other | unknown</body>
            </ownedComment>
            <ownedComment xmi:id="_4eep9MFMEea5pdrFDq-m2g">
              <body>Needed to address the person correctly.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eeC5sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eeC58FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4eep9sFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4eep-sFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4eeqAMFMEea5pdrFDq-m2g">
              <body>Organization on behalf of which the contact is acting or for which the contact is working.</body>
            </ownedComment>
            <ownedComment xmi:id="_4eep_sFMEea5pdrFDq-m2g">
              <body>Organization that is associated with the contact</body>
            </ownedComment>
            <ownedComment xmi:id="_4efRAcFMEea5pdrFDq-m2g">
              <body>For guardians or business related contacts, the organization is relevant.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eep98FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eep-MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4efRA8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4efRCcFMEea5pdrFDq-m2g">
              <body>The period during which this contact person or organization is valid to be contacted relating to this patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_4efRB8FMEea5pdrFDq-m2g">
              <body>The period during which this contact person or organization is valid to be contacted relating to this patient</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4efRBMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4efRBcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4efRC8FMEea5pdrFDq-m2g" name="Animal">
          <generalization xmi:id="_4efRDMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4egfJMFMEea5pdrFDq-m2g" name="species" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ei7Y8FMEea5pdrFDq-m2g">
              <body>Identifies the high level taxonomic categorization of the kind of animal.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ei7YcFMEea5pdrFDq-m2g">
              <body>E.g. Dog, Cow</body>
            </ownedComment>
            <ownedComment xmi:id="_4ei7ZcFMEea5pdrFDq-m2g">
              <body>If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification.  It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word &quot;Hereford&quot; does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for &quot;Hereford Cattle Breed&quot; does.).</body>
            </ownedComment>
            <ownedComment xmi:id="_4ejicMFMEea5pdrFDq-m2g">
              <body>Need to know what kind of animal.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4egfJcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4egfJsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ejicsFMEea5pdrFDq-m2g" name="breed" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4kQh0MFMEea5pdrFDq-m2g">
              <body>Identifies the detailed categorization of the kind of animal.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kP6xMFMEea5pdrFDq-m2g">
              <body>E.g. Poodle, Angus</body>
            </ownedComment>
            <ownedComment xmi:id="_4kQh0sFMEea5pdrFDq-m2g">
              <body>Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kQh1MFMEea5pdrFDq-m2g">
              <body>May need to know the specific kind within the species.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ejic8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ejidMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4kQh1sFMEea5pdrFDq-m2g" name="genderStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4kRI5MFMEea5pdrFDq-m2g">
              <body>Indicates the current state of the animal's reproductive organs.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kRI4sFMEea5pdrFDq-m2g">
              <body>E.g. Neutered, Intact</body>
            </ownedComment>
            <ownedComment xmi:id="_4kRI5sFMEea5pdrFDq-m2g">
              <body>Gender status can affect housing and animal behavior.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kQh18FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kQh2MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4kRv8MFMEea5pdrFDq-m2g" name="Communication">
          <generalization xmi:id="_4kRv8cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4kSXDcFMEea5pdrFDq-m2g" name="language" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4kS-E8FMEea5pdrFDq-m2g">
              <body>The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kS-EcFMEea5pdrFDq-m2g">
              <body>The language which can be used to communicate with the patient about his or her health</body>
            </ownedComment>
            <ownedComment xmi:id="_4kS-FcFMEea5pdrFDq-m2g">
              <body>The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kTlIMFMEea5pdrFDq-m2g">
              <body>Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kSXDsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kSXD8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4kTlIsFMEea5pdrFDq-m2g" name="preferred" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4kTlKMFMEea5pdrFDq-m2g">
              <body>Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).</body>
            </ownedComment>
            <ownedComment xmi:id="_4kTlJsFMEea5pdrFDq-m2g">
              <body>Language preference indicator</body>
            </ownedComment>
            <ownedComment xmi:id="_4kTlKsFMEea5pdrFDq-m2g">
              <body>This language is specifically identified for communicating healthcare information.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kUMMMFMEea5pdrFDq-m2g">
              <body>People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kTlI8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kTlJMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4kVaVcFMEea5pdrFDq-m2g" name="Link">
          <generalization xmi:id="_4kVaVsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4kdWKMFMEea5pdrFDq-m2g" name="other" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4kdWLMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4kd9McFMEea5pdrFDq-m2g">
              <body>The other patient resource that the link refers to.</body>
            </ownedComment>
            <ownedComment xmi:id="_4kdWMMFMEea5pdrFDq-m2g">
              <body>The other patient or related person resource that the link refers to</body>
            </ownedComment>
            <ownedComment xmi:id="_4kd9M8FMEea5pdrFDq-m2g">
              <body>Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kdWKcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kdWKsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4k1JkMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4k1wpMFMEea5pdrFDq-m2g">
              <body>The type of link between this patient resource and another patient resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_4k1wosFMEea5pdrFDq-m2g">
              <body>replace | refer | seealso - type of link</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4k1JkcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4k1JksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ea_lsFMEea5pdrFDq-m2g" memberEnd="_4ea_l8FMEea5pdrFDq-m2g _4ea_ksFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4ea_l8FMEea5pdrFDq-m2g" type="_4eScuMFMEea5pdrFDq-m2g" association="_4ea_lsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ea_mMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ea_mcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4eep-sFMEea5pdrFDq-m2g" memberEnd="_4eep-8FMEea5pdrFDq-m2g _4eep9sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4eep-8FMEea5pdrFDq-m2g" type="_4eaYi8FMEea5pdrFDq-m2g" association="_4eep-sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4eep_MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4eep_cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ef4FcFMEea5pdrFDq-m2g" memberEnd="_4ef4FsFMEea5pdrFDq-m2g _4ef4EcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4ef4FsFMEea5pdrFDq-m2g" type="_4eScuMFMEea5pdrFDq-m2g" association="_4ef4FcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ef4F8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ef4GMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4kSXAcFMEea5pdrFDq-m2g" memberEnd="_4kSXAsFMEea5pdrFDq-m2g _4kRv88FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4kSXAsFMEea5pdrFDq-m2g" type="_4eScuMFMEea5pdrFDq-m2g" association="_4kSXAcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kSXA8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kSXBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4kUMNsFMEea5pdrFDq-m2g" memberEnd="_4kUMN8FMEea5pdrFDq-m2g _4kUMMsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4kUMN8FMEea5pdrFDq-m2g" type="_4eScuMFMEea5pdrFDq-m2g" association="_4kUMNsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kUMOMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kUMOcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4kUzScFMEea5pdrFDq-m2g" memberEnd="_4kUzSsFMEea5pdrFDq-m2g _4kUzRcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4kUzSsFMEea5pdrFDq-m2g" type="_4eScuMFMEea5pdrFDq-m2g" association="_4kUzScFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kUzS8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kUzTMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4kWBZcFMEea5pdrFDq-m2g" memberEnd="_4kWBZsFMEea5pdrFDq-m2g _4kWBYcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4kWBZsFMEea5pdrFDq-m2g" type="_4eScuMFMEea5pdrFDq-m2g" association="_4kWBZcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kWBZ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kWBaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4kWocMFMEea5pdrFDq-m2g" name="RelatedPerson">
        <ownedComment xmi:id="_4kXPhsFMEea5pdrFDq-m2g">
          <body>Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.</body>
        </ownedComment>
        <ownedComment xmi:id="_4kWoc8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for RelatedPerson Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4kXPgcFMEea5pdrFDq-m2g">
          <body>Need to track persons related to the patient or the healthcare process.</body>
        </ownedComment>
        <ownedComment xmi:id="_4kXPhMFMEea5pdrFDq-m2g">
          <body>An person that is related to a patient, but who is not a direct target of care</body>
        </ownedComment>
        <generalization xmi:id="_4kXPg8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4kXPiMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kX2ksFMEea5pdrFDq-m2g">
            <body>Identifier for a person within a particular scope.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kX2kMFMEea5pdrFDq-m2g">
            <body>A human identifier for this person</body>
          </ownedComment>
          <ownedComment xmi:id="_4kX2lMFMEea5pdrFDq-m2g">
            <body>People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kXPicFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kXPisFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kX2lsFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kX2nMFMEea5pdrFDq-m2g">
            <body>Whether this related person record is in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kX2msFMEea5pdrFDq-m2g">
            <body>Whether this related person's record is in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_4kYdocFMEea5pdrFDq-m2g">
            <body>Need to be able to mark a related person record as not to be used, such as if it was created in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kX2l8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kX2mMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kYdo8FMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_4kYdp8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4kYdrcFMEea5pdrFDq-m2g">
            <body>The patient this person is related to.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kYdq8FMEea5pdrFDq-m2g">
            <body>The patient this person is related to</body>
          </ownedComment>
          <ownedComment xmi:id="_4kYdr8FMEea5pdrFDq-m2g">
            <body>We need to know which patient this RelatedPerson is related to.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kYdpMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kYdpcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kZEsMFMEea5pdrFDq-m2g" name="relationship" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kZrwsFMEea5pdrFDq-m2g">
            <body>The nature of the relationship between a patient and the related person.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kZrwMFMEea5pdrFDq-m2g">
            <body>The nature of the relationship</body>
          </ownedComment>
          <ownedComment xmi:id="_4kZrxMFMEea5pdrFDq-m2g">
            <body>We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kZEscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kZEssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kZrxsFMEea5pdrFDq-m2g" name="name" type="_4c4HcMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kaS0cFMEea5pdrFDq-m2g">
            <body>A name associated with the person.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kZrysFMEea5pdrFDq-m2g">
            <body>A name associated with the person</body>
          </ownedComment>
          <ownedComment xmi:id="_4kaS08FMEea5pdrFDq-m2g">
            <body>Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kZrx8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kZryMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kaS1cFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ka54sFMEea5pdrFDq-m2g">
            <body>A contact detail for the person, e.g. a telephone number or an email address.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ka54MFMEea5pdrFDq-m2g">
            <body>A contact detail for the person</body>
          </ownedComment>
          <ownedComment xmi:id="_4ka55MFMEea5pdrFDq-m2g">
            <body>Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ka55sFMEea5pdrFDq-m2g">
            <body>People have (primary) ways to contact them in some way such as phone, email.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kaS1sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kaS18FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ka56MFMEea5pdrFDq-m2g" name="gender" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kbg88FMEea5pdrFDq-m2g">
            <body>Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kbg8cFMEea5pdrFDq-m2g">
            <body>male | female | other | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_4kbg9cFMEea5pdrFDq-m2g">
            <body>Needed for identification of the person, in combination with (at least) name and birth date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ka56cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ka56sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kbg98FMEea5pdrFDq-m2g" name="birthDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kcIAsFMEea5pdrFDq-m2g">
            <body>The date on which the related person was born.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kcIAMFMEea5pdrFDq-m2g">
            <body>The date on which the related person was born</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kbg-MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kbg-cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kcIBMFMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kcICsFMEea5pdrFDq-m2g">
            <body>Address where the related person can be contacted or visited.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kcICMFMEea5pdrFDq-m2g">
            <body>Address where the related person can be contacted or visited</body>
          </ownedComment>
          <ownedComment xmi:id="_4kcIDMFMEea5pdrFDq-m2g">
            <body>Need to keep track where the related person can be contacted per postal mail or visited.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kcIBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kcIBsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kcvEMFMEea5pdrFDq-m2g" name="photo" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kcvFsFMEea5pdrFDq-m2g">
            <body>Image of the person.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kcvFMFMEea5pdrFDq-m2g">
            <body>Image of the person</body>
          </ownedComment>
          <ownedComment xmi:id="_4kcvGMFMEea5pdrFDq-m2g">
            <body>Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kcvEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kcvEsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kdWIMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4kdWJsFMEea5pdrFDq-m2g">
            <body>The period of time that this relationship is considered to be valid. If there are no dates defined, then the interval is unknown.</body>
          </ownedComment>
          <ownedComment xmi:id="_4kdWJMFMEea5pdrFDq-m2g">
            <body>Period of time that this relationship is considered valid</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kdWIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kdWIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4kYdp8FMEea5pdrFDq-m2g" memberEnd="_4kYdqMFMEea5pdrFDq-m2g _4kYdo8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4kYdqMFMEea5pdrFDq-m2g" type="_4kWocMFMEea5pdrFDq-m2g" association="_4kYdp8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kYdqcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kYdqsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4kdWLMFMEea5pdrFDq-m2g" memberEnd="_4kdWLcFMEea5pdrFDq-m2g _4kdWKMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4kdWLcFMEea5pdrFDq-m2g" type="_4kVaVcFMEea5pdrFDq-m2g" association="_4kdWLMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4kdWLsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4kdWL8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lLH2sFMEea5pdrFDq-m2g" name="Device">
        <ownedComment xmi:id="_4lMV8cFMEea5pdrFDq-m2g">
          <body>This resource identifies an instance or a type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.  Medical devices includes durable (reusable) medical equipment, implantable devices, as well as disposable equipment used for diagnostic, treatment, and research for healthcare and public health.  Non-medical devices may include items such as a machine, cellphone, computer, application, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lLu4sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Device Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4lLu5MFMEea5pdrFDq-m2g">
          <body>Allows institutions to track their devices.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lLu58FMEea5pdrFDq-m2g">
          <body>Item used in healthcare</body>
        </ownedComment>
        <generalization xmi:id="_4lLu5sFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4lMV88FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lMV-cFMEea5pdrFDq-m2g">
            <body>Unique instance identifiers assigned to a device by manufacturers other organizations or owners.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lMV98FMEea5pdrFDq-m2g">
            <body>Instance identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_4lMV-8FMEea5pdrFDq-m2g">
            <body>The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.  For [UDI](device.html#5.11.3.2.2),  this element corresponds to the variable portion of the UDI that identifies the serial number of a specific device. See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lMV9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lMV9cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lM9AMFMEea5pdrFDq-m2g" name="udiCarrier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lM9BsFMEea5pdrFDq-m2g">
            <body>[Unique device identifier (UDI)](device.html#5.11.3.2.2) barcode or rfid string assigned to device label or package.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lM9BMFMEea5pdrFDq-m2g">
            <body>Unique Device Identifier (UDI) Barcode string</body>
          </ownedComment>
          <ownedComment xmi:id="_4lM9CMFMEea5pdrFDq-m2g">
            <body>The udiCarrier string may identify an unique instance of a device, or it may only identify the type of the device. The Human Readable format (HRF) is required in FHIR. AIDC identifiers cannot be conveyed in FHIR, Because of limitations on character sets in XML and the need to round-trip JSON data through XML.  See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lM9AcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lM9AsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lM9CsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lNkFcFMEea5pdrFDq-m2g">
            <body>Status of the Device availability.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lNkE8FMEea5pdrFDq-m2g">
            <body>available | not-available | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lM9C8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lM9DMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lNkF8FMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lOLJ8FMEea5pdrFDq-m2g">
            <body>Code or identifier to identify a kind of device.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lOLJcFMEea5pdrFDq-m2g">
            <body>What kind of device this is</body>
          </ownedComment>
          <ownedComment xmi:id="_4lOyMMFMEea5pdrFDq-m2g">
            <body>There can be different code values thath may correspond to different granularities of the same concept.  These can be represented as translations using  the [codeableConcept](datatypes.html#codeableconcept) datatype.  For [UDI](device.html#5.11.3.2.2), this element corresponds to the UDI device identifier (DI) part. See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lNkGMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lOLIMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lOyMsFMEea5pdrFDq-m2g" name="lotNumber" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lOyOMFMEea5pdrFDq-m2g">
            <body>Lot number assigned by the manufacturer.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lOyNsFMEea5pdrFDq-m2g">
            <body>Lot number of manufacture</body>
          </ownedComment>
          <ownedComment xmi:id="_4lOyOsFMEea5pdrFDq-m2g">
            <body>Alphanumeric. For [UDI](device.html#5.11.3.2.2), this element corresponds to the variable portion of a UDI that identifies the lot or batch number within which a physical instance of a device was manufactured. See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lOyM8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lOyNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lOyPMFMEea5pdrFDq-m2g" name="manufacturer" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lPZRMFMEea5pdrFDq-m2g">
            <body>A name of the manufacturer.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lPZQsFMEea5pdrFDq-m2g">
            <body>Name of device manufacturer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lOyPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lPZQMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lPZRsFMEea5pdrFDq-m2g" name="manufactureDate" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lPZTMFMEea5pdrFDq-m2g">
            <body>The date and time when the device was manufactured.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lPZSsFMEea5pdrFDq-m2g">
            <body>Date when the device was made</body>
          </ownedComment>
          <ownedComment xmi:id="_4lPZTsFMEea5pdrFDq-m2g">
            <body>For [UDI](device.html#5.11.3.2.2), this element corresponds to the variable portion of a UDI that identifies the date a physical instance of a device was manufactured. See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lPZR8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lPZSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lQAUcFMEea5pdrFDq-m2g" name="expirationDate" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lQAV8FMEea5pdrFDq-m2g">
            <body>The date and time beyond which this device is no longer valid or should not be used (if applicable).</body>
          </ownedComment>
          <ownedComment xmi:id="_4lQAVcFMEea5pdrFDq-m2g">
            <body>Date and time of expiry of this device (if applicable)</body>
          </ownedComment>
          <ownedComment xmi:id="_4lQAWcFMEea5pdrFDq-m2g">
            <body>For [UDI](device.html#5.11.3.2.2), this element corresponds to the variable portion of a UDI that identifies the expiration date of a physical instance of a device. See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lQAUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lQAU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lQAW8FMEea5pdrFDq-m2g" name="model" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lQnZcFMEea5pdrFDq-m2g">
            <body>The &quot;model&quot; is an identifier assigned by the manufacturer to identify the product by its type. This number is shared by the all devices sold as the same type.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lQnY8FMEea5pdrFDq-m2g">
            <body>Model id assigned by the manufacturer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lQnYMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lQnYcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lQnZ8FMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lQnbcFMEea5pdrFDq-m2g">
            <body>The version of the device, if the device has multiple releases under the same model, or if the device is software or carries firmware.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lQna8FMEea5pdrFDq-m2g">
            <body>Version number (i.e. software)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lQnaMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lQnacFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lROcMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_4lROdMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4lROesFMEea5pdrFDq-m2g">
            <body>Patient information, If the device is affixed to a person.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lROeMFMEea5pdrFDq-m2g">
            <body>Patient to whom Device is affixed</body>
          </ownedComment>
          <ownedComment xmi:id="_4lROfMFMEea5pdrFDq-m2g">
            <body>If the device is implanted in a patient, then need to associate the device to the patient.</body>
          </ownedComment>
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            <body>An organization that is responsible for the provision and ongoing maintenance of the device.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lR1hsFMEea5pdrFDq-m2g">
            <body>Organization responsible for device</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lROf8FMEea5pdrFDq-m2g"/>
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            <body>Contact details for an organization or a particular human that is responsible for the device.</body>
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          <ownedComment xmi:id="_4lSckMFMEea5pdrFDq-m2g">
            <body>Details for human/organization for support</body>
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          <ownedComment xmi:id="_4lSclMFMEea5pdrFDq-m2g">
            <body>used for troubleshooting etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lR1i8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lR1jMFMEea5pdrFDq-m2g" value="*"/>
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            <body>The place where the device can be found.</body>
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          <ownedComment xmi:id="_4lScnsFMEea5pdrFDq-m2g">
            <body>Where the resource is found</body>
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          <ownedComment xmi:id="_4lTDosFMEea5pdrFDq-m2g">
            <body>Device.location can be used to track device location.</body>
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            <body>A network address on which the device may be contacted directly.</body>
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          <ownedComment xmi:id="_4lTDqMFMEea5pdrFDq-m2g">
            <body>Network address to contact device</body>
          </ownedComment>
          <ownedComment xmi:id="_4lTDrMFMEea5pdrFDq-m2g">
            <body>If the device is running a FHIR server, the network address should  be the Base URL from which a conformance statement may be retrieved.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lTDpcFMEea5pdrFDq-m2g"/>
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            <body>Descriptive information, usage information or implantation information that is not captured in an existing element.</body>
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            <body>Device notes and comments</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lTqscFMEea5pdrFDq-m2g"/>
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      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4lqQBsFMEea5pdrFDq-m2g" name="Library">
        <ownedComment xmi:id="_4lreIMFMEea5pdrFDq-m2g">
          <body>The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose exist knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets.</body>
        </ownedComment>
        <ownedComment xmi:id="_4lq3EsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Library Resource</body>
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        <ownedComment xmi:id="_4lq3FcFMEea5pdrFDq-m2g">
          <body>Represents a library of quality improvement components</body>
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          <ownedComment xmi:id="_4lreKMFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this library when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this library is (or will be) published. The URL SHOULD include the major version of the library. For more information see [Technical and Business Versions](resource.html#versions).</body>
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          <ownedComment xmi:id="_4lreJsFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this library (globally unique)</body>
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          <ownedComment xmi:id="_4lreKsFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
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          <ownedComment xmi:id="_4lreLMFMEea5pdrFDq-m2g">
            <body>Allows the library to be referenced by a single globally unique identifier.</body>
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            <body>A formal identifier that is used to identify this library when it is represented in other formats, or referenced in a specification, model, design or an instance. e.g. CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lsFNMFMEea5pdrFDq-m2g">
            <body>Additional identifier for the library</body>
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          <ownedComment xmi:id="_4lsFOMFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this library outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4lsFOsFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lsFMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lsFMsFMEea5pdrFDq-m2g" value="*"/>
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            <body>The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.</body>
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          <ownedComment xmi:id="_4lssQcFMEea5pdrFDq-m2g">
            <body>Business version of the library</body>
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          <ownedComment xmi:id="_4lssRcFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a library that have the same identifier but different versions.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lsFPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lsFPsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_4lssR8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lssTcFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
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          <ownedComment xmi:id="_4lssS8FMEea5pdrFDq-m2g">
            <body>Name for this library (Computer friendly)</body>
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          <ownedComment xmi:id="_4ltTUMFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
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          <ownedComment xmi:id="_4ltTUsFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lssSMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lssScFMEea5pdrFDq-m2g" value="1"/>
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            <body>A short, descriptive, user-friendly title for the library.</body>
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          <ownedComment xmi:id="_4ltTWMFMEea5pdrFDq-m2g">
            <body>Name for this library (Human friendly)</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ltTVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ltTVsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_4luhcsFMEea5pdrFDq-m2g">
            <body>Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition.</body>
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          <ownedComment xmi:id="_4luhcMFMEea5pdrFDq-m2g">
            <body>logic-library | model-definition | asset-collection | module-definition</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lt6YcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lt6YsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_4lvIgsFMEea5pdrFDq-m2g">
            <body>The status of this library. Enables tracking the life-cycle of the content.</body>
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          <ownedComment xmi:id="_4lvIgMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
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          <ownedComment xmi:id="_4lvIhMFMEea5pdrFDq-m2g">
            <body>Allows filtering of library that are appropriate for use vs. not.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4luhdcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4luhdsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_4lvIhsFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lvvkMFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this library is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
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          <ownedComment xmi:id="_4lvIisFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
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          <ownedComment xmi:id="_4lvvksFMEea5pdrFDq-m2g">
            <body>Allows filtering of library that are appropriate for use vs. not.</body>
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          <ownedComment xmi:id="_4lvvlMFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level library would.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lvIh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lvIiMFMEea5pdrFDq-m2g" value="1"/>
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            <body>The date  (and optionally time) when the library was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the library changes.</body>
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          <ownedComment xmi:id="_4lvvmsFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
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          <ownedComment xmi:id="_4lvvnsFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lvvl8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lvvmMFMEea5pdrFDq-m2g" value="1"/>
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            <body>A free text natural language description of the library from the consumer's perspective.</body>
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          <ownedComment xmi:id="_4lwWpcFMEea5pdrFDq-m2g">
            <body>Natural language description of the library</body>
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          <ownedComment xmi:id="_4lwWqcFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the library was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lwWosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lwWo8FMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_4lw9s8FMEea5pdrFDq-m2g">
            <body>Explains why this library is needed and why it has been designed as it has.</body>
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          <ownedComment xmi:id="_4lw9scFMEea5pdrFDq-m2g">
            <body>Why this library is defined</body>
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          <ownedComment xmi:id="_4lw9tcFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the library (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this library.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lwWrMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lwWrcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_4lxkwsFMEea5pdrFDq-m2g">
            <body>A detailed description of how the library is used from a clinical perspective.</body>
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          <ownedComment xmi:id="_4lxkwMFMEea5pdrFDq-m2g">
            <body>Describes the clinical usage of the library</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lw9uMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lw9ucFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_4lxkxMFMEea5pdrFDq-m2g" name="approvalDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4lxkysFMEea5pdrFDq-m2g">
            <body>The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.</body>
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          <ownedComment xmi:id="_4lxkyMFMEea5pdrFDq-m2g">
            <body>When library approved by publisher</body>
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          <ownedComment xmi:id="_4lxkzMFMEea5pdrFDq-m2g">
            <body>The date may be more recent than the approval date because of minor changes / editorial corrections.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lxkxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lxkxsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_4lyL18FMEea5pdrFDq-m2g">
            <body>The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.</body>
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          <ownedComment xmi:id="_4lyL1cFMEea5pdrFDq-m2g">
            <body>Last review date for the library</body>
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          <ownedComment xmi:id="_4lyL2cFMEea5pdrFDq-m2g">
            <body>If specified, this is usually after the approval date.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lyL0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lyL08FMEea5pdrFDq-m2g" value="1"/>
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            <body>The period during which the library content was or is planned to be effective.</body>
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          <ownedComment xmi:id="_4lyy4cFMEea5pdrFDq-m2g">
            <body>The effective date range for the library</body>
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          <ownedComment xmi:id="_4lyy5cFMEea5pdrFDq-m2g">
            <body>The effective period for a library  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lyL3MFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_4l1PIcFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l1PJ8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l1PJcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_4l1PKcFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l1PK8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l1PIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l1PI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l12MMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l2dQMFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the library is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l12N8FMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for library (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l12McFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l12MsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l2dQsFMEea5pdrFDq-m2g" name="topic" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l2dSMFMEea5pdrFDq-m2g">
            <body>Clinical topics related to the content of the library.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l2dRsFMEea5pdrFDq-m2g">
            <body>Descriptional topics for the library</body>
          </ownedComment>
          <ownedComment xmi:id="_4l2dSsFMEea5pdrFDq-m2g">
            <body>Repositories must be able to determine how to categorize the library so that it can be found by topical searches.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l2dQ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l2dRMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l6uuMFMEea5pdrFDq-m2g" name="contributor" type="_4l2dTMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l6uvsFMEea5pdrFDq-m2g">
            <body>A contributor to the content of the library, including authors, editors, reviewers, and endorsers.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l6uvMFMEea5pdrFDq-m2g">
            <body>A content contributor</body>
          </ownedComment>
          <ownedComment xmi:id="_4l7VwMFMEea5pdrFDq-m2g">
            <body>Consumers of the content must be able to quickly determine who contributed to the content of the library.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l6uucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l6uusFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l7VwsFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l7VyMFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the library.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l7VxsFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_4l7VysFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the library. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l780cFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the library.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l7Vw8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l7VxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l7808FMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l782cFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l7818FMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4l7828FMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l781MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l781cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4l783cFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4l8j5cFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library.</body>
          </ownedComment>
          <ownedComment xmi:id="_4l8j48FMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_4l8j58FMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the library and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4l8j4MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4l8j4cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mAOTsFMEea5pdrFDq-m2g" name="relatedArtifact" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mA1U8FMEea5pdrFDq-m2g">
            <body>Related artifacts such as additional documentation, justification, or bibliographic references.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mA1UcFMEea5pdrFDq-m2g">
            <body>Related artifacts for the library</body>
          </ownedComment>
          <ownedComment xmi:id="_4mA1VcFMEea5pdrFDq-m2g">
            <body>Each related artifact is either an attachment, or a reference to another resource, but not both.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mA1V8FMEea5pdrFDq-m2g">
            <body>Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mAOT8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mAOUMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ntecMFMEea5pdrFDq-m2g" name="parameter" type="_4mA1WcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ntedsFMEea5pdrFDq-m2g">
            <body>The parameter element defines parameters used by the library.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ntedMFMEea5pdrFDq-m2g">
            <body>Parameters defined by the library</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nteccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ntecsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nzlEsFMEea5pdrFDq-m2g" name="dataRequirement" type="_4nteeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nzlGMFMEea5pdrFDq-m2g">
            <body>Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nzlFsFMEea5pdrFDq-m2g">
            <body>Data requirements of the library</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nzlE8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nzlFMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nzlGsFMEea5pdrFDq-m2g" name="content" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n0MJMFMEea5pdrFDq-m2g">
            <body>The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n0MIsFMEea5pdrFDq-m2g">
            <body>The content of the library</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nzlG8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n0MIMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4mEftsFMEea5pdrFDq-m2g" name="StructureDefinition">
        <ownedComment xmi:id="_4mPe18FMEea5pdrFDq-m2g">
          <body>A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions, and constraints on resources and data types.</body>
        </ownedComment>
        <ownedComment xmi:id="_4mPe0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for StructureDefinition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4mPe1cFMEea5pdrFDq-m2g">
          <body>Structural Definition</body>
        </ownedComment>
        <ownedRule xmi:id="_4mEft8FMEea5pdrFDq-m2g" name="sdf-9" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mEfuMFMEea5pdrFDq-m2g">
            <body>Because these 3 fields seem to be have overlapping meaning with the ones in the root of StructureDefinition</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mEfusFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:snapshot/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)])) and not(exists(f:differential/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)]))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mFGwcFMEea5pdrFDq-m2g" name="sdf-19" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mFGwsFMEea5pdrFDq-m2g">
            <body>custom types only in logical models</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mFGxMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:kind/@value = 'logical') or (true)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mFt0cFMEea5pdrFDq-m2g" name="sdf-16" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mGU4MFMEea5pdrFDq-m2g">
            <body>element ids need to be unique</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mGU4sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(*/f:element)=count(*/f:element/@id)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mG78cFMEea5pdrFDq-m2g" name="sdf-18" constrainedElement="_4mEftsFMEea5pdrFDq-m2g _4mdhSsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mG78sFMEea5pdrFDq-m2g">
            <body>contextInvariant</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mG79MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mHjAcFMEea5pdrFDq-m2g" name="sdf-17" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mHjAsFMEea5pdrFDq-m2g">
            <body>element ids need to be unique</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mHjBMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(*/f:element)=count(*/f:element/@id)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mIKEMFMEea5pdrFDq-m2g" name="sdf-12" constrainedElement="_4mEftsFMEea5pdrFDq-m2g _4mfWesFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mIKEcFMEea5pdrFDq-m2g">
            <body>Ensure that element.base appears with base or not</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mIKE8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:baseDefinition or not(exists(f:snapshot/f:element/f:base) or exists(f:differential/f:element/f:base))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mIKFcFMEea5pdrFDq-m2g" name="sdf-11" constrainedElement="_4mEftsFMEea5pdrFDq-m2g _4meIWMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mIKFsFMEea5pdrFDq-m2g">
            <body>Ensure that the type is not inconsistent with the other information in the structure</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mIKGMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:element[1]/f:path/@value)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mIxIcFMEea5pdrFDq-m2g" name="sdf-14" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mIxIsFMEea5pdrFDq-m2g">
            <body>elements have id</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mIxJMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(*/f:element)=count(*/f:element/@id)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mJYMcFMEea5pdrFDq-m2g" name="sdf-1" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mJYMsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:derivation/@value = 'constraint') or (count(f:snapshot/f:element) = count(distinct-values(f:snapshot/f:element/f:path/@value)))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mJ_QcFMEea5pdrFDq-m2g" name="sdf-7" constrainedElement="_4mEftsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mJ_QsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:derivation/@value = 'constraint') or (f:derivation/@value = 'logical') or (f:url/@value=concat('http://hl7.org/fhir/StructureDefinition/', f:id/@value))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mJ_RMFMEea5pdrFDq-m2g" name="sdf-6" constrainedElement="_4mEftsFMEea5pdrFDq-m2g _4mhLoMFMEea5pdrFDq-m2g _4nsQUcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mJ_RcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:snapshot) or exists(f:differential)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mKmUcFMEea5pdrFDq-m2g" name="sdf-5" constrainedElement="_4mEftsFMEea5pdrFDq-m2g _4mcTKsFMEea5pdrFDq-m2g _4mdhQMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mKmUsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or (exists(f:context) and exists(f:contextType))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mLNYcFMEea5pdrFDq-m2g" name="sdf-4" constrainedElement="_4mEftsFMEea5pdrFDq-m2g _4meIWMFMEea5pdrFDq-m2g _4mfWcMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mLNYsFMEea5pdrFDq-m2g">
            <body>Ensure that the base types are abstract</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mLNZMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:abstract/@value=true()) or exists(f:baseDefinition)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mL0ccFMEea5pdrFDq-m2g" name="sdf-2" constrainedElement="_4mZP0cFMEea5pdrFDq-m2g _4mZ25sFMEea5pdrFDq-m2g _4mad8cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mL0csFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:uri) or exists(f:name)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mMbgcFMEea5pdrFDq-m2g" name="sdf-15" constrainedElement="_4mhLoMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mMbgsFMEea5pdrFDq-m2g">
            <body>No Type on the root element (snapshot)</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mMbhMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:element[1]/f:type)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mNCkMFMEea5pdrFDq-m2g" name="sdf-8" constrainedElement="_4mhLoMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mNCkcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:element[1]/f:path/@value=parent::f:StructureDefinition/f:type/@value and count(f:element[position()!=1])=count(f:element[position()!=1][starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mNCk8FMEea5pdrFDq-m2g" name="sdf-3" constrainedElement="_4mhLoMFMEea5pdrFDq-m2g _4nrCO8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mNClMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mNpocFMEea5pdrFDq-m2g" name="sdf-15a" constrainedElement="_4nsQUcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mNposFMEea5pdrFDq-m2g">
            <body>No Type on the root element (differential)</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mNppMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:element[1][not(contains(f:path/@value, '.'))]/f:type)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mOQscFMEea5pdrFDq-m2g" name="sdf-20" constrainedElement="_4nsQUcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mOQssFMEea5pdrFDq-m2g">
            <body>no slicing on root</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mOQtMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:element[1]/f:slicing)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4mOQtsFMEea5pdrFDq-m2g" name="sdf-8a" constrainedElement="_4nsQUcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4mOQt8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:element)=count(f:element[f:path/@value=ancestor::f:StructureDefinition/f:type/@value or starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4mPe1MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4mPe2cFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mQF4sFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this structure definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this structure definition is (or will be) published. The URL SHOULD include the major version of the structure definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQF4MFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this structure definition (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQF5MFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQF5sFMEea5pdrFDq-m2g">
            <body>Allows the structure definition to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mPe2sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mPe28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mQF6MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mQs9cFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this structure definition when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQs88FMEea5pdrFDq-m2g">
            <body>Additional identifier for the structure definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQs98FMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this structure definition outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQs-cFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mQs8MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mQs8cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mQs-8FMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mRUAcFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the structure definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mQs_8FMEea5pdrFDq-m2g">
            <body>Business version of the structure definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4mRUA8FMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a structure definition that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mQs_MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mQs_cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mRUBcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mRUC8FMEea5pdrFDq-m2g">
            <body>A natural language name identifying the structure definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mRUCcFMEea5pdrFDq-m2g">
            <body>Name for this structure definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_4mRUDcFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mR7EMFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mRUBsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mRUB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mR7EsFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mR7GMFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the structure definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mR7FsFMEea5pdrFDq-m2g">
            <body>Name for this structure definition (Human friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_4mR7GsFMEea5pdrFDq-m2g">
            <body>null Applications don't have to use this name, but can always fall back to it. The title also corresponds to the label for the root element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mR7E8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mR7FMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mR7HMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mSiJMFMEea5pdrFDq-m2g">
            <body>The status of this structure definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mSiIsFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_4mSiJsFMEea5pdrFDq-m2g">
            <body>Allows filtering of structure definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mR7HcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mR7HsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mTJMMFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mTJNsFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this structure definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTJNMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTJOMFMEea5pdrFDq-m2g">
            <body>Allows filtering of structure definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTJOsFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level structure definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mTJMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mTJMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mTJPMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mTwQsFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the structure definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTwQMFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTwRMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the structure definition is the organization or individual primarily responsible for the maintenance and upkeep of the structure definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTwRsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the structure definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mTJPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mTJPsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mTwSMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mTwTsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mTwTMFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4mUXUMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mTwScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mTwSsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mUXUsFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mUXWMFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the structure definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the structure definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mUXVsFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_4mUXWsFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mUXU8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mUXVMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mUXXMFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mU-ZcFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the structure definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mU-Y8FMEea5pdrFDq-m2g">
            <body>Natural language description of the structure definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4mU-Z8FMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the structure definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mU-YMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mU-YcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mU-acFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mU-b8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mU-bcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_4mVlccFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mVlc8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mU-asFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mU-a8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mVldcFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mWMgsFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the structure definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mWMgMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for structure definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mVldsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mVld8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mWMhMFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mWMisFMEea5pdrFDq-m2g">
            <body>Explains why this structure definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mWMiMFMEea5pdrFDq-m2g">
            <body>Why this structure definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_4mWzkcFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the structure definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this structure definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mWMhcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mWMhsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mWzk8FMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mWzmcFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the structure definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mWzl8FMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_4mWzm8FMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the structure definition and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mWzlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mWzlcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mXaoMFMEea5pdrFDq-m2g" name="keyword" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mYBssFMEea5pdrFDq-m2g">
            <body>A set of key words or terms from external terminologies that may be used to assist with indexing and searching of templates.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mYBsMFMEea5pdrFDq-m2g">
            <body>Assist with indexing and finding</body>
          </ownedComment>
          <ownedComment xmi:id="_4mYBtMFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate StructureDefinitions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mXaocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mXaosFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mYBtsFMEea5pdrFDq-m2g" name="fhirVersion" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mYowcFMEea5pdrFDq-m2g">
            <body>The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 1.8.0 for this version.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mYBusFMEea5pdrFDq-m2g">
            <body>FHIR Version this StructureDefinition targets</body>
          </ownedComment>
          <ownedComment xmi:id="_4mYow8FMEea5pdrFDq-m2g">
            <body>A StructureDefinition does not need to specify the target it applies to,as StructureDefinitions will often be valid across multiple versions of FHIR. FHIR tooling can determine whether a StructureDefinition is consistent with a particular StructureDefinition if desired.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mYBt8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mYBuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mZP0cFMEea5pdrFDq-m2g" name="mapping" type="_4mYoxcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4mZP1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mZP28FMEea5pdrFDq-m2g">
            <body>An external specification that the content is mapped to.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mZP2cFMEea5pdrFDq-m2g">
            <body>External specification that the content is mapped to</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mZP0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mZP08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mbFCMFMEea5pdrFDq-m2g" name="kind" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mbsFcFMEea5pdrFDq-m2g">
            <body>Defines the kind of structure that this definition is describing.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mbsE8FMEea5pdrFDq-m2g">
            <body>primitive-type | complex-type | resource | logical</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mbFCcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mbFCsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mcTIMFMEea5pdrFDq-m2g" name="abstract" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mcTJsFMEea5pdrFDq-m2g">
            <body>Whether structure this definition describes is abstract or not  - that is, whether the structure is not intended to be instantiated. For Resources and Data types, abstract types will never be exchanged  between systems.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mcTJMFMEea5pdrFDq-m2g">
            <body>Whether the structure is abstract</body>
          </ownedComment>
          <ownedComment xmi:id="_4mcTKMFMEea5pdrFDq-m2g">
            <body>Abstract Resources cannot be instantiated - a concrete sub-type must be used. Abstract datatypes and extensions cannot be used in an instance. For logical models, the exact implication of &quot;abstract&quot; will rest with the author, depending how the logical model is used. Flagging a constraint structure as abstract conveys design intent but makes no difference to how the structure definition is handled. Note that inline declared elements that are given the type &quot;Element&quot; in the profile, but have children described, are anonymous concrete types that specialise Element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mcTIcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mcTIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mcTKsFMEea5pdrFDq-m2g" name="contextType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mc6NcFMEea5pdrFDq-m2g">
            <body>If this is an extension, Identifies the context within FHIR resources where the extension can be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mc6M8FMEea5pdrFDq-m2g">
            <body>resource | datatype | extension</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mcTK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mcTLMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mdhQMFMEea5pdrFDq-m2g" name="context" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mdhRsFMEea5pdrFDq-m2g">
            <body>Identifies the types of resource or data type elements to which the extension can be applied.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mdhRMFMEea5pdrFDq-m2g">
            <body>Where the extension can be used in instances</body>
          </ownedComment>
          <ownedComment xmi:id="_4mdhSMFMEea5pdrFDq-m2g">
            <body>If the context is an element that can have multiple types, then use (e.g.) value[x] if the extension works on all choice types, or otherwise an enumeration of explicitly named elements if not. Note that a context of &quot;string&quot; doesn't mean that the extension can be used with one of the string patterns such as &quot;id&quot; etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mdhQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mdhQsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mdhSsFMEea5pdrFDq-m2g" name="contextInvariant" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4meIVMFMEea5pdrFDq-m2g">
            <body>A set of rules as Fluent Invariants about when the extension can be used (e.g. co-occurance variants for the extension).</body>
          </ownedComment>
          <ownedComment xmi:id="_4meIUsFMEea5pdrFDq-m2g">
            <body>FluentPath invariants - when the extension can be used</body>
          </ownedComment>
          <ownedComment xmi:id="_4meIVsFMEea5pdrFDq-m2g">
            <body>All the rules must be true. When evaluating the invariant, the fluentpath focus is the element that holds the extension, and %extension refers to the extension itself.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mdhS8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4meIUMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4meIWMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mevZcFMEea5pdrFDq-m2g">
            <body>The type this structure is describes. If the derivation kind is 'specialization' then this is the master definition for a type, and there is always one of these (a data type, an extension, a resource, including abstract ones). Otherwise the structure definition is a constraint on the stated type (and in this case, the type cannot be an abstract type).</body>
          </ownedComment>
          <ownedComment xmi:id="_4mevY8FMEea5pdrFDq-m2g">
            <body>Type defined or constrained by this structure</body>
          </ownedComment>
          <ownedComment xmi:id="_4mevZ8FMEea5pdrFDq-m2g">
            <body>Note that in the case of constraints, the type could be determined by chasing through the baseDefinition references until a concrete structure (derivation = specialization) is reached, or by looking at the path of the first element in the snapshot - if present - but providing the type directly makes for simpler tooling and indexing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4meIWcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4meIWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mfWcMFMEea5pdrFDq-m2g" name="baseDefinition" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mfWdsFMEea5pdrFDq-m2g">
            <body>An absolute URI that is the base structure from which this type is derived, either by specialization or constraint.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mfWdMFMEea5pdrFDq-m2g">
            <body>Definition that this type is constrained/specialized from</body>
          </ownedComment>
          <ownedComment xmi:id="_4mfWeMFMEea5pdrFDq-m2g">
            <body>If differential constraints are specified in this structure, they are applied to the base in a &quot;differential&quot; fashion. If there is no base, then the differential constraints cannot be provided (snapshot only). Differential structures are useful for the editing perspective, and snapshot structures are suitable for operational use. The FHIR Project provides a number of tools/services to populate snapshots from differential constraints. Logical Models have a base of &quot;Element&quot; or another logical model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mfWccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mfWcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mfWesFMEea5pdrFDq-m2g" name="derivation" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4mf9hcFMEea5pdrFDq-m2g">
            <body>How the type relates to the baseDefinition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mf9g8FMEea5pdrFDq-m2g">
            <body>specialization | constraint - How relates to base definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4mgkkMFMEea5pdrFDq-m2g">
            <body>If the definition is a specialization, then it adds new elements in the differential, and the snapshot includes the inherited elements.  If the definition is a constraint, then it can not define new elements, it can only make new rules about existing content (see [Profiling Resources](profiling.html#resources)).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mfWe8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mfWfMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4mhLoMFMEea5pdrFDq-m2g" name="snapshot" type="_4mgkksFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4mhLpMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4mhLqsFMEea5pdrFDq-m2g">
            <body>A snapshot view is expressed in a stand alone form that can be used and interpreted without considering the base StructureDefinition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4mhLqMFMEea5pdrFDq-m2g">
            <body>Snapshot view of the structure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mhLocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mhLosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nsQUcFMEea5pdrFDq-m2g" name="differential" type="_4nrpRMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nsQVcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4nsQW8FMEea5pdrFDq-m2g">
            <body>A differential view is expressed relative to the base StructureDefinition - a statement of differences that it applies.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nsQWcFMEea5pdrFDq-m2g">
            <body>Differential view of the structure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nsQUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nsQU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4mYoxcFMEea5pdrFDq-m2g" name="Mapping">
          <generalization xmi:id="_4mYoxsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4mZP3cFMEea5pdrFDq-m2g" name="identity" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mZ24sFMEea5pdrFDq-m2g">
              <body>An Internal id that is used to identify this mapping set when specific mappings are made.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mZ24MFMEea5pdrFDq-m2g">
              <body>Internal id when this mapping is used</body>
            </ownedComment>
            <ownedComment xmi:id="_4mZ25MFMEea5pdrFDq-m2g">
              <body>The specification is described once, with general comments, and then specific mappings are made that reference this declaration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mZP3sFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mZP38FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4mZ25sFMEea5pdrFDq-m2g" name="uri" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mZ27MFMEea5pdrFDq-m2g">
              <body>An absolute URI that identifies the specification that this mapping is expressed to.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mZ26sFMEea5pdrFDq-m2g">
              <body>Identifies what this mapping refers to</body>
            </ownedComment>
            <ownedComment xmi:id="_4mZ27sFMEea5pdrFDq-m2g">
              <body>A formal identity for the specification being mapped to helps with identifying maps consistently.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mZ258FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mZ26MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4mad8cFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mad98FMEea5pdrFDq-m2g">
              <body>A name for the specification that is being mapped to.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mad9cFMEea5pdrFDq-m2g">
              <body>Names what this mapping refers to</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mad8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mad88FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4mbFAMFMEea5pdrFDq-m2g" name="comments" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4mbFBsFMEea5pdrFDq-m2g">
              <body>Comments about this mapping, including version notes, issues, scope limitations, and other important notes for usage.</body>
            </ownedComment>
            <ownedComment xmi:id="_4mbFBMFMEea5pdrFDq-m2g">
              <body>Versions, Issues, Scope limitations etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mbFAcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mbFAsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4mgkksFMEea5pdrFDq-m2g" name="Snapshot">
          <generalization xmi:id="_4mgkk8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4nrCO8FMEea5pdrFDq-m2g" name="element" type="_4mhLrMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nrpQsFMEea5pdrFDq-m2g">
              <body>Captures constraints on each element within the resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nrpQMFMEea5pdrFDq-m2g">
              <body>Definition of elements in the resource (if no StructureDefinition)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nrCPMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nrCPcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4nrpRMFMEea5pdrFDq-m2g" name="Differential">
          <generalization xmi:id="_4nrpRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4nsQXcFMEea5pdrFDq-m2g" name="element" type="_4mhLrMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ns3YsFMEea5pdrFDq-m2g">
              <body>Captures constraints on each element within the resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ns3YMFMEea5pdrFDq-m2g">
              <body>Definition of elements in the resource (if no StructureDefinition)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nsQXsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nsQX8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4mZP1cFMEea5pdrFDq-m2g" memberEnd="_4mZP1sFMEea5pdrFDq-m2g _4mZP0cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4mZP1sFMEea5pdrFDq-m2g" type="_4mEftsFMEea5pdrFDq-m2g" association="_4mZP1cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mZP18FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mZP2MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4mhLpMFMEea5pdrFDq-m2g" memberEnd="_4mhLpcFMEea5pdrFDq-m2g _4mhLoMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4mhLpcFMEea5pdrFDq-m2g" type="_4mEftsFMEea5pdrFDq-m2g" association="_4mhLpMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4mhLpsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4mhLp8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4nFzasFMEea5pdrFDq-m2g" name="ValueSet">
        <ownedComment xmi:id="_4nKE1sFMEea5pdrFDq-m2g">
          <body>A value set specifies a set of codes drawn from one or more code systems.</body>
        </ownedComment>
        <ownedComment xmi:id="_4nKE0cFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ValueSet Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4nKE1MFMEea5pdrFDq-m2g">
          <body>A set of codes drawn from one or more code systems</body>
        </ownedComment>
        <ownedRule xmi:id="_4nFza8FMEea5pdrFDq-m2g" name="vsd-5" constrainedElement="_4nFzasFMEea5pdrFDq-m2g _4nT11MFMEea5pdrFDq-m2g _4ngDEcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nFzbMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:compose) or exists(f:expansion)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4nGaccFMEea5pdrFDq-m2g" name="vsd-2" constrainedElement="_4nVrAsFMEea5pdrFDq-m2g _4nWSFsFMEea5pdrFDq-m2g _4ne0-sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nGacsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:concept) or exists(f:filter)) or exists(f:system)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4nHBgcFMEea5pdrFDq-m2g" name="vsd-3" constrainedElement="_4nVrAsFMEea5pdrFDq-m2g _4nXgMsFMEea5pdrFDq-m2g _4ncYscFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nHBgsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:concept)) or not(exists(f:filter))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4nHokcFMEea5pdrFDq-m2g" name="vsd-1" constrainedElement="_4nVrAsFMEea5pdrFDq-m2g _4nWSFsFMEea5pdrFDq-m2g _4ne08MFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nHoksFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:valueSet) or exists(f:system)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4nIPoMFMEea5pdrFDq-m2g" name="vsd-6" constrainedElement="_4nkUg8FMEea5pdrFDq-m2g _4nmwwcFMEea5pdrFDq-m2g _4nmwycFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nIPocFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:code) or exists(f:display)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4nIPo8FMEea5pdrFDq-m2g" name="vsd-9" constrainedElement="_4nkUg8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nIPpMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:code) or (f:abstract/@value = true())</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4nI2scFMEea5pdrFDq-m2g" name="vsd-10" constrainedElement="_4nkUg8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4nI2ssFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:system) or not(exists(f:code))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4nKE08FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4nKE2MFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nKr48FMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this value set when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this value set is (or will be) published. The URL SHOULD include the major version of the value set. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_4nKr4cFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this value set (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_4nKr5cFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nKr58FMEea5pdrFDq-m2g">
            <body>Allows the value set to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nKE2cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nKE2sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nKr6cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nLS8sFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this value set when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nLS8MFMEea5pdrFDq-m2g">
            <body>Additional identifier for the value set</body>
          </ownedComment>
          <ownedComment xmi:id="_4nLS9MFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this value set outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nLS9sFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nKr6sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nKr68FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nLS-MFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nLS_sFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the value set when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the value set author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nLS_MFMEea5pdrFDq-m2g">
            <body>Business version of the value set</body>
          </ownedComment>
          <ownedComment xmi:id="_4nL6AcFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a value set that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nLS-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nLS-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nL6A8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nL6CcFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the value set. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nL6B8FMEea5pdrFDq-m2g">
            <body>Name for this value set (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_4nL6C8FMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly. A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nL6DcFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nL6BMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nL6BcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nMhEcFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nMhF8FMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the value set.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nMhFcFMEea5pdrFDq-m2g">
            <body>Name for this value set (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nMhEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nMhE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nMhGcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nNII8FMEea5pdrFDq-m2g">
            <body>The status of this value set. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nNIIcFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_4nNIJcFMEea5pdrFDq-m2g">
            <body>Allows filtering of value set that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nMhGsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nMhG8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nNIJ8FMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nNvMsFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this value set is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nNvMMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_4nNvNMFMEea5pdrFDq-m2g">
            <body>Allows filtering of value set that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nNvNsFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level value set would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nNIKMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nNIKcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nNvOMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nOWRMFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the value set.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nOWQsFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_4nOWRsFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the value set is the organization or individual primarily responsible for the maintenance and upkeep of the value set. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the value set. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nOWSMFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the value set.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nNvOcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nOWQMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nOWSsFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nO9UsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nO9UMFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4nO9VMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nOWS8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nOWTMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nPkYMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nPkZsFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the value set was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the value set changes. (e.g. the 'content logical definition').</body>
          </ownedComment>
          <ownedComment xmi:id="_4nPkZMFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_4nPkaMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the value set. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nPkYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nPkYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nPkasFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nQLdMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the value set from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nQLcsFMEea5pdrFDq-m2g">
            <body>Natural language description of the value set</body>
          </ownedComment>
          <ownedComment xmi:id="_4nQLdsFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the value set was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context. The description is not intended to describe the semantics of the Value Set - there are no intrinsic semantics separate from the codes contained in its expansion. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes. A description should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a description.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nPka8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nQLcMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nQLeMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nQyg8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nQygcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_4nQyhcFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nQyh8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nQLecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nQLesFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nQyicFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nRZk8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the value set is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nRZkcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for value set (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nQyisFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nQyi8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nRZlcFMEea5pdrFDq-m2g" name="immutable" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nSAosFMEea5pdrFDq-m2g">
            <body>If this is set to 'true', then no new versions of the content logical definition can be created.  Note: Other metadata might still change.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nSAoMFMEea5pdrFDq-m2g">
            <body>Indicates whether or not any change to the content logical definition may occur</body>
          </ownedComment>
          <ownedComment xmi:id="_4nSApMFMEea5pdrFDq-m2g">
            <body>Normally immutability is set to 'false', which is the default assumption if it is not populated.  Note that the implication is that if this is set to 'true', there may be only one ValueSet version for this definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change.  For example &quot;All specializations of ACT in ActClassCode&quot; - Where there's no safe way to express the &quot;Purpose&quot; such that someone else could safely make changes to the value set definition. Source workflow control must guarantee that the same URI always yields the same definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nRZlsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nRZl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nSApsFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nSArMFMEea5pdrFDq-m2g">
            <body>Explains why this value set is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nSAqsFMEea5pdrFDq-m2g">
            <body>Why this value set is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_4nSnscFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the value set (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this value set.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nSAp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nSAqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nSns8FMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nSnucFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the value set and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the value set.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nSnt8FMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_4nTOwcFMEea5pdrFDq-m2g">
            <body>null Frequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nTOw8FMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the value set and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nSntMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nSntcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nTOxcFMEea5pdrFDq-m2g" name="extensible" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4nTOy8FMEea5pdrFDq-m2g">
            <body>Whether this is intended to be used with an extensible binding or not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4nTOycFMEea5pdrFDq-m2g">
            <body>Whether this is intended to be used with an extensible binding</body>
          </ownedComment>
          <ownedComment xmi:id="_4nTOzcFMEea5pdrFDq-m2g">
            <body>It is not required to say whether this intent applies.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nTOxsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nTOx8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nT11MFMEea5pdrFDq-m2g" name="compose" type="_4nT10cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nUc4cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4nUc58FMEea5pdrFDq-m2g">
            <body>A set of criteria that define the content logical definition of the value set by including or excluding codes from outside this value set. This I also known as the &quot;Content Logical Definition&quot; (CLD).</body>
          </ownedComment>
          <ownedComment xmi:id="_4nUc5cFMEea5pdrFDq-m2g">
            <body>Definition of the content of the value set (CLD)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nT11cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nT11sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ngDEcFMEea5pdrFDq-m2g" name="expansion" type="_4nfcCcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ngDFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4ngDG8FMEea5pdrFDq-m2g">
            <body>A value set can also be &quot;expanded&quot;, where the value set is turned into a simple collection of enumerated codes. This element holds the expansion, if it has been performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ngDGcFMEea5pdrFDq-m2g">
            <body>Used when the value set is &quot;expanded&quot;</body>
          </ownedComment>
          <ownedComment xmi:id="_4ngDHcFMEea5pdrFDq-m2g">
            <body>Expansion is performed to produce a collection of codes that are ready to use for data entry or validation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ngDEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ngDE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4nT10cFMEea5pdrFDq-m2g" name="Compose">
          <generalization xmi:id="_4nT10sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4nUc6cFMEea5pdrFDq-m2g" name="lockedDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nUc78FMEea5pdrFDq-m2g">
              <body>If a locked date is defined, then the Content Logical Definition must be evaluated using the current version as of the locked date for referenced code system(s) and value set instances where ValueSet.compose.include.version is not defined.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nUc7cFMEea5pdrFDq-m2g">
              <body>Fixed date for version-less references (transitive)</body>
            </ownedComment>
            <ownedComment xmi:id="_4nVD8MFMEea5pdrFDq-m2g">
              <body>With a defined lockedDate the value set is considered &quot;Locked&quot;. Otherwise, the value set may have different expansions as underlying code systems and/or value sets evolve.  The interpretation of lockedDate is often dependent on the context - e.g. a SNOMED CT derived value set with a lockedDate will have a different expansion in USA than in UK.  If a value set specifies a version for include and exclude statements, and also specifies a locked date, the specified versions need to be available that date, or the value set will not be usable.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nUc6sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nUc68FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nVD8sFMEea5pdrFDq-m2g" name="inactive" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nVD-MFMEea5pdrFDq-m2g">
              <body>Whether inactive codes - codes that are not approved for current use - are in the value set. If inactive = true, inactive codes are to be included in the expansion, if inactive = false, the inactive codes will not be included in the expansion. If absent, the behavior is determined by the implementation, or by the applicable ExpansionProfile (but generally, inactive codes would be expected to be included).</body>
            </ownedComment>
            <ownedComment xmi:id="_4nVD9sFMEea5pdrFDq-m2g">
              <body>Whether inactive codes are in the value set</body>
            </ownedComment>
            <ownedComment xmi:id="_4nVD-sFMEea5pdrFDq-m2g">
              <body>Note that in the FHIR terminology framework, &quot;deprecated&quot; does not mean inactive, but in some code systems (e.g. LOINC, deprecated means inactive). Code systems should define what codes are considered to be inactive. If this is not clearly defined (including in the FHIR code system resource), then all codes are assumed to be active.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nVD88FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nVD9MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nVrAsFMEea5pdrFDq-m2g" name="include" type="_4nVD_MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nVrBsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4nWSEsFMEea5pdrFDq-m2g">
              <body>Include one or more codes from a code system or other value set(s).</body>
            </ownedComment>
            <ownedComment xmi:id="_4nWSEMFMEea5pdrFDq-m2g">
              <body>Include one or more codes from a code system or other value set(s)</body>
            </ownedComment>
            <ownedComment xmi:id="_4nWSFMFMEea5pdrFDq-m2g">
              <body>All the conditions in an include must be true. If a system is listed, all the codes from the system are listed. If one or more filters are listed, all of the filters must apply. If one or more value sets are listed, the codes must be in all the value sets. E.g. each include is 'include all the codes that meet all these conditions'.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nVrA8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nVrBMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ne0-sFMEea5pdrFDq-m2g" name="exclude" type="_4nVD_MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ne0_sFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4nfcBcFMEea5pdrFDq-m2g">
              <body>Exclude one or more codes from the value set based on code system filters and/or other value sets.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nfcA8FMEea5pdrFDq-m2g">
              <body>Explicitly exclude codes from a code system or other value sets</body>
            </ownedComment>
            <ownedComment xmi:id="_4nfcB8FMEea5pdrFDq-m2g">
              <body>Usually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ne0-8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ne0_MFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4nVD_MFMEea5pdrFDq-m2g" name="ConceptSet">
            <generalization xmi:id="_4nVrAMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4nWSFsFMEea5pdrFDq-m2g" name="system" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4nWSHMFMEea5pdrFDq-m2g">
                <body>An absolute URI which is the code system from which the selected codes come from.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nWSGsFMEea5pdrFDq-m2g">
                <body>The system the codes come from</body>
              </ownedComment>
              <ownedComment xmi:id="_4nW5IMFMEea5pdrFDq-m2g">
                <body>If there are no codes or filters, the entire code system is included. Note that the set of codes that are included may contain abstract codes. See ''Coding.system'' for further documentation about the correct value for the system element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nWSF8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nWSGMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4nW5IsFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4nW5KMFMEea5pdrFDq-m2g">
                <body>The version of the code system that the codes are selected from.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nW5JsFMEea5pdrFDq-m2g">
                <body>Specific version of the code system referred to</body>
              </ownedComment>
              <ownedComment xmi:id="_4nW5KsFMEea5pdrFDq-m2g">
                <body>This is used when selecting the descendants of a concept - they may change between versions. If no version is specified, then the exact contents of the value set may not be known until a context of use binds it to a particular version.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nW5I8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nW5JMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4nXgMsFMEea5pdrFDq-m2g" name="concept" type="_4nW5LMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nXgNsFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_4nYHQcFMEea5pdrFDq-m2g">
                <body>Specifies a concept to be included or excluded.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nXgOsFMEea5pdrFDq-m2g">
                <body>A concept defined in the system</body>
              </ownedComment>
              <ownedComment xmi:id="_4nYHQ8FMEea5pdrFDq-m2g">
                <body>The list of concepts is considered ordered, though the order may not have any particular significance. Typically, the order of an expansion follows that defined in the compose element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nXgM8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nXgNMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4ncYscFMEea5pdrFDq-m2g" name="filter" type="_4nbxqsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ncYtcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_4nc_wMFMEea5pdrFDq-m2g">
                <body>Select concepts by specify a matching criteria based on the properties (including relationships) defined by the system. If multiple filters are specified, they SHALL all be true.</body>
              </ownedComment>
              <ownedComment xmi:id="_4ncYucFMEea5pdrFDq-m2g">
                <body>Select codes/concepts by their properties (including relationships)</body>
              </ownedComment>
              <ownedComment xmi:id="_4nc_wsFMEea5pdrFDq-m2g">
                <body>Selecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ncYssFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ncYs8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4ne08MFMEea5pdrFDq-m2g" name="valueSet" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4ne09sFMEea5pdrFDq-m2g">
                <body>Selects concepts found in this value set. This is an absolute URI that is a reference to ValueSet.url.</body>
              </ownedComment>
              <ownedComment xmi:id="_4ne09MFMEea5pdrFDq-m2g">
                <body>Select only contents included in this value set</body>
              </ownedComment>
              <ownedComment xmi:id="_4ne0-MFMEea5pdrFDq-m2g">
                <body>The value set URI is either a logical reference to a defined value set such as a [SNOMED CT reference set]{snomedct.html#implicit}, or a direct reference to a value set definition using ValueSet.url. The reference may not refer to an actual FHIR ValueSet resource; in this case, whatever is referred to is an implicit definition of a value set that needs to be clear about how versions are resolved.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ne08cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ne08sFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_4nW5LMFMEea5pdrFDq-m2g" name="ConceptReference">
              <generalization xmi:id="_4nXgMMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_4nYHRcFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4nYHS8FMEea5pdrFDq-m2g">
                  <body>Specifies a code for the concept to be included or excluded.</body>
                </ownedComment>
                <ownedComment xmi:id="_4nYHScFMEea5pdrFDq-m2g">
                  <body>Code or expression from system</body>
                </ownedComment>
                <ownedComment xmi:id="_4nYHTcFMEea5pdrFDq-m2g">
                  <body>Expressions are allowed if defined by the underlying code system.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nYHRsFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nYHR8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4nYuUcFMEea5pdrFDq-m2g" name="display" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4nYuV8FMEea5pdrFDq-m2g">
                  <body>The text to display to the user for this concept in the context of this valueset. If no display is provided, then applications using the value set use the display specified for the code by the system.</body>
                </ownedComment>
                <ownedComment xmi:id="_4nYuVcFMEea5pdrFDq-m2g">
                  <body>Text to display for this code for this value set</body>
                </ownedComment>
                <ownedComment xmi:id="_4nYuWcFMEea5pdrFDq-m2g">
                  <body>The value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nYuUsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nYuU8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4nZVYcFMEea5pdrFDq-m2g" name="designation" type="_4nYuW8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nZ8ccFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_4nZ8d8FMEea5pdrFDq-m2g">
                  <body>Additional representations for this concept when used in this value set - other languages, aliases, specialized purposes, used for particular purposes, etc.</body>
                </ownedComment>
                <ownedComment xmi:id="_4nZ8dcFMEea5pdrFDq-m2g">
                  <body>Additional representations for this concept</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nZVYsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nZVY8FMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_4nYuW8FMEea5pdrFDq-m2g" name="Designation">
                <generalization xmi:id="_4nYuXMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_4nZ8ecFMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_4najgsFMEea5pdrFDq-m2g">
                    <body>The language this designation is defined for.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_4najgMFMEea5pdrFDq-m2g">
                    <body>Human language of the designation</body>
                  </ownedComment>
                  <ownedComment xmi:id="_4najhMFMEea5pdrFDq-m2g">
                    <body>In the absence of a language, the resource language applies.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nZ8esFMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nZ8e8FMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_4najhsFMEea5pdrFDq-m2g" name="use" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_4nbKlcFMEea5pdrFDq-m2g">
                    <body>A code that details how this designation would be used.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_4nbKk8FMEea5pdrFDq-m2g">
                    <body>Details how this designation would be used</body>
                  </ownedComment>
                  <ownedComment xmi:id="_4nbxoMFMEea5pdrFDq-m2g">
                    <body>If no use is provided, the designation can be assumed to be suitable for general display to a human user.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4najh8FMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4najiMFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_4nbxosFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_4nbxqMFMEea5pdrFDq-m2g">
                    <body>The text value for this designation.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_4nbxpsFMEea5pdrFDq-m2g">
                    <body>The text value for this designation</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nbxo8FMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nbxpMFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
              </nestedClassifier>
            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_4nbxqsFMEea5pdrFDq-m2g" name="Filter">
              <generalization xmi:id="_4nbxq8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_4nc_xMFMEea5pdrFDq-m2g" name="property" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4nc_ysFMEea5pdrFDq-m2g">
                  <body>A code that identifies a property defined in the code system.</body>
                </ownedComment>
                <ownedComment xmi:id="_4nc_yMFMEea5pdrFDq-m2g">
                  <body>A property defined by the code system</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nc_xcFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nc_xsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4nc_zMFMEea5pdrFDq-m2g" name="op" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4neN4cFMEea5pdrFDq-m2g">
                  <body>The kind of operation to perform as a part of the filter criteria.</body>
                </ownedComment>
                <ownedComment xmi:id="_4ndm1sFMEea5pdrFDq-m2g">
                  <body>= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ndm0MFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ndm0cFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4neN48FMEea5pdrFDq-m2g" name="value" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4neN6cFMEea5pdrFDq-m2g">
                  <body>The match value may be either a code defined by the system, or a string value, which is a regex match on the literal string of the property value.</body>
                </ownedComment>
                <ownedComment xmi:id="_4neN58FMEea5pdrFDq-m2g">
                  <body>Code from the system, or regex criteria</body>
                </ownedComment>
                <ownedComment xmi:id="_4neN68FMEea5pdrFDq-m2g">
                  <body>Use regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4neN5MFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4neN5cFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4nfcCcFMEea5pdrFDq-m2g" name="Expansion">
          <generalization xmi:id="_4nfcCsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4ngqIMFMEea5pdrFDq-m2g" name="identifier" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ngqJsFMEea5pdrFDq-m2g">
              <body>An identifier that uniquely identifies this expansion of the valueset. Systems may re-use the same identifier as long as the expansion and the definition remain the same, but are not required to do so.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ngqJMFMEea5pdrFDq-m2g">
              <body>Uniquely identifies this expansion</body>
            </ownedComment>
            <ownedComment xmi:id="_4ngqKMFMEea5pdrFDq-m2g">
              <body>Typically, this uri is a UUID (e.g. urn:uuid:8230ff20-c97a-4167-a59d-dc2cb9df16dd).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ngqIcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ngqIsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4ngqKsFMEea5pdrFDq-m2g" name="timestamp" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nhRMsFMEea5pdrFDq-m2g">
              <body>The time at which the expansion was produced by the expanding system.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nhRMMFMEea5pdrFDq-m2g">
              <body>Time ValueSet expansion happened</body>
            </ownedComment>
            <ownedComment xmi:id="_4nhRNMFMEea5pdrFDq-m2g">
              <body>This SHOULD be a fully populated instant, but in some circumstances, value sets are expanded by hand, and the expansion is published without that precision.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ngqK8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ngqLMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nhRNsFMEea5pdrFDq-m2g" name="total" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nhRPMFMEea5pdrFDq-m2g">
              <body>The total number of concepts in the expansion. If the number of concept nodes in this resource is less than the stated number, then the server can return more using the offset parameter.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nhROsFMEea5pdrFDq-m2g">
              <body>Total number of codes in the expansion</body>
            </ownedComment>
            <ownedComment xmi:id="_4nh4QMFMEea5pdrFDq-m2g">
              <body>Paging only applies to flat expansions.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nhRN8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nhROMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nh4QsFMEea5pdrFDq-m2g" name="offset" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4nh4SMFMEea5pdrFDq-m2g">
              <body>If paging is being used, the offset at which this resource starts.  I.e. this resource is a partial view into the expansion. If paging is not being used, this element SHALL not be present.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nh4RsFMEea5pdrFDq-m2g">
              <body>Offset at which this resource starts</body>
            </ownedComment>
            <ownedComment xmi:id="_4nh4SsFMEea5pdrFDq-m2g">
              <body>Paging only applies to flat expansions. If a filter is applied, the count is the number of concepts that matched the filter, not the number of concepts in an unfiltered view of the expansion.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nh4Q8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nh4RMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nifUcFMEea5pdrFDq-m2g" name="parameter" type="_4nh4TMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nifVcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4njGYMFMEea5pdrFDq-m2g">
              <body>A parameter that controlled the expansion process. These parameters may be used by users of expanded value sets to check whether the expansion is suitable for a particular purpose, or to pick the correct expansion.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nifWcFMEea5pdrFDq-m2g">
              <body>Parameter that controlled the expansion process</body>
            </ownedComment>
            <ownedComment xmi:id="_4njGYsFMEea5pdrFDq-m2g">
              <body>The server decides which parameters to include here, but at a minimum, the list SHOULD include the date, filter, and profile parameters passed to the $expand operation (if any).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nifUsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nifU8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4nkUg8FMEea5pdrFDq-m2g" name="contains" type="_4nkUgMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4nk7kMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4nk7lsFMEea5pdrFDq-m2g">
              <body>The codes that are contained in the value set expansion.</body>
            </ownedComment>
            <ownedComment xmi:id="_4nk7lMFMEea5pdrFDq-m2g">
              <body>Codes in the value set</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nkUhMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nkUhcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4nh4TMFMEea5pdrFDq-m2g" name="Parameter">
            <generalization xmi:id="_4nh4TcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4njGZMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4njGasFMEea5pdrFDq-m2g">
                <body>The name of the parameter.</body>
              </ownedComment>
              <ownedComment xmi:id="_4njGaMFMEea5pdrFDq-m2g">
                <body>Name as assigned by the server</body>
              </ownedComment>
              <ownedComment xmi:id="_4njGbMFMEea5pdrFDq-m2g">
                <body>The names are assigned at the discretion of the server.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4njGZcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4njGZsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4njtcMFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4njtdsFMEea5pdrFDq-m2g">
                <body>The value of the parameter.</body>
              </ownedComment>
              <ownedComment xmi:id="_4njtdMFMEea5pdrFDq-m2g">
                <body>Value of the named parameter</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4njtccFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4njtcsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4nkUgMFMEea5pdrFDq-m2g" name="Contains">
            <generalization xmi:id="_4nkUgcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4nk7mMFMEea5pdrFDq-m2g" name="system" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4nk7nsFMEea5pdrFDq-m2g">
                <body>An absolute URI which is the code system in which the code for this item in the expansion is defined.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nk7nMFMEea5pdrFDq-m2g">
                <body>System value for the code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nk7mcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nk7msFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4nlioMFMEea5pdrFDq-m2g" name="abstract" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4nlipsFMEea5pdrFDq-m2g">
                <body>If true, this entry is included in the expansion for navigational purposes, and the user cannot select the code directly as a proper value.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nlipMFMEea5pdrFDq-m2g">
                <body>If user cannot select this entry</body>
              </ownedComment>
              <ownedComment xmi:id="_4nliqMFMEea5pdrFDq-m2g">
                <body>This should not be understood to exclude its use for searching (e.g. by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nliocFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nliosFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4nliqsFMEea5pdrFDq-m2g" name="inactive" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4nmJssFMEea5pdrFDq-m2g">
                <body>If the concept is inactive in the code system that defines it. Inactive codes are those that are no longer to be used, but are maintained by the code system for understnading legacy data.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nmJsMFMEea5pdrFDq-m2g">
                <body>If concept is inactive in the code system</body>
              </ownedComment>
              <ownedComment xmi:id="_4nmJtMFMEea5pdrFDq-m2g">
                <body>This shoulld only have a value if the concept is inactive.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nliq8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nlirMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4nmJtsFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4nmJvMFMEea5pdrFDq-m2g">
                <body>The version of this code system that defined this code and/or display. This should only be used with code systems that do not enforce concept permanence.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nmJusFMEea5pdrFDq-m2g">
                <body>Version in which this code/display is defined</body>
              </ownedComment>
              <ownedComment xmi:id="_4nmJvsFMEea5pdrFDq-m2g">
                <body>The exact value of the version string is specified by the system from which the code is derived.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nmJt8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nmJuMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
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                <body>The code for this item in the expansion hierarchy. If this code is missing the entry in the hierarchy is a place holder (abstract) and does not represent a valid code in the value set.</body>
              </ownedComment>
              <ownedComment xmi:id="_4nmwxcFMEea5pdrFDq-m2g">
                <body>Code - if blank, this is not a selectable code</body>
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                <body>The recommended display for this item in the expansion.</body>
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              <ownedComment xmi:id="_4nnX0MFMEea5pdrFDq-m2g">
                <body>User display for the concept</body>
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                <body>Additional representations for this item - other languages, aliases, specialized purposes, used for particular purposes, etc. These are relevant when the conditions of the expansion do not fix to a single correct representation.</body>
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                <body>Additional representations for this item</body>
              </ownedComment>
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                <body>The designations provided must be based on the value set and code system definitions.</body>
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                <body>Other codes and entries contained under this entry in the hierarchy.</body>
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                <body>Codes contained under this entry</body>
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                <body>If the expansion uses this element, there is  no implication about the logical relationship between them, and the  structure cannot be used for logical inferencing. The structure  exists to provide navigational assistance for helping human users to  locate codes in the expansion.</body>
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          <body>A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge.  This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques.  ResearchStudies involve the gathering of information about human or animal subjects.</body>
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          <body>Base StructureDefinition for ResearchSubject Resource</body>
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          <body>Investigation increase healthcare-related patient-independent knowledge</body>
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          <body>Need to make sure we encompass public health studies.</body>
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            <body>Identifiers assigned to this research study by the sponsor or other systems.</body>
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          <ownedComment xmi:id="_4n1aRMFMEea5pdrFDq-m2g">
            <body>Business Identifer for event</body>
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          <ownedComment xmi:id="_4n1aSMFMEea5pdrFDq-m2g">
            <body>Allows identification of the research study as it is known by various participating systems and in a way that remains consistent across servers.</body>
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            <body>The current state of the event.</body>
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          <ownedComment xmi:id="_4n2BU8FMEea5pdrFDq-m2g">
            <body>candidate | enrolled | active | suspended | withdrawn | completed</body>
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            <body>The dates the subject began and ended their participation in the study.</body>
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          <ownedComment xmi:id="_4n2oZMFMEea5pdrFDq-m2g">
            <body>Start and end of participation</body>
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            <body>Reference to the study the subject is participating in.</body>
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            <body>Study subject is part of</body>
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            <body>The record of the person or animal who is involved in the study.</body>
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            <body>Who is part of study</body>
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            <body>The name of the arm in the study the subject is expected to follow as part of this study.</body>
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            <body>What path should be followed</body>
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            <body>The name of the arm in the study the subject actually followed as part of this study.</body>
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            <body>What path was followed</body>
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            <body>A record of the patient's informed agreement to participate in the study.</body>
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            <body>Agreement to participate in study</body>
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          <body>A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge.  This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques.  ResearchStudies involve the gathering of information about human or animal subjects.</body>
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          <body>Base StructureDefinition for ResearchStudy Resource</body>
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        <ownedComment xmi:id="_4n3PdcFMEea5pdrFDq-m2g">
          <body>Investigation increase healthcare-related patient-independent knowledge</body>
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        <ownedComment xmi:id="_4n3PecFMEea5pdrFDq-m2g">
          <body>Need to make sure we encompass public health studies.</body>
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            <body>Identifiers assigned to this research study by the sponsor or other systems.</body>
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          <ownedComment xmi:id="_4n32hMFMEea5pdrFDq-m2g">
            <body>Business Identifer for study</body>
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          <ownedComment xmi:id="_4n32iMFMEea5pdrFDq-m2g">
            <body>Allows identification of the research study as it is known by various participating systems and in a way that remains consistent across servers.</body>
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            <body>A short, descriptive user-friendly label for the study.</body>
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            <body>Name for this study</body>
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            <body>The set of steps expected to be performed as part of the execution of the study.</body>
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            <body>Steps followed in executing study</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p3amsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p3am8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p4BosFMEea5pdrFDq-m2g" name="partOf" type="_4n2oaMFMEea5pdrFDq-m2g" isOrdered="true" association="_4p4BpsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4p4BrMFMEea5pdrFDq-m2g">
            <body>A larger research study of which this particular study is a component or step.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p4BqsFMEea5pdrFDq-m2g">
            <body>Part of larger study</body>
          </ownedComment>
          <ownedComment xmi:id="_4p4BrsFMEea5pdrFDq-m2g">
            <body>Allows breaking a study into components (e.g. by study site) each with their own PI, status, enrollment, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p4Bo8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p4BpMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p4osMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p5PwcFMEea5pdrFDq-m2g">
            <body>The current state of the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p4ot8FMEea5pdrFDq-m2g">
            <body>draft | in-progress | suspended | stopped | completed | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p4oscFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p4ossFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p5Pw8FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p5PysFMEea5pdrFDq-m2g">
            <body>Codes categorizing the type of study such as investigational vs. observational, type of blinding, type of randomization, safety vs. efficacy, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p5PyMFMEea5pdrFDq-m2g">
            <body>Classifications for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p5PxMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p5PxcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p520MFMEea5pdrFDq-m2g" name="focus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p5218FMEea5pdrFDq-m2g">
            <body>The condition(s), medication(s), food(s), therapy(ies), device(s) or other concerns or interventions that the study is seeking to gain more information about.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p521cFMEea5pdrFDq-m2g">
            <body>Drugs, devices, conditions, etc. under study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p520cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p520sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p522cFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p6d4sFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in learning more about or engaging with the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p6d4MFMEea5pdrFDq-m2g">
            <body>Contact details for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p522sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p5228FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p6d5MFMEea5pdrFDq-m2g" name="relatedArtifact" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p6d6sFMEea5pdrFDq-m2g">
            <body>Citations, references and other related documents.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p6d6MFMEea5pdrFDq-m2g">
            <body>References and dependencies</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p6d5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p6d5sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p6d7MFMEea5pdrFDq-m2g" name="keyword" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p7E9MFMEea5pdrFDq-m2g">
            <body>Key terms to aid in searching for or filtering the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p7E8sFMEea5pdrFDq-m2g">
            <body>Used to search for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p6d7cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p6d7sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p7E9sFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p7sAsFMEea5pdrFDq-m2g">
            <body>Indicates a country, state or other region where the study is taking place.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p7sAMFMEea5pdrFDq-m2g">
            <body>Geographic region(s) for study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p7E98FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p7E-MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p7sBMFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p8TEMFMEea5pdrFDq-m2g">
            <body>A full description of how the study is being conducted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p7sCMFMEea5pdrFDq-m2g">
            <body>What this is study doing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p7sBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p7sBsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qGrKsFMEea5pdrFDq-m2g" name="enrollment" type="_4p8TEsFMEea5pdrFDq-m2g" isOrdered="true" association="_4qHSMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qIgUcFMEea5pdrFDq-m2g">
            <body>Reference to a Group that defines the criteria for and quantity of subjects participating in the study.  E.g. &quot; 200 female Europeans between the ages of 20 and 45 with early onset diabetes&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qHSNMFMEea5pdrFDq-m2g">
            <body>Inclusion &amp; exclusion criteria</body>
          </ownedComment>
          <ownedComment xmi:id="_4qIgU8FMEea5pdrFDq-m2g">
            <body>The Group referenced should not generally enumerate specific subjects.  Subjects will be linked to the study using the ResearchSubject resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qGrK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qGrLMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qJHYMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qJHZsFMEea5pdrFDq-m2g">
            <body>Identifies the start date and the expected (or actual, depending on status) end date for the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qJHZMFMEea5pdrFDq-m2g">
            <body>When the study began and ended</body>
          </ownedComment>
          <ownedComment xmi:id="_4qJHaMFMEea5pdrFDq-m2g">
            <body>[The list of types may be constrained as appropriate for the type of event].</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qJHYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qJHYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qJHasFMEea5pdrFDq-m2g" name="sponsor" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4qJucMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qJudsFMEea5pdrFDq-m2g">
            <body>The organization responsible for the execution of the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qJudMFMEea5pdrFDq-m2g">
            <body>Organization responsible for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qJHa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qJHbMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qJueMFMEea5pdrFDq-m2g" name="principalInvestigator" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_4qJufMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qKVhcFMEea5pdrFDq-m2g">
            <body>Indicates the individual who has primary oversite of the execution of the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qKVg8FMEea5pdrFDq-m2g">
            <body>Individual responsible for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qJuecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qJuesFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qKVh8FMEea5pdrFDq-m2g" name="site" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_4qKVi8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qKVkcFMEea5pdrFDq-m2g">
            <body>Clinic, hospital or other healthcare location that is participating in the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qKVj8FMEea5pdrFDq-m2g">
            <body>Location involved in study execution</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qKViMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qKVicFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qK8kMFMEea5pdrFDq-m2g" name="reasonStopped" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qK8lsFMEea5pdrFDq-m2g">
            <body>A description and/or code explaining the premature termination of the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qK8lMFMEea5pdrFDq-m2g">
            <body>Reason for terminating study early</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qK8kcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qK8ksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qK8mMFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qK8nsFMEea5pdrFDq-m2g">
            <body>Comments made about the event by the performer, subject or other participants.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qK8nMFMEea5pdrFDq-m2g">
            <body>Comments made about the event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qK8mcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qK8msFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qLjpMFMEea5pdrFDq-m2g" name="arm" type="_4qLjocFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4qMKsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qMKtsFMEea5pdrFDq-m2g">
            <body>Describes an expected sequence of events for one of the participants of a study.  E.g. Exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qMKtMFMEea5pdrFDq-m2g">
            <body>Defined path through the study for a subject</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qLjpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qLjpsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4qLjocFMEea5pdrFDq-m2g" name="Arm">
          <generalization xmi:id="_4qLjosFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4qMKuMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qMKvsFMEea5pdrFDq-m2g">
              <body>Unique, human-readable label for this arm of the study.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qMKvMFMEea5pdrFDq-m2g">
              <body>Label for study arm</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qMKucFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qMKusFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qMxwMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qMxxsFMEea5pdrFDq-m2g">
              <body>E.g. Experimental, active comparator, placebo comparator.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qMxxMFMEea5pdrFDq-m2g">
              <body>Categorization of arm</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qMxwcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qMxwsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qMxyMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qNY08FMEea5pdrFDq-m2g">
              <body>A succinct description of the path through the study that would be followed by a subject adhering to this arm.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qNY0cFMEea5pdrFDq-m2g">
              <body>Short explanation of study path</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qMxycFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qMxysFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4n4dmMFMEea5pdrFDq-m2g" name="PlanDefinition">
        <ownedComment xmi:id="_4n5rscFMEea5pdrFDq-m2g">
          <body>This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols.</body>
        </ownedComment>
        <ownedComment xmi:id="_4n5EosFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for PlanDefinition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4n5EpcFMEea5pdrFDq-m2g">
          <body>The definition of a plan for a series of actions, independent of any specific patient or context</body>
        </ownedComment>
        <generalization xmi:id="_4n5EpMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4n5rs8FMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n5rucFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this plan definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this plan definition is (or will be) published. The URL SHOULD include the major version of the plan definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_4n5rt8FMEea5pdrFDq-m2g">
            <body>Logical uri to reference this plan definition (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_4n5ru8FMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n5rvcFMEea5pdrFDq-m2g">
            <body>Allows the plan definition to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n5rtMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n5rtcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n6SwMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n6SxsFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n6SxMFMEea5pdrFDq-m2g">
            <body>Additional identifier for the plan definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4n6SyMFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this plan definition outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n6SysFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n6SwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n6SwsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n6SzMFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n650sFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n650MFMEea5pdrFDq-m2g">
            <body>Business version of the plan definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4n651MFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a plan definition that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n6SzcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n6SzsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n651sFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n653MFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n652sFMEea5pdrFDq-m2g">
            <body>Name for this plan definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_4n7g4MFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n7g4sFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n6518FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n652MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n7g5MFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n7g6sFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the plan definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n7g6MFMEea5pdrFDq-m2g">
            <body>Name for this plan definition (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n7g5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n7g5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n7g7MFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n8H9sFMEea5pdrFDq-m2g">
            <body>The type of asset the plan definition represents, e.g. an order set, protocol, or event-condition-action rule.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n8H9MFMEea5pdrFDq-m2g">
            <body>order-set | protocol | eca-rule</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n7g7cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n7g7sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n8vAcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n8vCMFMEea5pdrFDq-m2g">
            <body>The status of this plan definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n8vBsFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_4n9WEcFMEea5pdrFDq-m2g">
            <body>Allows filtering of plan definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n8vAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n8vA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n9WE8FMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n9WGcFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n9WF8FMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_4n9WG8FMEea5pdrFDq-m2g">
            <body>Allows filtering of plan definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n9WHcFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level plan definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n9WFMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n9WFcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n99IcFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n99J8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the plan definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n99JcFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_4n99KcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n99IsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n99I8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n99K8FMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n-kMsFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the plan definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n-kMMFMEea5pdrFDq-m2g">
            <body>Natural language description of the plan definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4n-kNMFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the plan definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n99LMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n99LcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n-kNsFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n-kPMFMEea5pdrFDq-m2g">
            <body>Explains why this plan definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n-kOsFMEea5pdrFDq-m2g">
            <body>Why this plan definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_4n_LQMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the plan definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this plan definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n-kN8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n-kOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n_LQsFMEea5pdrFDq-m2g" name="usage" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n_LSMFMEea5pdrFDq-m2g">
            <body>A detailed description of how the asset is used from a clinical perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n_LRsFMEea5pdrFDq-m2g">
            <body>Describes the clinical usage of the asset</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n_LQ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n_LRMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n_LSsFMEea5pdrFDq-m2g" name="approvalDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n_yUcFMEea5pdrFDq-m2g">
            <body>The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n_LTsFMEea5pdrFDq-m2g">
            <body>When plan definition approved by publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4n_yU8FMEea5pdrFDq-m2g">
            <body>The date may be more recent than the approval date because of minor changes / editorial corrections.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n_LS8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n_LTMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4n_yVcFMEea5pdrFDq-m2g" name="lastReviewDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4n_yW8FMEea5pdrFDq-m2g">
            <body>The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.</body>
          </ownedComment>
          <ownedComment xmi:id="_4n_yWcFMEea5pdrFDq-m2g">
            <body>Last review date for the plan definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4n_yXcFMEea5pdrFDq-m2g">
            <body>If specified, this is usually after the approval date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4n_yVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4n_yV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oAZYMFMEea5pdrFDq-m2g" name="effectivePeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oAZZsFMEea5pdrFDq-m2g">
            <body>The period during which the plan definition content was or is planned to be effective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oAZZMFMEea5pdrFDq-m2g">
            <body>The effective date range for the plan definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4oAZaMFMEea5pdrFDq-m2g">
            <body>The effective period for a plan definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oAZYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oAZYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oAZasFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oBAccFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oAZbsFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_4oBAc8FMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oBAdcFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oAZa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oAZbMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oBAd8FMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oBngsFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the plan definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oBngMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for plan definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oBAeMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oBAecFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oBnhMFMEea5pdrFDq-m2g" name="topic" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oBnisFMEea5pdrFDq-m2g">
            <body>Clinical topics related to the content of the asset.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oBniMFMEea5pdrFDq-m2g">
            <body>Descriptional topics for the asset</body>
          </ownedComment>
          <ownedComment xmi:id="_4oBnjMFMEea5pdrFDq-m2g">
            <body>Repositories must be able to determine how to categorize the asset so that it can be found by topical searches.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oBnhcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oBnhsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oCOkcFMEea5pdrFDq-m2g" name="contributor" type="_4l2dTMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oCOl8FMEea5pdrFDq-m2g">
            <body>A contributor to the content of the asset, including authors, editors, reviewers, and endorsers.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oCOlcFMEea5pdrFDq-m2g">
            <body>A content contributor</body>
          </ownedComment>
          <ownedComment xmi:id="_4oCOmcFMEea5pdrFDq-m2g">
            <body>Consumers of the content must be able to quickly determine who contributed to the content of the asset.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oCOksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oCOk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oC1oMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oC1psFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the plan definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oC1pMFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_4oC1qMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oC1qsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the plan definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oC1ocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oC1osFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oDcsMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oDctsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oDctMFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4oDcuMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oDcscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oDcssFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oDcusFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oEDwsFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oEDwMFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_4oEDxMFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the plan definition and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oDcu8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oDcvMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oEDxsFMEea5pdrFDq-m2g" name="relatedArtifact" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oEDzMFMEea5pdrFDq-m2g">
            <body>Related artifacts such as additional documentation, justification, or bibliographic references.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oEDysFMEea5pdrFDq-m2g">
            <body>Related artifacts for the asset</body>
          </ownedComment>
          <ownedComment xmi:id="_4oEDzsFMEea5pdrFDq-m2g">
            <body>Each related artifact is either an attachment, or a reference to another resource, but not both.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oEq0MFMEea5pdrFDq-m2g">
            <body>Assets must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oEDx8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oEDyMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oEq0sFMEea5pdrFDq-m2g" name="library" type="_4lqQBsFMEea5pdrFDq-m2g" isOrdered="true" association="_4oEq1sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4oEq3MFMEea5pdrFDq-m2g">
            <body>A reference to a Library resource containing any formal logic used by the plan definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oEq2sFMEea5pdrFDq-m2g">
            <body>Logic used by the plan definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oEq08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oEq1MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oFR4sFMEea5pdrFDq-m2g" name="actionDefinition" type="_4oEq3sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4oFR5sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4oF48cFMEea5pdrFDq-m2g">
            <body>An action to be taken as part of the plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oFR6sFMEea5pdrFDq-m2g">
            <body>Action defined by the plan</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oFR48FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oFR5MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4oEq3sFMEea5pdrFDq-m2g" name="ActionDefinition">
          <generalization xmi:id="_4oFR4MFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4oF488FMEea5pdrFDq-m2g" name="actionIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oF4-cFMEea5pdrFDq-m2g">
              <body>A unique identifier for the action. The identifier SHALL be unique within the container in which it appears, and MAY be universally unique.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oF498FMEea5pdrFDq-m2g">
              <body>Unique identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oF49MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oF49cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oF4-8FMEea5pdrFDq-m2g" name="label" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oGgAsFMEea5pdrFDq-m2g">
              <body>A user-visible label for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oGgAMFMEea5pdrFDq-m2g">
              <body>User-visible label for the action (e.g. 1. or A.)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oF4_MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oF4_cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oGgBMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oGgCsFMEea5pdrFDq-m2g">
              <body>The title of the action displayed to a user.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oGgCMFMEea5pdrFDq-m2g">
              <body>User-visible title</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oGgBcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oGgBsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oGgDMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oHHE8FMEea5pdrFDq-m2g">
              <body>A short description of the action used to provide a summary to display to the user.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oHHEcFMEea5pdrFDq-m2g">
              <body>Short description of the action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oGgDcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oGgDsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oHHFcFMEea5pdrFDq-m2g" name="textEquivalent" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oHHG8FMEea5pdrFDq-m2g">
              <body>A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that may not be capable of interpreting it dynamically.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oHHGcFMEea5pdrFDq-m2g">
              <body>Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oHHFsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oHHF8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oHHHcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oHuJcFMEea5pdrFDq-m2g">
              <body>The concept represented by this action or its sub-actions.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oHuI8FMEea5pdrFDq-m2g">
              <body>The meaning of the action or its sub-actions</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oHuIMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oHuIcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oHuJ8FMEea5pdrFDq-m2g" name="documentation" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oHuLcFMEea5pdrFDq-m2g">
              <body>Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oHuK8FMEea5pdrFDq-m2g">
              <body>Supporting documentation for the intended performer of the action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oHuKMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oHuKcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oPC6cFMEea5pdrFDq-m2g" name="triggerDefinition" type="_4oIVMMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oPp8MFMEea5pdrFDq-m2g">
              <body>A description of when the action should be triggered.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oPC7cFMEea5pdrFDq-m2g">
              <body>When the action should be triggered</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oPC6sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oPC68FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oPp9cFMEea5pdrFDq-m2g" name="condition" type="_4oPp8sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4oQRA8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4oQRCcFMEea5pdrFDq-m2g">
              <body>An expression that describes applicability criteria, or start/stop conditions for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oQRB8FMEea5pdrFDq-m2g">
              <body>Whether or not the action is applicable</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oQRAMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oQRAcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oSGO8FMEea5pdrFDq-m2g" name="input" type="_4nteeMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oStQsFMEea5pdrFDq-m2g">
              <body>Defines input data requirements for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oStQMFMEea5pdrFDq-m2g">
              <body>Input data requirements</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oSGPMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oSGPcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oStRMFMEea5pdrFDq-m2g" name="output" type="_4nteeMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oStSsFMEea5pdrFDq-m2g">
              <body>Defines the outputs of the action, if any.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oStSMFMEea5pdrFDq-m2g">
              <body>Output data definition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oStRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oStRsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oTUUcFMEea5pdrFDq-m2g" name="relatedAction" type="_4oStTMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4oTUVcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4oT7YMFMEea5pdrFDq-m2g">
              <body>A relationship to another action such as &quot;before&quot; or &quot;30-60 minutes after start of&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oTUWcFMEea5pdrFDq-m2g">
              <body>Relationship to another action</body>
            </ownedComment>
            <ownedComment xmi:id="_4oT7YsFMEea5pdrFDq-m2g">
              <body>When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oTUUsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oTUU8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oVwkMFMEea5pdrFDq-m2g" name="timing[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oVwlsFMEea5pdrFDq-m2g">
              <body>An optional value describing when the action should be performed.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oVwlMFMEea5pdrFDq-m2g">
              <body>When the action should take place</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oVwkcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oVwksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oVwmcFMEea5pdrFDq-m2g" name="participantType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oWXpcFMEea5pdrFDq-m2g">
              <body>The type of participant in the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oWXo8FMEea5pdrFDq-m2g">
              <body>patient | practitioner | related-person</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oVwmsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oVwm8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oW-sMFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oXlwsFMEea5pdrFDq-m2g">
              <body>The type of action to perform (create, update, remove).</body>
            </ownedComment>
            <ownedComment xmi:id="_4oXlwMFMEea5pdrFDq-m2g">
              <body>create | update | remove | fire-event</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oW-scFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oW-ssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oXlxMFMEea5pdrFDq-m2g" name="groupingBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oYz4sFMEea5pdrFDq-m2g">
              <body>Defines the grouping behavior for the action and its children.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oYz4MFMEea5pdrFDq-m2g">
              <body>visual-group | logical-group | sentence-group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oXlxcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oXlxsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oYz5MFMEea5pdrFDq-m2g" name="selectionBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4oaCAsFMEea5pdrFDq-m2g">
              <body>Defines the selection behavior for the action and its children.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oaCAMFMEea5pdrFDq-m2g">
              <body>any | all | all-or-none | exactly-one | at-most-one | one-or-more</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oYz5cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oYz5sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oaCBMFMEea5pdrFDq-m2g" name="requiredBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4obQIcFMEea5pdrFDq-m2g">
              <body>Defines the requiredness behavior for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_4oapE8FMEea5pdrFDq-m2g">
              <body>must | could | must-unless-documented</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oaCBcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oaCBsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4obQI8FMEea5pdrFDq-m2g" name="precheckBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4ob3NMFMEea5pdrFDq-m2g">
              <body>Defines whether the action should usually be preselected.</body>
            </ownedComment>
            <ownedComment xmi:id="_4ob3MsFMEea5pdrFDq-m2g">
              <body>yes | no</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4obQJMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4obQJcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4oceQcFMEea5pdrFDq-m2g" name="cardinalityBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4odFU8FMEea5pdrFDq-m2g">
              <body>Defines whether the action can be selected multiple times.</body>
            </ownedComment>
            <ownedComment xmi:id="_4odFUcFMEea5pdrFDq-m2g">
              <body>single | multiple</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oceQsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oceQ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pzwMcFMEea5pdrFDq-m2g" name="activityDefinition" type="_4odsYMFMEea5pdrFDq-m2g" isOrdered="true" association="_4pzwNcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4pzwO8FMEea5pdrFDq-m2g">
              <body>A reference to an ActivityDefinition that describes the action to be taken in detail.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pzwOcFMEea5pdrFDq-m2g">
              <body>Description of the activity to be performed</body>
            </ownedComment>
            <ownedComment xmi:id="_4pzwPcFMEea5pdrFDq-m2g">
              <body>Note that the resource is optional, and if no resource is specified, a dynamicValue with a root (/) path can be used to define the entire resource dynamically.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pzwMsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pzwM8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4p0XQMFMEea5pdrFDq-m2g" name="transform" type="_4pQWkMFMEea5pdrFDq-m2g" isOrdered="true" association="_4p0XRMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4p0XSsFMEea5pdrFDq-m2g">
              <body>A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.</body>
            </ownedComment>
            <ownedComment xmi:id="_4p0XSMFMEea5pdrFDq-m2g">
              <body>Transform to apply the template</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p0XQcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p0XQsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4p0-UcFMEea5pdrFDq-m2g" name="dynamicValue" type="_4p0XTMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4p0-VcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4p1lYsFMEea5pdrFDq-m2g">
              <body>Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.</body>
            </ownedComment>
            <ownedComment xmi:id="_4p1lYMFMEea5pdrFDq-m2g">
              <body>Dynamic aspects of the definition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p0-UsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p0-U8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4p2zisFMEea5pdrFDq-m2g" name="actionDefinition" type="_4oEq3sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4p3akcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4p3al8FMEea5pdrFDq-m2g">
              <body>Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.</body>
            </ownedComment>
            <ownedComment xmi:id="_4p3alcFMEea5pdrFDq-m2g">
              <body>A sub-action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p2zi8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p2zjMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4oPp8sFMEea5pdrFDq-m2g" name="Condition">
            <generalization xmi:id="_4oPp88FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4oQRC8FMEea5pdrFDq-m2g" name="kind" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oQ4FcFMEea5pdrFDq-m2g">
                <body>The kind of condition.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oQ4E8FMEea5pdrFDq-m2g">
                <body>applicability | start | stop</body>
              </ownedComment>
              <ownedComment xmi:id="_4oQ4F8FMEea5pdrFDq-m2g">
                <body>Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe when enter/exit criteria for an action.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oQRDMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oQRDcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4oRfIMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oRfJsFMEea5pdrFDq-m2g">
                <body>A brief, natural language description of the condition that effectively communicates the intended semantics.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oRfJMFMEea5pdrFDq-m2g">
                <body>Natural language description of the condition</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oRfIcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oRfIsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4oRfKMFMEea5pdrFDq-m2g" name="language" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oRfLsFMEea5pdrFDq-m2g">
                <body>The media type of the language for the expression.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oRfLMFMEea5pdrFDq-m2g">
                <body>Language of the expression</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oRfKcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oRfKsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4oSGMcFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oSGN8FMEea5pdrFDq-m2g">
                <body>An expression that returns true or false, indicating whether or not the condition is satisfied.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oSGNcFMEea5pdrFDq-m2g">
                <body>Boolean-valued expression</body>
              </ownedComment>
              <ownedComment xmi:id="_4oSGOcFMEea5pdrFDq-m2g">
                <body>The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oSGMsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oSGM8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4oStTMFMEea5pdrFDq-m2g" name="RelatedAction">
            <generalization xmi:id="_4oStTcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4oT7ZMFMEea5pdrFDq-m2g" name="actionIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oT7asFMEea5pdrFDq-m2g">
                <body>The unique identifier of the related action.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oT7aMFMEea5pdrFDq-m2g">
                <body>Identifier of the related action</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oT7ZcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oT7ZsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4oT7bMFMEea5pdrFDq-m2g" name="relationship" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oUid8FMEea5pdrFDq-m2g">
                <body>The relationship of this action to the related action.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oUidcFMEea5pdrFDq-m2g">
                <body>before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oT7bcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oUicMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4oVJgcFMEea5pdrFDq-m2g" name="offset[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4oVJh8FMEea5pdrFDq-m2g">
                <body>A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.</body>
              </ownedComment>
              <ownedComment xmi:id="_4oVJhcFMEea5pdrFDq-m2g">
                <body>Time offset for the relationship</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oVJgsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oVJg8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4p0XTMFMEea5pdrFDq-m2g" name="DynamicValue">
            <generalization xmi:id="_4p0XTcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4p1lZMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4p1lasFMEea5pdrFDq-m2g">
                <body>A brief, natural language description of the intended semantics of the dynamic value.</body>
              </ownedComment>
              <ownedComment xmi:id="_4p1laMFMEea5pdrFDq-m2g">
                <body>Natural language description of the dynamic value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p1lZcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p1lZsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4p1lbMFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4p2Mc8FMEea5pdrFDq-m2g">
                <body>The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression.</body>
              </ownedComment>
              <ownedComment xmi:id="_4p2MccFMEea5pdrFDq-m2g">
                <body>The path to the element to be set dynamically</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p1lbcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p1lbsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4p2MdcFMEea5pdrFDq-m2g" name="language" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4p2Me8FMEea5pdrFDq-m2g">
                <body>The media type of the language for the expression.</body>
              </ownedComment>
              <ownedComment xmi:id="_4p2MecFMEea5pdrFDq-m2g">
                <body>Language of the expression</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p2MdsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p2Md8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4p2zgMFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4p2zhsFMEea5pdrFDq-m2g">
                <body>An expression specifying the value of the customized element.</body>
              </ownedComment>
              <ownedComment xmi:id="_4p2zhMFMEea5pdrFDq-m2g">
                <body>An expression that provides the dynamic value for the customization</body>
              </ownedComment>
              <ownedComment xmi:id="_4p2ziMFMEea5pdrFDq-m2g">
                <body>The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p2zgcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p2zgsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4oEq1sFMEea5pdrFDq-m2g" memberEnd="_4oEq18FMEea5pdrFDq-m2g _4oEq0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4oEq18FMEea5pdrFDq-m2g" type="_4n4dmMFMEea5pdrFDq-m2g" association="_4oEq1sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oEq2MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oEq2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4oFR5sFMEea5pdrFDq-m2g" memberEnd="_4oFR58FMEea5pdrFDq-m2g _4oFR4sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4oFR58FMEea5pdrFDq-m2g" type="_4n4dmMFMEea5pdrFDq-m2g" association="_4oFR5sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oFR6MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oFR6cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4oKKY8FMEea5pdrFDq-m2g" name="Schedule">
        <ownedComment xmi:id="_4oKxdsFMEea5pdrFDq-m2g">
          <body>A container for slot(s) of time that may be available for booking appointments.</body>
        </ownedComment>
        <ownedComment xmi:id="_4oKxccFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Schedule Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4oKxdMFMEea5pdrFDq-m2g">
          <body>A container for slot(s) of time that may be available for booking appointments</body>
        </ownedComment>
        <generalization xmi:id="_4oKxc8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4oKxeMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oLYgMFMEea5pdrFDq-m2g">
            <body>External Ids for this item.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oKxfMFMEea5pdrFDq-m2g">
            <body>External Ids for this item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oKxecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oKxesFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oLYgsFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oLYiMFMEea5pdrFDq-m2g">
            <body>Whether this schedule record is in active use, or should not be used (such as was entered in error).</body>
          </ownedComment>
          <ownedComment xmi:id="_4oLYhsFMEea5pdrFDq-m2g">
            <body>Whether this schedule is in active use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oLYg8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oLYhMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oLYisFMEea5pdrFDq-m2g" name="serviceCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oL_k8FMEea5pdrFDq-m2g">
            <body>A broad categorisation of the service that is to be performed during this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oL_kcFMEea5pdrFDq-m2g">
            <body>A broad categorisation of the service that is to be performed during this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oLYi8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oLYjMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oL_lcFMEea5pdrFDq-m2g" name="serviceType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oMmosFMEea5pdrFDq-m2g">
            <body>The specific service that is to be performed during this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oMmoMFMEea5pdrFDq-m2g">
            <body>The specific service that is to be performed during this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oL_lsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oL_l8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oMmpMFMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oNNssFMEea5pdrFDq-m2g">
            <body>The specialty of a practitioner that would be required to perform the service requested in this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oNNsMFMEea5pdrFDq-m2g">
            <body>The specialty of a practitioner that would be required to perform the service requested in this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oMmpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oMmpsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oNNtMFMEea5pdrFDq-m2g" name="actor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4oNNuMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4oN0wcFMEea5pdrFDq-m2g">
            <body>The resource this Schedule resource is providing availability information for. These are expected to usually be one of HealthcareService, Location, Practitioner, Device, Patient or RelatedPerson.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oNNvMFMEea5pdrFDq-m2g">
            <body>The resource this Schedule resource is providing availability information for. These are expected to usually be one of HealthcareService, Location, Practitioner, Device, Patient or RelatedPerson</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oNNtcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oNNtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oN0xMFMEea5pdrFDq-m2g" name="planningHorizon" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oN0ysFMEea5pdrFDq-m2g">
            <body>The period of time that the slots that are attached to this Schedule resource cover (even if none exist). These  cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a &quot;template&quot; for planning outside these dates.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oN0yMFMEea5pdrFDq-m2g">
            <body>The period of time that the slots that are attached to this Schedule resource cover (even if none exist). These  cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a &quot;template&quot; for planning outside these dates</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oN0xcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oN0xsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oOb0MFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oOb1sFMEea5pdrFDq-m2g">
            <body>Comments on the availability to describe any extended information. Such as custom constraints on the slot(s) that may be associated.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oOb1MFMEea5pdrFDq-m2g">
            <body>Comments on the availability to describe any extended information. Such as custom constraints on the slot(s) that may be associated</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oOb0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oOb0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4oNNuMFMEea5pdrFDq-m2g" memberEnd="_4oNNucFMEea5pdrFDq-m2g _4oNNtMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4oNNucFMEea5pdrFDq-m2g" type="_4oKKY8FMEea5pdrFDq-m2g" association="_4oNNuMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oNNusFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oNNu8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4oQRA8FMEea5pdrFDq-m2g" memberEnd="_4oQRBMFMEea5pdrFDq-m2g _4oPp9cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4oQRBMFMEea5pdrFDq-m2g" type="_4oEq3sFMEea5pdrFDq-m2g" association="_4oQRA8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oQRBcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oQRBsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4oTUVcFMEea5pdrFDq-m2g" memberEnd="_4oTUVsFMEea5pdrFDq-m2g _4oTUUcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4oTUVsFMEea5pdrFDq-m2g" type="_4oEq3sFMEea5pdrFDq-m2g" association="_4oTUVcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oTUV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oTUWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4odsYMFMEea5pdrFDq-m2g" name="ActivityDefinition">
        <ownedComment xmi:id="_4oe6gMFMEea5pdrFDq-m2g">
          <body>This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context.</body>
        </ownedComment>
        <ownedComment xmi:id="_4oeTcsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ActivityDefinition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4oeTdcFMEea5pdrFDq-m2g">
          <body>The definition of a specific activity to be taken, independent of any particular patient or context</body>
        </ownedComment>
        <generalization xmi:id="_4oeTdMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4oe6gsFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oe6iMFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this activity definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this activity definition is (or will be) published. The URL SHOULD include the major version of the activity definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_4oe6hsFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this activity definition (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_4ofhkMFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ofhksFMEea5pdrFDq-m2g">
            <body>Allows the activity definition to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oe6g8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oe6hMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ofhlMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ofhmsFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ofhmMFMEea5pdrFDq-m2g">
            <body>Additional identifier for the activity definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4ogIocFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this activity definition outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ogIo8FMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ofhlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ofhlsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ogIpcFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ogvscFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ogIqcFMEea5pdrFDq-m2g">
            <body>Business version of the activity definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4ogvs8FMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a activity definition that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ogIpsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ogIp8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ogvtcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ohWwMFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ogvucFMEea5pdrFDq-m2g">
            <body>Name for this activity definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_4ohWwsFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ohWxMFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ogvtsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ogvt8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ohWxsFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oh90sFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the activity definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oh90MFMEea5pdrFDq-m2g">
            <body>Name for this activity definition (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ohWx8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ohWyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oh91MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oik48FMEea5pdrFDq-m2g">
            <body>The status of this activity definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oik4cFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_4oik5cFMEea5pdrFDq-m2g">
            <body>Allows filtering of activity definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oh91cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oh91sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ojL8cFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ojL98FMEea5pdrFDq-m2g">
            <body>A flag to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ojL9cFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_4ojL-cFMEea5pdrFDq-m2g">
            <body>Allows filtering of activity definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ojzAcFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level activity definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ojL8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ojL88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ojzA8FMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ojzCcFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the activity definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ojzB8FMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_4okaEMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ojzBMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ojzBcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4okaEsFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4okaGMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the activity definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4okaFsFMEea5pdrFDq-m2g">
            <body>Natural language description of the activity definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4olBIMFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4okaE8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4okaFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4olBIsFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4olBKMFMEea5pdrFDq-m2g">
            <body>Explains why this activity definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_4olBJsFMEea5pdrFDq-m2g">
            <body>Why this activity definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_4oloMMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the activity definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this activity definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4olBI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4olBJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oloMsFMEea5pdrFDq-m2g" name="usage" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oloOMFMEea5pdrFDq-m2g">
            <body>A detailed description of how the asset is used from a clinical perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oloNsFMEea5pdrFDq-m2g">
            <body>Describes the clinical usage of the asset</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oloM8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oloNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4omPQcFMEea5pdrFDq-m2g" name="approvalDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4omPR8FMEea5pdrFDq-m2g">
            <body>The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4omPRcFMEea5pdrFDq-m2g">
            <body>When activity definition approved by publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4omPScFMEea5pdrFDq-m2g">
            <body>The date may be more recent than the approval date because of minor changes / editorial corrections.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4omPQsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4omPQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4om2UMFMEea5pdrFDq-m2g" name="lastReviewDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4om2VsFMEea5pdrFDq-m2g">
            <body>The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.</body>
          </ownedComment>
          <ownedComment xmi:id="_4om2VMFMEea5pdrFDq-m2g">
            <body>Last review date for the activity definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4om2WMFMEea5pdrFDq-m2g">
            <body>If specified, this is usually after the approval date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4om2UcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4om2UsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ondYMFMEea5pdrFDq-m2g" name="effectivePeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ondZsFMEea5pdrFDq-m2g">
            <body>The period during which the activity definition content was or is planned to be effective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ondZMFMEea5pdrFDq-m2g">
            <body>The effective date range for the activity definition</body>
          </ownedComment>
          <ownedComment xmi:id="_4ondaMFMEea5pdrFDq-m2g">
            <body>The effective period for a activity definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ondYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ondYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ooEcMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ooEdsFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ooEdMFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_4ooEeMFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oorgMFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ooEccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ooEcsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oorgsFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4opSksFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the activity definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4opSkMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for activity definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oorg8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oorhMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4opSlMFMEea5pdrFDq-m2g" name="topic" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4op5osFMEea5pdrFDq-m2g">
            <body>Clinical topics related to the content of the asset.</body>
          </ownedComment>
          <ownedComment xmi:id="_4op5oMFMEea5pdrFDq-m2g">
            <body>Descriptional topics for the asset</body>
          </ownedComment>
          <ownedComment xmi:id="_4op5pMFMEea5pdrFDq-m2g">
            <body>Repositories must be able to determine how to categorize the asset  so that it can be found by topical searches.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4opSlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4opSlsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4op5psFMEea5pdrFDq-m2g" name="contributor" type="_4l2dTMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oqgssFMEea5pdrFDq-m2g">
            <body>A contributor to the content of the asset, including authors, editors, reviewers, and endorsers.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oqgsMFMEea5pdrFDq-m2g">
            <body>A content contributor</body>
          </ownedComment>
          <ownedComment xmi:id="_4oqgtMFMEea5pdrFDq-m2g">
            <body>Consumers of the content must be able to quickly determine who contributed to the content of the knowledge asset.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4op5p8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4op5qMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oqgtsFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4orHwsFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the activity definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4orHwMFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_4orHxMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4orHxsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the activity definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oqgt8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oqguMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4orHyMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4oru08FMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oru0cFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4oru1cFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4orHycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4orHysFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oru18FMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4osV48FMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the activity definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the activity definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_4osV4cFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_4osV5cFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the activity definition and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oru2MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oru2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4osV58FMEea5pdrFDq-m2g" name="relatedArtifact" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4os888FMEea5pdrFDq-m2g">
            <body>Related artifacts such as additional documentation, justification, or bibliographic references.</body>
          </ownedComment>
          <ownedComment xmi:id="_4os88cFMEea5pdrFDq-m2g">
            <body>Related artifacts for the asset</body>
          </ownedComment>
          <ownedComment xmi:id="_4os89cFMEea5pdrFDq-m2g">
            <body>Each related artifact is either an attachment, or a reference to another resource, but not both.</body>
          </ownedComment>
          <ownedComment xmi:id="_4os898FMEea5pdrFDq-m2g">
            <body>Assets must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4osV6MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4osV6cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4otkAcFMEea5pdrFDq-m2g" name="library" type="_4lqQBsFMEea5pdrFDq-m2g" isOrdered="true" association="_4otkBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4otkC8FMEea5pdrFDq-m2g">
            <body>A reference to a Library resource containing any formal logic used by the asset.</body>
          </ownedComment>
          <ownedComment xmi:id="_4otkCcFMEea5pdrFDq-m2g">
            <body>Logic used by the asset</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4otkAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4otkA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ouLEcFMEea5pdrFDq-m2g" name="category" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ouyI8FMEea5pdrFDq-m2g">
            <body>High-level categorization of the type of activity.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ouyIcFMEea5pdrFDq-m2g">
            <body>communication | device | diagnostic | diet | drug | encounter | immunization | observation | procedure | referral | supply | vision | other</body>
          </ownedComment>
          <ownedComment xmi:id="_4ouyJcFMEea5pdrFDq-m2g">
            <body>May determine what types of extensions are permitted.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ouLEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ouLE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ovZMcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4owAQcFMEea5pdrFDq-m2g">
            <body>Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ovZNsFMEea5pdrFDq-m2g">
            <body>Detail type of activity</body>
          </ownedComment>
          <ownedComment xmi:id="_4owAQ8FMEea5pdrFDq-m2g">
            <body>Tends to be less relevant for activities involving particular products.</body>
          </ownedComment>
          <ownedComment xmi:id="_4owARcFMEea5pdrFDq-m2g">
            <body>Allows matching performed to planned as well as validation against protocols.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ovZMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ovZM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4owAR8FMEea5pdrFDq-m2g" name="timing[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ownU8FMEea5pdrFDq-m2g">
            <body>The period, timing or frequency upon which the described activity is to occur.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ownUcFMEea5pdrFDq-m2g">
            <body>When activity is to occur</body>
          </ownedComment>
          <ownedComment xmi:id="_4ownVcFMEea5pdrFDq-m2g">
            <body>Allows prompting for activities and detection of missed planned activities.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4owASMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4owAScFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ownWMFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_4oxOYsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4oxOaMFMEea5pdrFDq-m2g">
            <body>Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oxOZsFMEea5pdrFDq-m2g">
            <body>Where it should happen</body>
          </ownedComment>
          <ownedComment xmi:id="_4oxOasFMEea5pdrFDq-m2g">
            <body>May reference a specific clinical location or may just identify a type of location.</body>
          </ownedComment>
          <ownedComment xmi:id="_4oxObMFMEea5pdrFDq-m2g">
            <body>Helps in planning of activity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ownWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oxOYMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oxObsFMEea5pdrFDq-m2g" name="participantType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ox1dMFMEea5pdrFDq-m2g">
            <body>The type of participant in the action.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ox1csFMEea5pdrFDq-m2g">
            <body>patient | practitioner | related-person</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oxOb8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oxOcMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pEJWcFMEea5pdrFDq-m2g" name="product[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pEwZMFMEea5pdrFDq-m2g">
            <body>Identifies the food, drug or other product being consumed or supplied in the activity.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pEwYsFMEea5pdrFDq-m2g">
            <body>What's administered/supplied</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pEJWsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pEJW8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pFXcMFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pFXdsFMEea5pdrFDq-m2g">
            <body>Identifies the quantity expected to be consumed at once (per dose, per meal, etc.).</body>
          </ownedComment>
          <ownedComment xmi:id="_4pFXdMFMEea5pdrFDq-m2g">
            <body>How much is administered/consumed/supplied</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pFXccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pFXcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pOhZsFMEea5pdrFDq-m2g" name="dosageInstruction" type="_4pFXeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pPIccFMEea5pdrFDq-m2g">
            <body>Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pOhasFMEea5pdrFDq-m2g">
            <body>Detailed dosage instructions</body>
          </ownedComment>
          <ownedComment xmi:id="_4pPIc8FMEea5pdrFDq-m2g">
            <body>If a dosage instruction is used, the definition should not specify timing or quantity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pOhZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pOhaMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pPIdcFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pPvg8FMEea5pdrFDq-m2g">
            <body>Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).</body>
          </ownedComment>
          <ownedComment xmi:id="_4pPvgcFMEea5pdrFDq-m2g">
            <body>What part of body to perform on</body>
          </ownedComment>
          <ownedComment xmi:id="_4pPvhcFMEea5pdrFDq-m2g">
            <body>Only used if not implicit in the code found in ProcedureRequest.type.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pPvh8FMEea5pdrFDq-m2g">
            <body>Knowing where the procedure is made is important for tracking if multiple sites are possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pPIdsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pPId8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pws6sFMEea5pdrFDq-m2g" name="transform" type="_4pQWkMFMEea5pdrFDq-m2g" isOrdered="true" association="_4pxT8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4pxT98FMEea5pdrFDq-m2g">
            <body>A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pxT9cFMEea5pdrFDq-m2g">
            <body>Transform to apply the template</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pws68FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pws7MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4px7AcFMEea5pdrFDq-m2g" name="dynamicValue" type="_4pxT-cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4px7BcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4px7C8FMEea5pdrFDq-m2g">
            <body>Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the intent resource that would contain the result.</body>
          </ownedComment>
          <ownedComment xmi:id="_4px7CcFMEea5pdrFDq-m2g">
            <body>Dynamic aspects of the definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4px7AsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4px7A8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4pxT-cFMEea5pdrFDq-m2g" name="DynamicValue">
          <generalization xmi:id="_4pxT-sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4px7DcFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pyiEsFMEea5pdrFDq-m2g">
              <body>A brief, natural language description of the intended semantics of the dynamic value.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pyiEMFMEea5pdrFDq-m2g">
              <body>Natural language description of the dynamic value</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4px7DsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4px7D8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pyiFMFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pyiGsFMEea5pdrFDq-m2g">
              <body>The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pyiGMFMEea5pdrFDq-m2g">
              <body>The path to the element to be set dynamically</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pyiFcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pyiFsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pyiHMFMEea5pdrFDq-m2g" name="language" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pzJI8FMEea5pdrFDq-m2g">
              <body>The media type of the language for the expression.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pzJIcFMEea5pdrFDq-m2g">
              <body>Language of the expression</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pyiHcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pyiHsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pzJJcFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pzJK8FMEea5pdrFDq-m2g">
              <body>An expression specifying the value of the customized element.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pzJKcFMEea5pdrFDq-m2g">
              <body>An expression that provides the dynamic value for the customization</body>
            </ownedComment>
            <ownedComment xmi:id="_4pzJLcFMEea5pdrFDq-m2g">
              <body>The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pzJJsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pzJJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4otkBcFMEea5pdrFDq-m2g" memberEnd="_4otkBsFMEea5pdrFDq-m2g _4otkAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4otkBsFMEea5pdrFDq-m2g" type="_4odsYMFMEea5pdrFDq-m2g" association="_4otkBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4otkB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4otkCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4oxOYsFMEea5pdrFDq-m2g" memberEnd="_4oxOY8FMEea5pdrFDq-m2g _4ownWMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4oxOY8FMEea5pdrFDq-m2g" type="_4odsYMFMEea5pdrFDq-m2g" association="_4oxOYsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4oxOZMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4oxOZcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ox1dsFMEea5pdrFDq-m2g" name="Medication">
        <ownedComment xmi:id="_4ozDkcFMEea5pdrFDq-m2g">
          <body>This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication.</body>
        </ownedComment>
        <ownedComment xmi:id="_4oycgsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Medication Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4oychcFMEea5pdrFDq-m2g">
          <body>Definition of a Medication</body>
        </ownedComment>
        <generalization xmi:id="_4oychMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4ozDk8FMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ozqosFMEea5pdrFDq-m2g">
            <body>A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ozqoMFMEea5pdrFDq-m2g">
            <body>Codes that identify this medication</body>
          </ownedComment>
          <ownedComment xmi:id="_4ozqpMFMEea5pdrFDq-m2g">
            <body>Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) should be marked as &quot;primary&quot;. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ozDlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ozDlcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ozqpsFMEea5pdrFDq-m2g" name="isBrand" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4ozqrMFMEea5pdrFDq-m2g">
            <body>Set to true if the item is attributable to a specific manufacturer.</body>
          </ownedComment>
          <ownedComment xmi:id="_4ozqqsFMEea5pdrFDq-m2g">
            <body>True if a brand</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ozqp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ozqqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o0RscFMEea5pdrFDq-m2g" name="manufacturer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4o0RtcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4o0Ru8FMEea5pdrFDq-m2g">
            <body>Describes the details of the manufacturer.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o0RucFMEea5pdrFDq-m2g">
            <body>Manufacturer of the item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o0RssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o0Rs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o04wcFMEea5pdrFDq-m2g" name="product" type="_4o0RvcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4o04xcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4o04y8FMEea5pdrFDq-m2g">
            <body>Information that only applies to products (not packages).</body>
          </ownedComment>
          <ownedComment xmi:id="_4o04ycFMEea5pdrFDq-m2g">
            <body>Administrable medication details</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o04wsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o04w8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pBGA8FMEea5pdrFDq-m2g" name="package" type="_4pBGAMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pBtEcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4pBtF8FMEea5pdrFDq-m2g">
            <body>Information that only applies to packages (not products).</body>
          </ownedComment>
          <ownedComment xmi:id="_4pBtFcFMEea5pdrFDq-m2g">
            <body>Details about packaged medications</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pBGBMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pBGBcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4o0RvcFMEea5pdrFDq-m2g" name="Product">
          <generalization xmi:id="_4o0RvsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4o1f0MFMEea5pdrFDq-m2g" name="form" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4o2G4sFMEea5pdrFDq-m2g">
              <body>Describes the form of the item.  Powder; tablets; capsule.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o2G4MFMEea5pdrFDq-m2g">
              <body>powder | tablets | capsule +</body>
            </ownedComment>
            <ownedComment xmi:id="_4o2G5MFMEea5pdrFDq-m2g">
              <body>When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o1f0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o1f0sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4o2t8cFMEea5pdrFDq-m2g" name="ingredient" type="_4o2G5sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4o2t9cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4o3VAcFMEea5pdrFDq-m2g">
              <body>Identifies a particular constituent of interest in the product.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o2t-cFMEea5pdrFDq-m2g">
              <body>Active or inactive ingredient</body>
            </ownedComment>
            <ownedComment xmi:id="_4o3VA8FMEea5pdrFDq-m2g">
              <body>The ingredients need not be a complete list; usually only active ingredients are listed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o2t8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o2t88FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4o_34cFMEea5pdrFDq-m2g" name="batch" type="_4o_Q1cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4o_35cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4o_368FMEea5pdrFDq-m2g">
              <body>Information about a group of medication produced or packaged from one production run.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o_36cFMEea5pdrFDq-m2g">
              <body>Identifies a single production run</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o_34sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o_348FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4o2G5sFMEea5pdrFDq-m2g" name="Ingredient">
            <generalization xmi:id="_4o2G58FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4o-pwcFMEea5pdrFDq-m2g" name="item[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4o-px8FMEea5pdrFDq-m2g">
                <body>The actual ingredient - either a substance (simple ingredient) or another medication.</body>
              </ownedComment>
              <ownedComment xmi:id="_4o-pxcFMEea5pdrFDq-m2g">
                <body>The product contained</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o-pwsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o-pw8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4o-pysFMEea5pdrFDq-m2g" name="amount" type="_4lAvxsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4o_Q08FMEea5pdrFDq-m2g">
                <body>Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.</body>
              </ownedComment>
              <ownedComment xmi:id="_4o_Q0cFMEea5pdrFDq-m2g">
                <body>Quantity of ingredient present</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o-py8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o-pzMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4o_Q1cFMEea5pdrFDq-m2g" name="Batch">
            <generalization xmi:id="_4o_Q1sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4o_37cFMEea5pdrFDq-m2g" name="lotNumber" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pAe88FMEea5pdrFDq-m2g">
                <body>The assigned lot number of a batch of the specified product.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pAe8cFMEea5pdrFDq-m2g">
                <body>Identifier assigned to batch</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o_37sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o_378FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pAe9cFMEea5pdrFDq-m2g" name="expirationDate" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pAe-8FMEea5pdrFDq-m2g">
                <body>When this specific batch of product will expire.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pAe-cFMEea5pdrFDq-m2g">
                <body>When batch will expire</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pAe9sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pAe98FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4pBGAMFMEea5pdrFDq-m2g" name="Package">
          <generalization xmi:id="_4pBGAcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4pBtGcFMEea5pdrFDq-m2g" name="container" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pCUJcFMEea5pdrFDq-m2g">
              <body>The kind of container that this package comes as.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pCUI8FMEea5pdrFDq-m2g">
              <body>E.g. box, vial, blister-pack</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pBtGsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pBtG8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pC7McFMEea5pdrFDq-m2g" name="content" type="_4pCUJ8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pC7NcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4pDiRMFMEea5pdrFDq-m2g">
              <body>A set of components that go to make up the described item.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pDiQsFMEea5pdrFDq-m2g">
              <body>What is  in the package</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pC7MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pC7M8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4pCUJ8FMEea5pdrFDq-m2g" name="Content">
            <generalization xmi:id="_4pCUKMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4pDiRsFMEea5pdrFDq-m2g" name="item[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pDiTMFMEea5pdrFDq-m2g">
                <body>Identifies one of the items in the package.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pDiSsFMEea5pdrFDq-m2g">
                <body>The item in the package</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pDiR8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pDiSMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pEJUcFMEea5pdrFDq-m2g" name="amount" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pEJV8FMEea5pdrFDq-m2g">
                <body>The amount of the product that is in the package.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pEJVcFMEea5pdrFDq-m2g">
                <body>Quantity present in the package</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pEJUsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pEJU8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4o0RtcFMEea5pdrFDq-m2g" memberEnd="_4o0RtsFMEea5pdrFDq-m2g _4o0RscFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4o0RtsFMEea5pdrFDq-m2g" type="_4ox1dsFMEea5pdrFDq-m2g" association="_4o0RtcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o0Rt8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o0RuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4o04xcFMEea5pdrFDq-m2g" memberEnd="_4o04xsFMEea5pdrFDq-m2g _4o04wcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4o04xsFMEea5pdrFDq-m2g" type="_4ox1dsFMEea5pdrFDq-m2g" association="_4o04xcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o04x8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o04yMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4o2t9cFMEea5pdrFDq-m2g" memberEnd="_4o2t9sFMEea5pdrFDq-m2g _4o2t8cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4o2t9sFMEea5pdrFDq-m2g" type="_4o0RvcFMEea5pdrFDq-m2g" association="_4o2t9cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o2t98FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o2t-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4o3VBcFMEea5pdrFDq-m2g" name="Substance">
        <ownedComment xmi:id="_4o38F8FMEea5pdrFDq-m2g">
          <body>A homogeneous material with a definite composition.</body>
        </ownedComment>
        <ownedComment xmi:id="_4o38EsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Substance Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4o38FcFMEea5pdrFDq-m2g">
          <body>A homogeneous material with a definite composition</body>
        </ownedComment>
        <generalization xmi:id="_4o38FMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4o4jIMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4o4jJsFMEea5pdrFDq-m2g">
            <body>Unique identifier for the substance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o4jJMFMEea5pdrFDq-m2g">
            <body>Unique identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_4o4jKMFMEea5pdrFDq-m2g">
            <body>This identifier is associated with the kind of substance in contrast to the  Substance.instance.identifier which is associated with the package/container.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o4jIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o4jIsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o4jKsFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4o5KNcFMEea5pdrFDq-m2g">
            <body>A code that classifies the general type of substance.  This is used  for searching, sorting and display purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o5KM8FMEea5pdrFDq-m2g">
            <body>What class/type of substance this is</body>
          </ownedComment>
          <ownedComment xmi:id="_4o5KN8FMEea5pdrFDq-m2g">
            <body>The level of granularity is defined by the category concepts in the value set.   More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o4jK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o4jLMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o5xQMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4o6YUsFMEea5pdrFDq-m2g">
            <body>A code (or set of codes) that identify this substance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o6YUMFMEea5pdrFDq-m2g">
            <body>What substance this is</body>
          </ownedComment>
          <ownedComment xmi:id="_4o6YVMFMEea5pdrFDq-m2g">
            <body>This could be a reference to an externally defined code.  It could also be a locally assigned code (e.g. a formulary),  optionally with translations to the standard drug codes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o5xQcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o5xQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o6YVsFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4o6YXMFMEea5pdrFDq-m2g">
            <body>A description of the substance - its appearance, handling requirements, and other usage notes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o6YWsFMEea5pdrFDq-m2g">
            <body>Textual description of the substance, comments</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o6YV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o6YWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o6_ZMFMEea5pdrFDq-m2g" name="instance" type="_4o6_YcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4o7mcMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4o7mdsFMEea5pdrFDq-m2g">
            <body>Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o7mdMFMEea5pdrFDq-m2g">
            <body>If this describes a specific package/container of the substance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o6_ZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o6_ZsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4o80k8FMEea5pdrFDq-m2g" name="ingredient" type="_4o80kMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4o80l8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4o9bosFMEea5pdrFDq-m2g">
            <body>A substance can be composed of other substances.</body>
          </ownedComment>
          <ownedComment xmi:id="_4o9boMFMEea5pdrFDq-m2g">
            <body>Composition information about the substance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o80lMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o80lcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4o6_YcFMEea5pdrFDq-m2g" name="Instance">
          <generalization xmi:id="_4o6_YsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4o7meMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4o7mfsFMEea5pdrFDq-m2g">
              <body>Identifier associated with the package/container (usually a label affixed directly).</body>
            </ownedComment>
            <ownedComment xmi:id="_4o7mfMFMEea5pdrFDq-m2g">
              <body>Identifier of the package/container</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o7mecFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o7mesFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4o8NgMFMEea5pdrFDq-m2g" name="expiry" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4o8NhsFMEea5pdrFDq-m2g">
              <body>When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o8NhMFMEea5pdrFDq-m2g">
              <body>When no longer valid to use</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o8NgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o8NgsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4o8NiMFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4o8NjsFMEea5pdrFDq-m2g">
              <body>The amount of the substance.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o8NjMFMEea5pdrFDq-m2g">
              <body>Amount of substance in the package</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o8NicFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o8NisFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4o80kMFMEea5pdrFDq-m2g" name="Ingredient">
          <generalization xmi:id="_4o80kcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4o9bpMFMEea5pdrFDq-m2g" name="quantity" type="_4lAvxsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4o9bqsFMEea5pdrFDq-m2g">
              <body>The amount of the ingredient in the substance - a concentration ratio.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o9bqMFMEea5pdrFDq-m2g">
              <body>Optional amount (concentration)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o9bpcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o9bpsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4o9brMFMEea5pdrFDq-m2g" name="substance[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4o-CtMFMEea5pdrFDq-m2g">
              <body>Another substance that is a component of this substance.</body>
            </ownedComment>
            <ownedComment xmi:id="_4o-CssFMEea5pdrFDq-m2g">
              <body>A component of the substance</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o9brcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o9brsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4o7mcMFMEea5pdrFDq-m2g" memberEnd="_4o7mccFMEea5pdrFDq-m2g _4o6_ZMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4o7mccFMEea5pdrFDq-m2g" type="_4o3VBcFMEea5pdrFDq-m2g" association="_4o7mcMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o7mcsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o7mc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4o80l8FMEea5pdrFDq-m2g" memberEnd="_4o80mMFMEea5pdrFDq-m2g _4o80k8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4o80mMFMEea5pdrFDq-m2g" type="_4o3VBcFMEea5pdrFDq-m2g" association="_4o80l8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o80mcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o80msFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4o_35cFMEea5pdrFDq-m2g" memberEnd="_4o_35sFMEea5pdrFDq-m2g _4o_34cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4o_35sFMEea5pdrFDq-m2g" type="_4o0RvcFMEea5pdrFDq-m2g" association="_4o_35cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4o_358FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4o_36MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pBtEcFMEea5pdrFDq-m2g" memberEnd="_4pBtEsFMEea5pdrFDq-m2g _4pBGA8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pBtEsFMEea5pdrFDq-m2g" type="_4ox1dsFMEea5pdrFDq-m2g" association="_4pBtEcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pBtE8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pBtFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pC7NcFMEea5pdrFDq-m2g" memberEnd="_4pC7NsFMEea5pdrFDq-m2g _4pC7McFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pC7NsFMEea5pdrFDq-m2g" type="_4pBGAMFMEea5pdrFDq-m2g" association="_4pC7NcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pDiQMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pDiQcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4pQWkMFMEea5pdrFDq-m2g" name="StructureMap">
        <ownedComment xmi:id="_4pSLwcFMEea5pdrFDq-m2g">
          <body>A Map of relationships between 2 structures that can be used to transform data.</body>
        </ownedComment>
        <ownedComment xmi:id="_4pRkssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for StructureMap Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4pRktcFMEea5pdrFDq-m2g">
          <body>A Map of relationships between 2 structures that can be used to transform data</body>
        </ownedComment>
        <ownedRule xmi:id="_4pQWkcFMEea5pdrFDq-m2g" name="smp-2" constrainedElement="_4poxEcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4pQWksFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:/context)) or (f:/contextType)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4pQ9ocFMEea5pdrFDq-m2g" name="smp-1" constrainedElement="_4poxEcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4pQ9osFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:/element)) or (f:/context)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4pRktMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4pSLw8FMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pSLycFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this structure map when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this structure map is (or will be) published. The URL SHOULD include the major version of the structure map. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_4pSLx8FMEea5pdrFDq-m2g">
            <body>Logical uri to reference this structure map (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_4pSLy8FMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pSLzcFMEea5pdrFDq-m2g">
            <body>Allows the structure map to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pSLxMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pSLxcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pSy0cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pSy18FMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this structure map when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pSy1cFMEea5pdrFDq-m2g">
            <body>Additional identifier for the structure map</body>
          </ownedComment>
          <ownedComment xmi:id="_4pSy2cFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this structure map outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pSy28FMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pSy0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pSy08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pTZ4MFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pTZ5sFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the structure map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pTZ5MFMEea5pdrFDq-m2g">
            <body>Business version of the structure map</body>
          </ownedComment>
          <ownedComment xmi:id="_4pTZ6MFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a structure map that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pTZ4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pTZ4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pTZ6sFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pUA8cFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the structure map. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pTZ7sFMEea5pdrFDq-m2g">
            <body>Name for this structure map (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_4pUA88FMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pUA9cFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pTZ68FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pTZ7MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pUA98FMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pUA_cFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the structure map.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pUA-8FMEea5pdrFDq-m2g">
            <body>Name for this structure map (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pUA-MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pUA-cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pUoAMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pUoB8FMEea5pdrFDq-m2g">
            <body>The status of this structure map. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pUoBcFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_4pUoCcFMEea5pdrFDq-m2g">
            <body>Allows filtering of structure map that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pUoAcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pUoAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pVPEMFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pVPFsFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this structure map is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pVPFMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_4pVPGMFMEea5pdrFDq-m2g">
            <body>Allows filtering of structure map that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pVPGsFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level structure map would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pVPEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pVPEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pV2IMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pV2JsFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the structure map.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pV2JMFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_4pV2KMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the structure map is the organization or individual primarily responsible for the maintenance and upkeep of the structure map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure map. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pV2KsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the structure map.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pV2IcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pV2IsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pWdMcFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pWdN8FMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pWdNcFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_4pWdOcFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pWdMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pWdM8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pWdO8FMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pXEQsFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the structure map was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the structure map changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXEQMFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXERMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure map. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pWdPMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pWdPcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pXERsFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pXETMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the structure map from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXESsFMEea5pdrFDq-m2g">
            <body>Natural language description of the structure map</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXETsFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the structure map was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pXER8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pXESMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pXrUcFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pXrV8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXrVcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXrWcFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pXrW8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pXrUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pXrU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pYSYMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pYSZ8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the structure map is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pYSZcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for structure map (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pYSYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pYSYsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pY5cMFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pY5dsFMEea5pdrFDq-m2g">
            <body>Explains why this structure map is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pY5dMFMEea5pdrFDq-m2g">
            <body>Why this structure map is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_4pY5eMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the structure map (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this structure map.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pY5ccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pY5csFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pY5esFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pZghMFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the structure map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure map.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pZggsFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_4pZghsFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the structure map and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pY5e8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pZggMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4paHkcFMEea5pdrFDq-m2g" name="structure" type="_4pZgiMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4paHlcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4paHm8FMEea5pdrFDq-m2g">
            <body>A structure definition used by this map. The structure definition may describe instances that are converted, or the instances that are produced.</body>
          </ownedComment>
          <ownedComment xmi:id="_4paHmcFMEea5pdrFDq-m2g">
            <body>Structure Definition used by this map</body>
          </ownedComment>
          <ownedComment xmi:id="_4paHncFMEea5pdrFDq-m2g">
            <body>It is not necessary for a structure map to identify any dependent structures, though not losting them may restrict it's usefulness.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4paHksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4paHk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pb8x8FMEea5pdrFDq-m2g" name="import" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4pb8zcFMEea5pdrFDq-m2g">
            <body>Other maps used by this map (canonical URLs).</body>
          </ownedComment>
          <ownedComment xmi:id="_4pb8y8FMEea5pdrFDq-m2g">
            <body>Other maps used by this map (canonical URLs)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pb8yMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pb8ycFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pcj08FMEea5pdrFDq-m2g" name="group" type="_4pcj0MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pdK4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4pdK5sFMEea5pdrFDq-m2g">
            <body>Named sections for reader convenience.</body>
          </ownedComment>
          <ownedComment xmi:id="_4pdK5MFMEea5pdrFDq-m2g">
            <body>Named sections for reader convenience</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pcj1MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pcj1cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4pZgiMFMEea5pdrFDq-m2g" name="Structure">
          <generalization xmi:id="_4pZgicFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4pauoMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4paupsFMEea5pdrFDq-m2g">
              <body>The canonical URL that identifies the structure.</body>
            </ownedComment>
            <ownedComment xmi:id="_4paupMFMEea5pdrFDq-m2g">
              <body>Canonical URL for structure definition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pauocFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pauosFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pauqMFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pbVtMFMEea5pdrFDq-m2g">
              <body>How the referenced structure is used in this mapping.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pbVssFMEea5pdrFDq-m2g">
              <body>source | queried | target | produced</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pauqcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pauqsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pbVtsFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pb8xcFMEea5pdrFDq-m2g">
              <body>Documentation that describes how the structure is used in the mapping.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pb8w8FMEea5pdrFDq-m2g">
              <body>Documentation on use of structure</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pb8wMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pb8wcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4pcj0MFMEea5pdrFDq-m2g" name="Group">
          <generalization xmi:id="_4pcj0cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4pdK6MFMEea5pdrFDq-m2g" name="name" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pdK7sFMEea5pdrFDq-m2g">
              <body>Descriptive name for a user.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pdK7MFMEea5pdrFDq-m2g">
              <body>Descriptive name for a user</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pdK6cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pdK6sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pdx8MFMEea5pdrFDq-m2g" name="extends" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4pdx9sFMEea5pdrFDq-m2g">
              <body>Another group that this group adds rules to.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pdx9MFMEea5pdrFDq-m2g">
              <body>Another group that this group adds rules to</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pdx8cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pdx8sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pdx-MFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4peZAsFMEea5pdrFDq-m2g">
              <body>Documentation for this group.</body>
            </ownedComment>
            <ownedComment xmi:id="_4peZAMFMEea5pdrFDq-m2g">
              <body>Documentation for this group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pdx-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pdx-sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4pfAEcFMEea5pdrFDq-m2g" name="input" type="_4peZBMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pfAFcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4pfAG8FMEea5pdrFDq-m2g">
              <body>A name assigned to an instance of data. The instance must be provided when the mapping is invoked.</body>
            </ownedComment>
            <ownedComment xmi:id="_4pfAGcFMEea5pdrFDq-m2g">
              <body>Named instance provided when invoking the map</body>
            </ownedComment>
            <ownedComment xmi:id="_4pfAHcFMEea5pdrFDq-m2g">
              <body>If no inputs are named, then the entry mappings are type based.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pfAEsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pfAE8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4piDYcFMEea5pdrFDq-m2g" name="rule" type="_4phcVsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4piDZcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4piDa8FMEea5pdrFDq-m2g">
              <body>Transform Rule from source to target.</body>
            </ownedComment>
            <ownedComment xmi:id="_4piDacFMEea5pdrFDq-m2g">
              <body>Transform Rule from source to target</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4piDYsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4piDY8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4peZBMFMEea5pdrFDq-m2g" name="Input">
            <generalization xmi:id="_4peZBcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4pfnIMFMEea5pdrFDq-m2g" name="name" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pfnJsFMEea5pdrFDq-m2g">
                <body>Name for this instance of data.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pfnJMFMEea5pdrFDq-m2g">
                <body>Name for this instance of data</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pfnIcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pfnIsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pfnKMFMEea5pdrFDq-m2g" name="type" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pfnLsFMEea5pdrFDq-m2g">
                <body>Type for this instance of data.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pfnLMFMEea5pdrFDq-m2g">
                <body>Type for this instance of data</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pfnKcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pfnKsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pgOMcFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pg1Q8FMEea5pdrFDq-m2g">
                <body>Mode for this instance of data.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pg1QcFMEea5pdrFDq-m2g">
                <body>source | target</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pgOMsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pgOM8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pg1RcFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4phcVMFMEea5pdrFDq-m2g">
                <body>Documentation for this instance of data.</body>
              </ownedComment>
              <ownedComment xmi:id="_4phcUsFMEea5pdrFDq-m2g">
                <body>Documentation for this instance of data</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pg1RsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4phcUMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4phcVsFMEea5pdrFDq-m2g" name="Rule">
            <generalization xmi:id="_4phcV8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4piDbcFMEea5pdrFDq-m2g" name="name" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4piqdcFMEea5pdrFDq-m2g">
                <body>Name of the rule for internal references.</body>
              </ownedComment>
              <ownedComment xmi:id="_4piqc8FMEea5pdrFDq-m2g">
                <body>Name of the rule for internal references</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4piqcMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4piqccFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pjRgcFMEea5pdrFDq-m2g" name="source" type="_4piqd8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pjRhcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_4pjRi8FMEea5pdrFDq-m2g">
                <body>Source inputs to the mapping.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pjRicFMEea5pdrFDq-m2g">
                <body>Source inputs to the mapping</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pjRgsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pjRg8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4poxEcFMEea5pdrFDq-m2g" name="target" type="_4poKCsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4poxFcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_4ppYIMFMEea5pdrFDq-m2g">
                <body>Content to create because of this mapping rule.</body>
              </ownedComment>
              <ownedComment xmi:id="_4poxGcFMEea5pdrFDq-m2g">
                <body>Content to create because of this mapping rule</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4poxEsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4poxE8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4puQqcFMEea5pdrFDq-m2g" name="rule" type="_4phcVsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pu3scFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_4pu3t8FMEea5pdrFDq-m2g">
                <body>Rules contained in this rule.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pu3tcFMEea5pdrFDq-m2g">
                <body>Rules contained in this rule</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4puQqsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4puQq8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pvewcFMEea5pdrFDq-m2g" name="dependent" type="_4pu3ucFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4pvexcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_4pvey8FMEea5pdrFDq-m2g">
                <body>Which other rules to apply in the context of this rule.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pveycFMEea5pdrFDq-m2g">
                <body>Which other rules to apply in the context of this rule</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pvewsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pvew8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4pws4sFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4pws6MFMEea5pdrFDq-m2g">
                <body>Documentation for this instance of data.</body>
              </ownedComment>
              <ownedComment xmi:id="_4pws5sFMEea5pdrFDq-m2g">
                <body>Documentation for this instance of data</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pws48FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pws5MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_4piqd8FMEea5pdrFDq-m2g" name="Source">
              <generalization xmi:id="_4piqeMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_4pj4kMFMEea5pdrFDq-m2g" name="required" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pj4lsFMEea5pdrFDq-m2g">
                  <body>Whether this rule applies if the source isn't found.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pj4lMFMEea5pdrFDq-m2g">
                  <body>Whether this rule applies if the source isn't found</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pj4kcFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pj4ksFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pj4mMFMEea5pdrFDq-m2g" name="context" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pj4nsFMEea5pdrFDq-m2g">
                  <body>Type or variable this rule applies to.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pj4nMFMEea5pdrFDq-m2g">
                  <body>Type or variable this rule applies to</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pj4mcFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pj4msFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pkfocFMEea5pdrFDq-m2g" name="contextType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4plGssFMEea5pdrFDq-m2g">
                  <body>How to interpret the context.</body>
                </ownedComment>
                <ownedComment xmi:id="_4plGsMFMEea5pdrFDq-m2g">
                  <body>type | variable</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pkfosFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pkfo8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4plGtMFMEea5pdrFDq-m2g" name="min" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4plGusFMEea5pdrFDq-m2g">
                  <body>Specified minimum cardinality for the element. This is optional; if present, it acts an implicit check on the input content.</body>
                </ownedComment>
                <ownedComment xmi:id="_4plGuMFMEea5pdrFDq-m2g">
                  <body>Specified minimum cardinality</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4plGtcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4plGtsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pltwMFMEea5pdrFDq-m2g" name="max" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pltxsFMEea5pdrFDq-m2g">
                  <body>Specified maximum cardinality for the element - a number or a &quot;*&quot;. This is optional; if present, it acts an implicit check on the input content (* just serves as documentation; it's the default value).</body>
                </ownedComment>
                <ownedComment xmi:id="_4pltxMFMEea5pdrFDq-m2g">
                  <body>Specified maximum cardinality (number or *)</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pltwcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pltwsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pltyMFMEea5pdrFDq-m2g" name="type" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pltzsFMEea5pdrFDq-m2g">
                  <body>Specified type for the element. This works as a condition on the mapping - use for polymorphic elements.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pltzMFMEea5pdrFDq-m2g">
                  <body>Type for this source</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pltycFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pltysFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pmU0cFMEea5pdrFDq-m2g" name="element" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pmU18FMEea5pdrFDq-m2g">
                  <body>Optional field for this source.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pmU1cFMEea5pdrFDq-m2g">
                  <body>Optional field for this source</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pmU0sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pmU08FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pmU2cFMEea5pdrFDq-m2g" name="listMode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pm75cFMEea5pdrFDq-m2g">
                  <body>How to handle the list mode for this element.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pm748FMEea5pdrFDq-m2g">
                  <body>first | share | last</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pmU2sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pmU28FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pni8MFMEea5pdrFDq-m2g" name="variable" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pni9sFMEea5pdrFDq-m2g">
                  <body>Named context for field, if a field is specified.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pni9MFMEea5pdrFDq-m2g">
                  <body>Named context for field, if a field is specified</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pni8cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pni8sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pni-MFMEea5pdrFDq-m2g" name="condition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4poKAMFMEea5pdrFDq-m2g">
                  <body>FluentPath expression  - must be true or the rule does not apply.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pni_MFMEea5pdrFDq-m2g">
                  <body>FluentPath expression  - must be true or the rule does not apply</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pni-cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pni-sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4poKAsFMEea5pdrFDq-m2g" name="check" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4poKCMFMEea5pdrFDq-m2g">
                  <body>FluentPath expression  - must be true or the mapping engine throws an error instead of completing.</body>
                </ownedComment>
                <ownedComment xmi:id="_4poKBsFMEea5pdrFDq-m2g">
                  <body>FluentPath expression  - must be true or the mapping engine throws an error instead of completing</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4poKA8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4poKBMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_4poKCsFMEea5pdrFDq-m2g" name="Target">
              <generalization xmi:id="_4poKC8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_4ppYIsFMEea5pdrFDq-m2g" name="context" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4ppYKMFMEea5pdrFDq-m2g">
                  <body>Type or variable this rule applies to.</body>
                </ownedComment>
                <ownedComment xmi:id="_4ppYJsFMEea5pdrFDq-m2g">
                  <body>Type or variable this rule applies to</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ppYI8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ppYJMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4ppYKsFMEea5pdrFDq-m2g" name="contextType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pp_NsFMEea5pdrFDq-m2g">
                  <body>How to interpret the context.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pp_NMFMEea5pdrFDq-m2g">
                  <body>type | variable</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pp_MMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pp_McFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pqmQMFMEea5pdrFDq-m2g" name="element" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pqmRsFMEea5pdrFDq-m2g">
                  <body>Field to create in the context.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pqmRMFMEea5pdrFDq-m2g">
                  <body>Field to create in the context</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pqmQcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pqmQsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pqmSMFMEea5pdrFDq-m2g" name="variable" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4prNU8FMEea5pdrFDq-m2g">
                  <body>Named context for field, if desired, and a field is specified.</body>
                </ownedComment>
                <ownedComment xmi:id="_4prNUcFMEea5pdrFDq-m2g">
                  <body>Named context for field, if desired, and a field is specified</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pqmScFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pqmSsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4prNVcFMEea5pdrFDq-m2g" name="listMode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pr0YsFMEea5pdrFDq-m2g">
                  <body>If field is a list, how to manage the list.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pr0YMFMEea5pdrFDq-m2g">
                  <body>first | share | last</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4prNVsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4prNV8FMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pr0ZMFMEea5pdrFDq-m2g" name="listRuleId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4psbccFMEea5pdrFDq-m2g">
                  <body>Internal rule reference for shared list items.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pr0aMFMEea5pdrFDq-m2g">
                  <body>Internal rule reference for shared list items</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pr0ZcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pr0ZsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4psbc8FMEea5pdrFDq-m2g" name="transform" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4ptCgsFMEea5pdrFDq-m2g">
                  <body>How the data is copied / created.</body>
                </ownedComment>
                <ownedComment xmi:id="_4ptCgMFMEea5pdrFDq-m2g">
                  <body>create | copy +</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4psbdMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4psbdcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4ptpkcFMEea5pdrFDq-m2g" name="parameter" type="_4ptChMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4ptplcFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_4ptpm8FMEea5pdrFDq-m2g">
                  <body>Parameters to the transform.</body>
                </ownedComment>
                <ownedComment xmi:id="_4ptpmcFMEea5pdrFDq-m2g">
                  <body>Parameters to the transform</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ptpksFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ptpk8FMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_4ptChMFMEea5pdrFDq-m2g" name="Parameter">
                <generalization xmi:id="_4ptChcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_4puQoMFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_4puQpsFMEea5pdrFDq-m2g">
                    <body>Parameter value - variable or literal.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_4puQpMFMEea5pdrFDq-m2g">
                    <body>Parameter value - variable or literal</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4puQocFMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4puQosFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
              </nestedClassifier>
            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_4pu3ucFMEea5pdrFDq-m2g" name="Dependent">
              <generalization xmi:id="_4pu3usFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_4pwF0MFMEea5pdrFDq-m2g" name="name" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pwF1sFMEea5pdrFDq-m2g">
                  <body>Name of a rule or group to apply.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pwF1MFMEea5pdrFDq-m2g">
                  <body>Name of a rule or group to apply</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pwF0cFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pwF0sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_4pwF2MFMEea5pdrFDq-m2g" name="variable" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_4pws4MFMEea5pdrFDq-m2g">
                  <body>Names of variables to pass to the rule or group.</body>
                </ownedComment>
                <ownedComment xmi:id="_4pwF3MFMEea5pdrFDq-m2g">
                  <body>Names of variables to pass to the rule or group</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pwF2cFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pwF2sFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4paHlcFMEea5pdrFDq-m2g" memberEnd="_4paHlsFMEea5pdrFDq-m2g _4paHkcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4paHlsFMEea5pdrFDq-m2g" type="_4pQWkMFMEea5pdrFDq-m2g" association="_4paHlcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4paHl8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4paHmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pdK4MFMEea5pdrFDq-m2g" memberEnd="_4pdK4cFMEea5pdrFDq-m2g _4pcj08FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pdK4cFMEea5pdrFDq-m2g" type="_4pQWkMFMEea5pdrFDq-m2g" association="_4pdK4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pdK4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pdK48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pfAFcFMEea5pdrFDq-m2g" memberEnd="_4pfAFsFMEea5pdrFDq-m2g _4pfAEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pfAFsFMEea5pdrFDq-m2g" type="_4pcj0MFMEea5pdrFDq-m2g" association="_4pfAFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pfAF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pfAGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4piDZcFMEea5pdrFDq-m2g" memberEnd="_4piDZsFMEea5pdrFDq-m2g _4piDYcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4piDZsFMEea5pdrFDq-m2g" type="_4pcj0MFMEea5pdrFDq-m2g" association="_4piDZcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4piDZ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4piDaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pjRhcFMEea5pdrFDq-m2g" memberEnd="_4pjRhsFMEea5pdrFDq-m2g _4pjRgcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pjRhsFMEea5pdrFDq-m2g" type="_4phcVsFMEea5pdrFDq-m2g" association="_4pjRhcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pjRh8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pjRiMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4poxFcFMEea5pdrFDq-m2g" memberEnd="_4poxFsFMEea5pdrFDq-m2g _4poxEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4poxFsFMEea5pdrFDq-m2g" type="_4phcVsFMEea5pdrFDq-m2g" association="_4poxFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4poxF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4poxGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ptplcFMEea5pdrFDq-m2g" memberEnd="_4ptplsFMEea5pdrFDq-m2g _4ptpkcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4ptplsFMEea5pdrFDq-m2g" type="_4poKCsFMEea5pdrFDq-m2g" association="_4ptplcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ptpl8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ptpmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pu3scFMEea5pdrFDq-m2g" memberEnd="_4pu3ssFMEea5pdrFDq-m2g _4puQqcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pu3ssFMEea5pdrFDq-m2g" type="_4phcVsFMEea5pdrFDq-m2g" association="_4pu3scFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pu3s8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pu3tMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pvexcFMEea5pdrFDq-m2g" memberEnd="_4pvexsFMEea5pdrFDq-m2g _4pvewcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pvexsFMEea5pdrFDq-m2g" type="_4phcVsFMEea5pdrFDq-m2g" association="_4pvexcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pvex8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pveyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pxT8cFMEea5pdrFDq-m2g" memberEnd="_4pxT8sFMEea5pdrFDq-m2g _4pws6sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pxT8sFMEea5pdrFDq-m2g" type="_4odsYMFMEea5pdrFDq-m2g" association="_4pxT8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pxT88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pxT9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4px7BcFMEea5pdrFDq-m2g" memberEnd="_4px7BsFMEea5pdrFDq-m2g _4px7AcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4px7BsFMEea5pdrFDq-m2g" type="_4odsYMFMEea5pdrFDq-m2g" association="_4px7BcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4px7B8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4px7CMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4pzwNcFMEea5pdrFDq-m2g" memberEnd="_4pzwNsFMEea5pdrFDq-m2g _4pzwMcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4pzwNsFMEea5pdrFDq-m2g" type="_4oEq3sFMEea5pdrFDq-m2g" association="_4pzwNcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pzwN8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pzwOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4p0XRMFMEea5pdrFDq-m2g" memberEnd="_4p0XRcFMEea5pdrFDq-m2g _4p0XQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4p0XRcFMEea5pdrFDq-m2g" type="_4oEq3sFMEea5pdrFDq-m2g" association="_4p0XRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p0XRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p0XR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4p0-VcFMEea5pdrFDq-m2g" memberEnd="_4p0-VsFMEea5pdrFDq-m2g _4p0-UcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4p0-VsFMEea5pdrFDq-m2g" type="_4oEq3sFMEea5pdrFDq-m2g" association="_4p0-VcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p0-V8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p0-WMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4p3akcFMEea5pdrFDq-m2g" memberEnd="_4p3aksFMEea5pdrFDq-m2g _4p2zisFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4p3aksFMEea5pdrFDq-m2g" type="_4oEq3sFMEea5pdrFDq-m2g" association="_4p3akcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p3ak8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p3alMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4p3ancFMEea5pdrFDq-m2g" memberEnd="_4p3ansFMEea5pdrFDq-m2g _4p3amcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4p3ansFMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4p3ancFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p3an8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p3aoMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4p4BpsFMEea5pdrFDq-m2g" memberEnd="_4p4Bp8FMEea5pdrFDq-m2g _4p4BosFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4p4Bp8FMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4p4BpsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p4BqMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p4BqcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4p8TEsFMEea5pdrFDq-m2g" name="Group">
        <ownedComment xmi:id="_4p9hMsFMEea5pdrFDq-m2g">
          <body>Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.</body>
        </ownedComment>
        <ownedComment xmi:id="_4p86IsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Group Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4p9hMMFMEea5pdrFDq-m2g">
          <body>Group of multiple entities</body>
        </ownedComment>
        <ownedRule xmi:id="_4p8TE8FMEea5pdrFDq-m2g" name="grp-1" constrainedElement="_4p8TEsFMEea5pdrFDq-m2g _4p-vVsFMEea5pdrFDq-m2g _4qE18cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4p8TFMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:actual/@value=true() or not(exists(f:member))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4p86JMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4p9hNMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p9hOsFMEea5pdrFDq-m2g">
            <body>A unique business identifier for this group.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p9hOMFMEea5pdrFDq-m2g">
            <body>Unique id</body>
          </ownedComment>
          <ownedComment xmi:id="_4p9hPMFMEea5pdrFDq-m2g">
            <body>Allows the group to be referenced from external specifications.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p9hNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p9hNsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p9hPsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p-vUMFMEea5pdrFDq-m2g">
            <body>Identifies the broad classification of the kind of resources the group includes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p-IRsFMEea5pdrFDq-m2g">
            <body>person | animal | practitioner | device | medication | substance</body>
          </ownedComment>
          <ownedComment xmi:id="_4p-vUsFMEea5pdrFDq-m2g">
            <body>Group members SHALL be of the appropriate resource type (Patient for person or animal; or Practitioner, Device, Medicaiton or Substance for the other types.).</body>
          </ownedComment>
          <ownedComment xmi:id="_4p-vVMFMEea5pdrFDq-m2g">
            <body>Identifies what type of resources the group is made up of.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p-IQMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p-IQcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p-vVsFMEea5pdrFDq-m2g" name="actual" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p_WYcFMEea5pdrFDq-m2g">
            <body>If true, indicates that the resource refers to a specific group of real individuals.  If false, the group defines a set of intended individuals.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p-vWsFMEea5pdrFDq-m2g">
            <body>Descriptive or actual</body>
          </ownedComment>
          <ownedComment xmi:id="_4p_WY8FMEea5pdrFDq-m2g">
            <body>There are use-cases for groups that define specific collections of individuals, and other groups that define &quot;types&quot; of intended individuals.  The requirements for both kinds of groups are similar, so we use a single resource, distinguished by this flag.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p-vV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p-vWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p_WZcFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p_Wa8FMEea5pdrFDq-m2g">
            <body>Indicates whether the record for the group is available for use or is merely being retained for historical purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p_WacFMEea5pdrFDq-m2g">
            <body>Whether this group's record is in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_4p_WbcFMEea5pdrFDq-m2g">
            <body>Need to be able to mark a group record as not to be used because it was created in error or is otherwise no longer available (e.g. a herd that no longer exists).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p_WZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p_WZ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p_9cMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4p_9d8FMEea5pdrFDq-m2g">
            <body>Provides a specific type of resource the group includes; e.g. &quot;cow&quot;, &quot;syringe&quot;, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4p_9dcFMEea5pdrFDq-m2g">
            <body>Kind of Group members</body>
          </ownedComment>
          <ownedComment xmi:id="_4p_9ecFMEea5pdrFDq-m2g">
            <body>This would generally be omitted for Person resources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p_9ccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p_9csFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4p_9e8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qAkhcFMEea5pdrFDq-m2g">
            <body>A label assigned to the group for human identification and communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qAkg8FMEea5pdrFDq-m2g">
            <body>Label for Group</body>
          </ownedComment>
          <ownedComment xmi:id="_4qAkh8FMEea5pdrFDq-m2g">
            <body>Used to identify the group in human communication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qAkgMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qAkgcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qAkicFMEea5pdrFDq-m2g" name="quantity" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qAkj8FMEea5pdrFDq-m2g">
            <body>A count of the number of resource instances that are part of the group.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qAkjcFMEea5pdrFDq-m2g">
            <body>Number of members</body>
          </ownedComment>
          <ownedComment xmi:id="_4qBLkcFMEea5pdrFDq-m2g">
            <body>Note that the quantity may be less than the number of members if some of the members are not active.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qBLk8FMEea5pdrFDq-m2g">
            <body>Group size is a common defining characteristic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qAkisFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qAki8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qByocFMEea5pdrFDq-m2g" name="characteristic" type="_4qBLlcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4qBypcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qByq8FMEea5pdrFDq-m2g">
            <body>Identifies the traits shared by members of the group.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qByqcFMEea5pdrFDq-m2g">
            <body>Trait of group members</body>
          </ownedComment>
          <ownedComment xmi:id="_4qByrcFMEea5pdrFDq-m2g">
            <body>All the identified characteristics must be true for an entity to a member of the group.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qByr8FMEea5pdrFDq-m2g">
            <body>Needs to be a generic mechanism for identifying what individuals can be part of a group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qByosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qByo8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qE18cFMEea5pdrFDq-m2g" name="member" type="_4qEO6cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4qE19cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qFdAsFMEea5pdrFDq-m2g">
            <body>Identifies the resource instances that are members of the group.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qFdAMFMEea5pdrFDq-m2g">
            <body>Who or what is in group</body>
          </ownedComment>
          <ownedComment xmi:id="_4qFdBMFMEea5pdrFDq-m2g">
            <body>Often the only thing of interest about a group is &quot;who's in it&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qE18sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qE188FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4qBLlcFMEea5pdrFDq-m2g" name="Characteristic">
          <generalization xmi:id="_4qBLlsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4qCZsMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qCZt8FMEea5pdrFDq-m2g">
              <body>A code that identifies the kind of trait being asserted.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qCZtcFMEea5pdrFDq-m2g">
              <body>Kind of characteristic</body>
            </ownedComment>
            <ownedComment xmi:id="_4qCZucFMEea5pdrFDq-m2g">
              <body>Need a formal way of identifying the characteristic being described.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qCZscFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qCZssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qCZu8FMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qDAxcFMEea5pdrFDq-m2g">
              <body>The value of the trait that holds (or does not hold - see 'exclude') for members of the group.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qDAw8FMEea5pdrFDq-m2g">
              <body>Value held by characteristic</body>
            </ownedComment>
            <ownedComment xmi:id="_4qDAx8FMEea5pdrFDq-m2g">
              <body>For Range, it means members of the group have a value that falls somewhere within the specified range.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qDAycFMEea5pdrFDq-m2g">
              <body>The value of the characteristic is what determines group membership.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qCZvMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qDAwMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qDn0cFMEea5pdrFDq-m2g" name="exclude" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qDn18FMEea5pdrFDq-m2g">
              <body>If true, indicates the characteristic is one that is NOT held by members of the group.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qDn1cFMEea5pdrFDq-m2g">
              <body>Group includes or excludes</body>
            </ownedComment>
            <ownedComment xmi:id="_4qDn2cFMEea5pdrFDq-m2g">
              <body>This is labeled as &quot;Is Modifier&quot; because applications cannot wrongly include excluded members as included or vice versa.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qDn28FMEea5pdrFDq-m2g">
              <body>Sometimes group membership is determined by characteristics not possessed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qDn0sFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qDn08FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qEO4cFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qEO58FMEea5pdrFDq-m2g">
              <body>The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qEO5cFMEea5pdrFDq-m2g">
              <body>Period over which characteristic is tested</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qEO4sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qEO48FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4qEO6cFMEea5pdrFDq-m2g" name="Member">
          <generalization xmi:id="_4qEO6sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4qFdBsFMEea5pdrFDq-m2g" name="entity" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4qFdCsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4qGEEMFMEea5pdrFDq-m2g">
              <body>A reference to the entity that is a member of the group. Must be consistent with Group.type.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qFdDsFMEea5pdrFDq-m2g">
              <body>Reference to the group member</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qFdB8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qFdCMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qGEE8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qGEGcFMEea5pdrFDq-m2g">
              <body>The period that the member was in the group, if known.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qGEF8FMEea5pdrFDq-m2g">
              <body>Period member belonged to the group</body>
            </ownedComment>
            <ownedComment xmi:id="_4qGEG8FMEea5pdrFDq-m2g">
              <body>Need to track who was in a group at a  particular time.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qGEFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qGEFcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4qGrIMFMEea5pdrFDq-m2g" name="inactive" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4qGrJsFMEea5pdrFDq-m2g">
              <body>A flag to indicate that the member is no longer in the group, but previously may have been a member.</body>
            </ownedComment>
            <ownedComment xmi:id="_4qGrJMFMEea5pdrFDq-m2g">
              <body>If member is no longer in group</body>
            </ownedComment>
            <ownedComment xmi:id="_4qGrKMFMEea5pdrFDq-m2g">
              <body>Sometimes you don't know when someone stopped being in a group, but not when.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qGrIcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qGrIsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qBypcFMEea5pdrFDq-m2g" memberEnd="_4qBypsFMEea5pdrFDq-m2g _4qByocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qBypsFMEea5pdrFDq-m2g" type="_4p8TEsFMEea5pdrFDq-m2g" association="_4qBypcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qByp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qByqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qE19cFMEea5pdrFDq-m2g" memberEnd="_4qE19sFMEea5pdrFDq-m2g _4qE18cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qE19sFMEea5pdrFDq-m2g" type="_4p8TEsFMEea5pdrFDq-m2g" association="_4qE19cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qE198FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qE1-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qFdCsFMEea5pdrFDq-m2g" memberEnd="_4qFdC8FMEea5pdrFDq-m2g _4qFdBsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qFdC8FMEea5pdrFDq-m2g" type="_4qEO6cFMEea5pdrFDq-m2g" association="_4qFdCsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qFdDMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qFdDcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qHSMMFMEea5pdrFDq-m2g" memberEnd="_4qHSMcFMEea5pdrFDq-m2g _4qGrKsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qHSMcFMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4qHSMMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qHSMsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qHSM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qJucMFMEea5pdrFDq-m2g" memberEnd="_4qJuccFMEea5pdrFDq-m2g _4qJHasFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qJuccFMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4qJucMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qJucsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qJuc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qJufMFMEea5pdrFDq-m2g" memberEnd="_4qKVgMFMEea5pdrFDq-m2g _4qJueMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qKVgMFMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4qJufMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qKVgcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qKVgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qKVi8FMEea5pdrFDq-m2g" memberEnd="_4qKVjMFMEea5pdrFDq-m2g _4qKVh8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qKVjMFMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4qKVi8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qKVjcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qKVjsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qMKsMFMEea5pdrFDq-m2g" memberEnd="_4qMKscFMEea5pdrFDq-m2g _4qLjpMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qMKscFMEea5pdrFDq-m2g" type="_4n2oaMFMEea5pdrFDq-m2g" association="_4qMKsMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qMKssFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qMKs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qNY2cFMEea5pdrFDq-m2g" memberEnd="_4qNY2sFMEea5pdrFDq-m2g _4qNY1cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qNY2sFMEea5pdrFDq-m2g" type="_4n0MJsFMEea5pdrFDq-m2g" association="_4qNY2cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qNY28FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qNY3MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qN_58FMEea5pdrFDq-m2g" memberEnd="_4qN_6MFMEea5pdrFDq-m2g _4qN_48FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qN_6MFMEea5pdrFDq-m2g" type="_4n0MJsFMEea5pdrFDq-m2g" association="_4qN_58FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qN_6cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qN_6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4qPOAsFMEea5pdrFDq-m2g" name="Consent">
        <ownedComment xmi:id="_4qP1F8FMEea5pdrFDq-m2g">
          <body>A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.</body>
        </ownedComment>
        <ownedComment xmi:id="_4qP1EsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Consent Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4qP1FcFMEea5pdrFDq-m2g">
          <body>A healthcare consumer’s policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time</body>
        </ownedComment>
        <ownedComment xmi:id="_4qP1GcFMEea5pdrFDq-m2g">
          <body>Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.</body>
        </ownedComment>
        <generalization xmi:id="_4qP1FMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4qQcIMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qQcJsFMEea5pdrFDq-m2g">
            <body>Unique identifier for this copy of the Consent Statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qQcJMFMEea5pdrFDq-m2g">
            <body>Identifier for this record (external references)</body>
          </ownedComment>
          <ownedComment xmi:id="_4qQcKMFMEea5pdrFDq-m2g">
            <body>This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qQcIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qQcIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qQcKsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qRqQcFMEea5pdrFDq-m2g">
            <body>Indicates the current state of this consent.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qRDM8FMEea5pdrFDq-m2g">
            <body>draft | proposed | active | rejected | inactive | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_4qRqQ8FMEea5pdrFDq-m2g">
            <body>This is the status of this consent at the time it was issued / created / indexed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qRqRcFMEea5pdrFDq-m2g">
            <body>The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qQcK8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qQcLMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qRqR8FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qSRVMFMEea5pdrFDq-m2g">
            <body>A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qSRUsFMEea5pdrFDq-m2g">
            <body>Classification of the consent statement - for indexing/retrieval</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qRqSMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qRqScFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qSRVsFMEea5pdrFDq-m2g" name="dateTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qS4Y8FMEea5pdrFDq-m2g">
            <body>When this  Consent was issued / created / indexed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qS4YcFMEea5pdrFDq-m2g">
            <body>When this Consent was created or indexed</body>
          </ownedComment>
          <ownedComment xmi:id="_4qS4ZcFMEea5pdrFDq-m2g">
            <body>This is not the time of the original consent, but the time that this statement was made or derived.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qSRV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qSRWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qS4Z8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qS4bcFMEea5pdrFDq-m2g">
            <body>Relevant time or time-period when this Consent is applicable.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qS4a8FMEea5pdrFDq-m2g">
            <body>Period that this consent applies</body>
          </ownedComment>
          <ownedComment xmi:id="_4qTfcMFMEea5pdrFDq-m2g">
            <body>This can be a subset of the period of the original statement.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qS4aMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qS4acFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qTfcsFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_4qTfdsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qTffMFMEea5pdrFDq-m2g">
            <body>The patient/healthcare consumer to whom this consent applies.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qTfesFMEea5pdrFDq-m2g">
            <body>Who the consent applies to</body>
          </ownedComment>
          <ownedComment xmi:id="_4qTffsFMEea5pdrFDq-m2g">
            <body>Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qTfc8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qTfdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qUGgMFMEea5pdrFDq-m2g" name="consentor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4qUGhMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qUGisFMEea5pdrFDq-m2g">
            <body>The patient/consumer that is responsible for agreeing to the consent represented by this resource. This is the person (usually) that agreed to the policy, along with the exceptions, e.g. the persion who takes responsibility for the agreement. In the signature this corresponds to the role &quot;Consent Signature&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qUGiMFMEea5pdrFDq-m2g">
            <body>Who is agreeing to the policy and exceptions</body>
          </ownedComment>
          <ownedComment xmi:id="_4qUGjMFMEea5pdrFDq-m2g">
            <body>Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qUGgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qUGgsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qUtkcFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_4qUtlcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qUtm8FMEea5pdrFDq-m2g">
            <body>The organization that manages the consent, and the framework within which it is executed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qUtmcFMEea5pdrFDq-m2g">
            <body>Organization that manages the consent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qUtksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qUtk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GVUKcFMEea5pdrFDq-m2g" name="source[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GVUL8FMEea5pdrFDq-m2g">
            <body>The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GVULcFMEea5pdrFDq-m2g">
            <body>Source from which this consent is taken</body>
          </ownedComment>
          <ownedComment xmi:id="_5GV7MMFMEea5pdrFDq-m2g">
            <body>The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GVUKsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GVUK8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GV7M8FMEea5pdrFDq-m2g" name="policy" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GV7OcFMEea5pdrFDq-m2g">
            <body>A reference to the policy that this consents to. Policies may be organizational, but are often defined jurisdictionally, or in law.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GV7N8FMEea5pdrFDq-m2g">
            <body>Policy that this consents to</body>
          </ownedComment>
          <ownedComment xmi:id="_5GV7O8FMEea5pdrFDq-m2g">
            <body>If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GV7NMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GV7NcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GWiQMFMEea5pdrFDq-m2g" name="recipient" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5GWiRMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GWiSsFMEea5pdrFDq-m2g">
            <body>Actor whose access is controlled by this consent under the terms of the policy and exceptions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GWiSMFMEea5pdrFDq-m2g">
            <body>Whose access is controlled by the policy</body>
          </ownedComment>
          <ownedComment xmi:id="_5GWiTMFMEea5pdrFDq-m2g">
            <body>The Consent recipient is the person/organization who is being granted or denied permission according to the stated policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GWiQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GWiQsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GXJUcFMEea5pdrFDq-m2g" name="purpose" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GXJWMFMEea5pdrFDq-m2g">
            <body>The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GXJVsFMEea5pdrFDq-m2g">
            <body>Context of activities for which the agreement is made</body>
          </ownedComment>
          <ownedComment xmi:id="_5GXwYMFMEea5pdrFDq-m2g">
            <body>This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GXJUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GXJU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GYXccFMEea5pdrFDq-m2g" name="except" type="_5GXwYsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5GYXdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GYXe8FMEea5pdrFDq-m2g">
            <body>An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GYXecFMEea5pdrFDq-m2g">
            <body>Additional rule -  addition or removal of permissions</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GYXcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GYXc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5GXwYsFMEea5pdrFDq-m2g" name="Except">
          <generalization xmi:id="_5GXwY8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5GYXfcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GZlkcFMEea5pdrFDq-m2g">
              <body>Action  to take - permit or deny - when the exception conditions are met.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GY-hMFMEea5pdrFDq-m2g">
              <body>deny | permit</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GYXfsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GYXf8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GZlk8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GZlmcFMEea5pdrFDq-m2g">
              <body>The timeframe in which data is controlled by this exception.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GZll8FMEea5pdrFDq-m2g">
              <body>Timeframe for data controlled by this exception</body>
            </ownedComment>
            <ownedComment xmi:id="_5GZlm8FMEea5pdrFDq-m2g">
              <body>This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GZllMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GZllcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GaMo8FMEea5pdrFDq-m2g" name="actor" type="_5GaMoMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5GazsMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5GaztsFMEea5pdrFDq-m2g">
              <body>Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').</body>
            </ownedComment>
            <ownedComment xmi:id="_5GaztMFMEea5pdrFDq-m2g">
              <body>Who|what controlled by this exception (or group, by role)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GaMpMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GaMpcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GdP8cFMEea5pdrFDq-m2g" name="action" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Gd3AsFMEea5pdrFDq-m2g">
              <body>Actions controlled by this Exception.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Gd3AMFMEea5pdrFDq-m2g">
              <body>Actions controlled by this exception</body>
            </ownedComment>
            <ownedComment xmi:id="_5Gd3BMFMEea5pdrFDq-m2g">
              <body>Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GdP8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GdP88FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Gd3BsFMEea5pdrFDq-m2g" name="securityLabel" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GeeEsFMEea5pdrFDq-m2g">
              <body>A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GeeEMFMEea5pdrFDq-m2g">
              <body>Security Labels that define affected resources</body>
            </ownedComment>
            <ownedComment xmi:id="_5GeeFMFMEea5pdrFDq-m2g">
              <body>If the consent specifies a security label of &quot;R&quot; then it applies to all resources that are labelled &quot;R&quot; or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gd3B8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gd3CMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GeeFsFMEea5pdrFDq-m2g" name="purpose" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GfFI8FMEea5pdrFDq-m2g">
              <body>The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GfFIcFMEea5pdrFDq-m2g">
              <body>Context of activities covered by this exception</body>
            </ownedComment>
            <ownedComment xmi:id="_5GfFJcFMEea5pdrFDq-m2g">
              <body>E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GeeF8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GeeGMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GfFJ8FMEea5pdrFDq-m2g" name="class" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GgTQsFMEea5pdrFDq-m2g">
              <body>The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GgTQMFMEea5pdrFDq-m2g">
              <body>e.g. Resource Type, Profile, or CDA etc</body>
            </ownedComment>
            <ownedComment xmi:id="_5GgTRMFMEea5pdrFDq-m2g">
              <body>Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GfFKMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GfFKcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GgTRsFMEea5pdrFDq-m2g" name="code" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Gg6VcFMEea5pdrFDq-m2g">
              <body>If this code is found in an instance, then the exception applies. TODO: where do you not have to look? This is a problematic element.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Gg6U8FMEea5pdrFDq-m2g">
              <body>e.g. LOINC or SNOMED CT code, etc in the content</body>
            </ownedComment>
            <ownedComment xmi:id="_5GhhYcFMEea5pdrFDq-m2g">
              <body>Typical use of this is a Document code with class = CDA.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GgTR8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GgTSMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GiIccFMEea5pdrFDq-m2g" name="data" type="_5GhhY8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5GiIdcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5GiIe8FMEea5pdrFDq-m2g">
              <body>The resources controlled by this exception, if specific resources are referenced.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GiIecFMEea5pdrFDq-m2g">
              <body>Data controlled by this exception</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GiIcsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GiIc8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5GaMoMFMEea5pdrFDq-m2g" name="Actor">
            <generalization xmi:id="_5GaMocFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5GazuMFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Gco4cFMEea5pdrFDq-m2g">
                <body>How the individual is or was involved in the resourcescontent that is described in the exception.</body>
              </ownedComment>
              <ownedComment xmi:id="_5GcB1sFMEea5pdrFDq-m2g">
                <body>How the actor is/was involved</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GazucFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GazusFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Gco48FMEea5pdrFDq-m2g" name="reference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Gco58FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Gco7cFMEea5pdrFDq-m2g">
                <body>The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').</body>
              </ownedComment>
              <ownedComment xmi:id="_5Gco68FMEea5pdrFDq-m2g">
                <body>Resource for the actor (or group, by role)</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gco5MFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gco5cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5GhhY8FMEea5pdrFDq-m2g" name="Data">
            <generalization xmi:id="_5GhhZMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5GivgMFMEea5pdrFDq-m2g" name="meaning" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5GjWksFMEea5pdrFDq-m2g">
                <body>How the resource reference is interpreted when testing consent restrictions.</body>
              </ownedComment>
              <ownedComment xmi:id="_5GjWkMFMEea5pdrFDq-m2g">
                <body>instance | related | dependents</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GivgcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GivgsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5GjWlMFMEea5pdrFDq-m2g" name="reference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5GjWmMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Gj9oMFMEea5pdrFDq-m2g">
                <body>A reference to a specific resource that defines which resources are covered by this consent.</body>
              </ownedComment>
              <ownedComment xmi:id="_5GjWnMFMEea5pdrFDq-m2g">
                <body>The actual data reference</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GjWlcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GjWlsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qTfdsFMEea5pdrFDq-m2g" memberEnd="_4qTfd8FMEea5pdrFDq-m2g _4qTfcsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qTfd8FMEea5pdrFDq-m2g" type="_4qPOAsFMEea5pdrFDq-m2g" association="_4qTfdsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qTfeMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qTfecFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qUGhMFMEea5pdrFDq-m2g" memberEnd="_4qUGhcFMEea5pdrFDq-m2g _4qUGgMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qUGhcFMEea5pdrFDq-m2g" type="_4qPOAsFMEea5pdrFDq-m2g" association="_4qUGhMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qUGhsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qUGh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4qUtlcFMEea5pdrFDq-m2g" memberEnd="_4qUtlsFMEea5pdrFDq-m2g _4qUtkcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4qUtlsFMEea5pdrFDq-m2g" type="_4qPOAsFMEea5pdrFDq-m2g" association="_4qUtlcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qUtl8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qUtmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4qUtncFMEea5pdrFDq-m2g" name="DocumentReference">
        <ownedComment xmi:id="_4qV7ssFMEea5pdrFDq-m2g">
          <body>A reference to a document .</body>
        </ownedComment>
        <ownedComment xmi:id="_4qVUosFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DocumentReference Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4qV7sMFMEea5pdrFDq-m2g">
          <body>A reference to a document</body>
        </ownedComment>
        <ownedComment xmi:id="_4qV7tMFMEea5pdrFDq-m2g">
          <body>Usually, this is used for documents other than those defined by FHIR.</body>
        </ownedComment>
        <generalization xmi:id="_4qVUpMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4qV7tsFMEea5pdrFDq-m2g" name="masterIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qV7vMFMEea5pdrFDq-m2g">
            <body>Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qV7usFMEea5pdrFDq-m2g">
            <body>Master Version Specific Identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_4qV7vsFMEea5pdrFDq-m2g">
            <body>CDA Document Id extension and root.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qWiwMFMEea5pdrFDq-m2g">
            <body>The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64 character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form &quot;oid^extension&quot;, where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qV7t8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qV7uMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qWiwsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4qWiyMFMEea5pdrFDq-m2g">
            <body>Other identifiers associated with the document, including version independent identifiers.</body>
          </ownedComment>
          <ownedComment xmi:id="_4qWixsFMEea5pdrFDq-m2g">
            <body>Other identifiers for the document</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qWiw8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qWixMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qWiysFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4qXJ0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4qXJ1sFMEea5pdrFDq-m2g">
            <body>Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).</body>
          </ownedComment>
          <ownedComment xmi:id="_4qXJ1MFMEea5pdrFDq-m2g">
            <body>Who/what is the subject of the document</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qWiy8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qWizMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4qXJ2cFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46P_8sFMEea5pdrFDq-m2g">
            <body>Specifies the particular kind of document referenced  (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.</body>
          </ownedComment>
          <ownedComment xmi:id="_46P_8MFMEea5pdrFDq-m2g">
            <body>Kind of document (LOINC if possible)</body>
          </ownedComment>
          <ownedComment xmi:id="_46P_9MFMEea5pdrFDq-m2g">
            <body>Key metadata element describing the document, used in searching/filtering.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qXJ2sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4qXJ28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46P_9sFMEea5pdrFDq-m2g" name="class" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46XUtMFMEea5pdrFDq-m2g">
            <body>A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.</body>
          </ownedComment>
          <ownedComment xmi:id="_46XUssFMEea5pdrFDq-m2g">
            <body>Categorization of document</body>
          </ownedComment>
          <ownedComment xmi:id="_46XUtsFMEea5pdrFDq-m2g">
            <body>This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).</body>
          </ownedComment>
          <ownedComment xmi:id="_46XUuMFMEea5pdrFDq-m2g">
            <body>Helps humans to assess whether the document is of interest when viewing a list of documents.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46P_98FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46P_-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46X7wMFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_46X7xMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46X7ysFMEea5pdrFDq-m2g">
            <body>Identifies who is responsible for adding the information to the document.</body>
          </ownedComment>
          <ownedComment xmi:id="_46X7yMFMEea5pdrFDq-m2g">
            <body>Who and/or what authored the document</body>
          </ownedComment>
          <ownedComment xmi:id="_46X7zMFMEea5pdrFDq-m2g">
            <body>Not necessarily who did the actual data entry (i.e. typist) it in or who was the source (informant).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46X7wcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46X7wsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46Yi0MFMEea5pdrFDq-m2g" name="custodian" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_46Yi1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46Yi2sFMEea5pdrFDq-m2g">
            <body>Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.</body>
          </ownedComment>
          <ownedComment xmi:id="_46Yi2MFMEea5pdrFDq-m2g">
            <body>Organization which maintains the document</body>
          </ownedComment>
          <ownedComment xmi:id="_46Yi3MFMEea5pdrFDq-m2g">
            <body>Identifies the logical organization to go to find the current version, where to report issues, etc. This is different from the physical location of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46Yi0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46Yi0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46Yi3sFMEea5pdrFDq-m2g" name="authenticator" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_46ZJ4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46ZJ5sFMEea5pdrFDq-m2g">
            <body>Which person or organization authenticates that this document is valid.</body>
          </ownedComment>
          <ownedComment xmi:id="_46ZJ5MFMEea5pdrFDq-m2g">
            <body>Who/what authenticated the document</body>
          </ownedComment>
          <ownedComment xmi:id="_46ZJ6MFMEea5pdrFDq-m2g">
            <body>Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46Yi38FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46Yi4MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46ZJ68FMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46Zw8MFMEea5pdrFDq-m2g">
            <body>When the document was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_46ZJ78FMEea5pdrFDq-m2g">
            <body>Document creation time</body>
          </ownedComment>
          <ownedComment xmi:id="_46Zw8sFMEea5pdrFDq-m2g">
            <body>Creation time is used for tracking, organizing versions and searching. This is the creation time of the document, not the source material on which it is based.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46ZJ7MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46ZJ7cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46Zw9MFMEea5pdrFDq-m2g" name="indexed" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46Zw-sFMEea5pdrFDq-m2g">
            <body>When the document reference was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_46Zw-MFMEea5pdrFDq-m2g">
            <body>When this document reference created</body>
          </ownedComment>
          <ownedComment xmi:id="_46Zw_MFMEea5pdrFDq-m2g">
            <body>Referencing/indexing time is used for tracking, organizing versions and searching.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46Zw9cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46Zw9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46aYAMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46a_EMFMEea5pdrFDq-m2g">
            <body>The status of this document reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_46aYB8FMEea5pdrFDq-m2g">
            <body>current | superseded | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_46a_EsFMEea5pdrFDq-m2g">
            <body>This is the status of the DocumentReference object, which might be independent from the docStatus element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46aYAcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46aYAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46a_FMFMEea5pdrFDq-m2g" name="docStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46bmIsFMEea5pdrFDq-m2g">
            <body>The status of the underlying document.</body>
          </ownedComment>
          <ownedComment xmi:id="_46bmIMFMEea5pdrFDq-m2g">
            <body>preliminary | final | appended | amended | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_46bmJMFMEea5pdrFDq-m2g">
            <body>The document that is pointed to might be in various lifecycle states.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46a_FcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46a_FsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46cNMcFMEea5pdrFDq-m2g" name="relatesTo" type="_46bmJsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_46cNNcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46cNO8FMEea5pdrFDq-m2g">
            <body>Relationships that this document has with other document references that already exist.</body>
          </ownedComment>
          <ownedComment xmi:id="_46cNOcFMEea5pdrFDq-m2g">
            <body>Relationships to other documents</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46cNMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46cNM8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46eCYMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46eCZsFMEea5pdrFDq-m2g">
            <body>Human-readable description of the source document. This is sometimes known as the &quot;title&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_46eCZMFMEea5pdrFDq-m2g">
            <body>Human-readable description (title)</body>
          </ownedComment>
          <ownedComment xmi:id="_46eCaMFMEea5pdrFDq-m2g">
            <body>What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a &quot;consultation&quot; or &quot;progress note&quot;).</body>
          </ownedComment>
          <ownedComment xmi:id="_46eCasFMEea5pdrFDq-m2g">
            <body>Helps humans to assess whether the document is of interest.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46eCYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46eCYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46epccFMEea5pdrFDq-m2g" name="securityLabel" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46epeMFMEea5pdrFDq-m2g">
            <body>A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the &quot;reference&quot; to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.</body>
          </ownedComment>
          <ownedComment xmi:id="_46epdsFMEea5pdrFDq-m2g">
            <body>Document security-tags</body>
          </ownedComment>
          <ownedComment xmi:id="_46epesFMEea5pdrFDq-m2g">
            <body>The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   In the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.</body>
          </ownedComment>
          <ownedComment xmi:id="_46fQgcFMEea5pdrFDq-m2g">
            <body>Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46epcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46epc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46fQhsFMEea5pdrFDq-m2g" name="content" type="_46fQg8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_46f3ksFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46f3mMFMEea5pdrFDq-m2g">
            <body>The document and format referenced. There may be multiple content element repetitions, each with a different format.</body>
          </ownedComment>
          <ownedComment xmi:id="_46f3lsFMEea5pdrFDq-m2g">
            <body>Document referenced</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46fQh8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46f3kMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46rdxcFMEea5pdrFDq-m2g" name="context" type="_46rdwsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_46sE08FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46sE2cFMEea5pdrFDq-m2g">
            <body>The clinical context in which the document was prepared.</body>
          </ownedComment>
          <ownedComment xmi:id="_46sE18FMEea5pdrFDq-m2g">
            <body>Clinical context of document</body>
          </ownedComment>
          <ownedComment xmi:id="_46sE28FMEea5pdrFDq-m2g">
            <body>These values are primarily added to help with searching for interesting/relevant documents.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46sE0MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46sE0cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_46bmJsFMEea5pdrFDq-m2g" name="RelatesTo">
          <generalization xmi:id="_46bmJ8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_46c0QMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_46dbUcFMEea5pdrFDq-m2g">
              <body>The type of relationship that this document has with anther document.</body>
            </ownedComment>
            <ownedComment xmi:id="_46c0R8FMEea5pdrFDq-m2g">
              <body>replaces | transforms | signs | appends</body>
            </ownedComment>
            <ownedComment xmi:id="_46dbU8FMEea5pdrFDq-m2g">
              <body>If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46c0QcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46c0QsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_46dbVcFMEea5pdrFDq-m2g" name="target" type="_4qUtncFMEea5pdrFDq-m2g" isOrdered="true" association="_46dbWcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_46dbX8FMEea5pdrFDq-m2g">
              <body>The target document of this relationship.</body>
            </ownedComment>
            <ownedComment xmi:id="_46dbXcFMEea5pdrFDq-m2g">
              <body>Target of the relationship</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46dbVsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46dbV8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_46fQg8FMEea5pdrFDq-m2g" name="Content">
          <generalization xmi:id="_46fQhMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_46f3msFMEea5pdrFDq-m2g" name="attachment" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_46f3oMFMEea5pdrFDq-m2g">
              <body>The document or url of the document along with critical metadata to prove content has integrity.</body>
            </ownedComment>
            <ownedComment xmi:id="_46f3nsFMEea5pdrFDq-m2g">
              <body>Where to access the document</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46f3m8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46f3nMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_46geoMFMEea5pdrFDq-m2g" name="format" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_46q2t8FMEea5pdrFDq-m2g">
              <body>An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.</body>
            </ownedComment>
            <ownedComment xmi:id="_46q2tcFMEea5pdrFDq-m2g">
              <body>Format/content rules for the document</body>
            </ownedComment>
            <ownedComment xmi:id="_46rdwMFMEea5pdrFDq-m2g">
              <body>Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46geocFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46geosFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_46rdwsFMEea5pdrFDq-m2g" name="Context">
          <generalization xmi:id="_46rdw8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5GEOYMFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5GEOZMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5GEOasFMEea5pdrFDq-m2g">
              <body>Describes the clinical encounter or type of care that the document content is associated with.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GEOaMFMEea5pdrFDq-m2g">
              <body>Context of the document  content</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GEOYcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GEOYsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GEObMFMEea5pdrFDq-m2g" name="event" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GE1c8FMEea5pdrFDq-m2g">
              <body>This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a &quot;History and Physical Report&quot; in which the procedure being documented is necessarily a &quot;History and Physical&quot; act.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GE1ccFMEea5pdrFDq-m2g">
              <body>Main Clinical Acts Documented</body>
            </ownedComment>
            <ownedComment xmi:id="_5GE1dcFMEea5pdrFDq-m2g">
              <body>An event can further specialize the act inherent in the type, such as  where it is simply &quot;Procedure Report&quot; and the procedure was a &quot;colonoscopy&quot;. If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GEObcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GEObsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GE1d8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GFchcFMEea5pdrFDq-m2g">
              <body>The time period over which the service that is described by the document was provided.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GFcg8FMEea5pdrFDq-m2g">
              <body>Time of service that is being documented</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GFcgMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GFcgcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GFch8FMEea5pdrFDq-m2g" name="facilityType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GSQ0cFMEea5pdrFDq-m2g">
              <body>The kind of facility where the patient was seen.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GRpxsFMEea5pdrFDq-m2g">
              <body>Kind of facility where patient was seen</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GFciMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GFcicFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GSQ08FMEea5pdrFDq-m2g" name="practiceSetting" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GS34MFMEea5pdrFDq-m2g">
              <body>This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GSQ2MFMEea5pdrFDq-m2g">
              <body>Additional details about where the content was created (e.g. clinical specialty)</body>
            </ownedComment>
            <ownedComment xmi:id="_5GS34sFMEea5pdrFDq-m2g">
              <body>The value set for this content has an example binding because it is a value set decided by community policy. Other examples exist for consideration: * HITSP created the table HITSP/C80 Table 2-148 Clinical Specialty Value Set (a value set based upon SNOMED CT which is referenced by Direct (XDR and XDM for Direct Messaging Specification, Version 1), as well as Nationwide Health Information Network (NHIN).  Query for Documents, Web Service Interface Specification, V 3.0, 07/27/2011 * ELGA (Austria) (ELGA CDA Implementie-rungsleitfäden Registrierung von CDA Dokumenten für ELGA mit IHE Cross-Enterprise Document Sharing: XDS Metadaten (XDSDocumentEntry), [1.2.40.0.34.7.6.3] * XDS Connect-a-thon practiceSettingCode.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GS35MFMEea5pdrFDq-m2g">
              <body>This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GSQ1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GSQ1cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GS35sFMEea5pdrFDq-m2g" name="sourcePatientInfo" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5GS36sFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5GTe8sFMEea5pdrFDq-m2g">
              <body>The Patient Information as known when the document was published. May be a reference to a version specific, or contained.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GTe8MFMEea5pdrFDq-m2g">
              <body>Patient demographics from source</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GS358FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GS36MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GUGAMFMEea5pdrFDq-m2g" name="related" type="_5GTe9MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5GUGBMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5GUGCsFMEea5pdrFDq-m2g">
              <body>Related identifiers or resources associated with the DocumentReference.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GUGCMFMEea5pdrFDq-m2g">
              <body>Related identifiers or resources</body>
            </ownedComment>
            <ownedComment xmi:id="_5GUGDMFMEea5pdrFDq-m2g">
              <body>May be identifiers or resources that caused the DocumentReference or referenced Document to be created.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GUGAcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GUGAsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5GTe9MFMEea5pdrFDq-m2g" name="Related">
            <generalization xmi:id="_5GTe9cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5GUGDsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5GUtE8FMEea5pdrFDq-m2g">
                <body>Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.</body>
              </ownedComment>
              <ownedComment xmi:id="_5GUtEcFMEea5pdrFDq-m2g">
                <body>Identifier of related objects or events</body>
              </ownedComment>
              <ownedComment xmi:id="_5GUtFcFMEea5pdrFDq-m2g">
                <body>Order numbers, accession numbers, XDW workflow numbers.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GUGD8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GUGEMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5GUtF8FMEea5pdrFDq-m2g" name="ref" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5GUtG8FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5GVUJcFMEea5pdrFDq-m2g">
                <body>Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.</body>
              </ownedComment>
              <ownedComment xmi:id="_5GVUI8FMEea5pdrFDq-m2g">
                <body>Related Resource</body>
              </ownedComment>
              <ownedComment xmi:id="_5GVUJ8FMEea5pdrFDq-m2g">
                <body>Order, DiagnosticRequest,  Procedure, EligibilityRequest, etc.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GUtGMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GUtGcFMEea5pdrFDq-m2g" value="1"/>
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          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
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        <ownedEnd xmi:id="_4qXJ0cFMEea5pdrFDq-m2g" type="_4qUtncFMEea5pdrFDq-m2g" association="_4qXJ0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4qXJ0sFMEea5pdrFDq-m2g" value="1"/>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46X7xsFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_46Yi1MFMEea5pdrFDq-m2g" memberEnd="_46Yi1cFMEea5pdrFDq-m2g _46Yi0MFMEea5pdrFDq-m2g">
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      <packagedElement xmi:type="uml:Association" xmi:id="_46ZJ4MFMEea5pdrFDq-m2g" memberEnd="_46ZJ4cFMEea5pdrFDq-m2g _46Yi3sFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46ZJ48FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_46dbWcFMEea5pdrFDq-m2g" memberEnd="_46dbWsFMEea5pdrFDq-m2g _46dbVcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46dbXMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_46f3ksFMEea5pdrFDq-m2g" memberEnd="_46f3k8FMEea5pdrFDq-m2g _46fQhsFMEea5pdrFDq-m2g">
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46f3lMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46f3lcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_46sE08FMEea5pdrFDq-m2g" memberEnd="_46sE1MFMEea5pdrFDq-m2g _46rdxcFMEea5pdrFDq-m2g">
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46sE1cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46sE1sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_46sE3cFMEea5pdrFDq-m2g" name="Encounter">
        <ownedComment xmi:id="_46tS8sFMEea5pdrFDq-m2g">
          <body>An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_46sr4sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Encounter Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_46tS8MFMEea5pdrFDq-m2g">
          <body>An interaction during which services are provided to the patient</body>
        </ownedComment>
        <generalization xmi:id="_46sr5MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_46tS9MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46tS-sFMEea5pdrFDq-m2g">
            <body>Identifier(s) by which this encounter is known.</body>
          </ownedComment>
          <ownedComment xmi:id="_46tS-MFMEea5pdrFDq-m2g">
            <body>Identifier(s) by which this encounter is known</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46tS9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46tS9sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46tS_MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46t6BcFMEea5pdrFDq-m2g">
            <body>planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error.</body>
          </ownedComment>
          <ownedComment xmi:id="_46t6A8FMEea5pdrFDq-m2g">
            <body>planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46tS_cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46tS_sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46uhE8FMEea5pdrFDq-m2g" name="statusHistory" type="_46uhEMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_46uhF8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46vIIsFMEea5pdrFDq-m2g">
            <body>The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.</body>
          </ownedComment>
          <ownedComment xmi:id="_46vIIMFMEea5pdrFDq-m2g">
            <body>List of past encounter statuses</body>
          </ownedComment>
          <ownedComment xmi:id="_46vIJMFMEea5pdrFDq-m2g">
            <body>The current status is always found in the current version of the resource, not the status history.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46uhFMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46uhFcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46wWQMFMEea5pdrFDq-m2g" name="class" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46w9UsFMEea5pdrFDq-m2g">
            <body>inpatient | outpatient | ambulatory | emergency +.</body>
          </ownedComment>
          <ownedComment xmi:id="_46w9UMFMEea5pdrFDq-m2g">
            <body>inpatient | outpatient | ambulatory | emergency +</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46wWQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46wWQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46w9VMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46xkYsFMEea5pdrFDq-m2g">
            <body>Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).</body>
          </ownedComment>
          <ownedComment xmi:id="_46xkYMFMEea5pdrFDq-m2g">
            <body>Specific type of encounter</body>
          </ownedComment>
          <ownedComment xmi:id="_46xkZMFMEea5pdrFDq-m2g">
            <body>Since there are many ways to further classify encounters, this element is 0..*.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46w9VcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46w9VsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46xkZsFMEea5pdrFDq-m2g" name="priority" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46yLdMFMEea5pdrFDq-m2g">
            <body>Indicates the urgency of the encounter.</body>
          </ownedComment>
          <ownedComment xmi:id="_46yLcsFMEea5pdrFDq-m2g">
            <body>Indicates the urgency of the encounter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46xkZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46xkaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46yLdsFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_46yygcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46yyh8FMEea5pdrFDq-m2g">
            <body>The patient present at the encounter.</body>
          </ownedComment>
          <ownedComment xmi:id="_46yyhcFMEea5pdrFDq-m2g">
            <body>The patient present at the encounter</body>
          </ownedComment>
          <ownedComment xmi:id="_46yyicFMEea5pdrFDq-m2g">
            <body>While the encounter is always about the patient, the patient may not actually be known in all contexts of use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46yLd8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46yLeMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FxTccFMEea5pdrFDq-m2g" name="participant" type="_5FwsbMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FxTdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Fx6hcFMEea5pdrFDq-m2g">
            <body>The list of people responsible for providing the service.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Fx6g8FMEea5pdrFDq-m2g">
            <body>List of participants involved in the encounter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FxTcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FxTc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FzvvMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5F0WxcFMEea5pdrFDq-m2g">
            <body>The start and end time of the encounter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5F0Ww8FMEea5pdrFDq-m2g">
            <body>The start and end time of the encounter</body>
          </ownedComment>
          <ownedComment xmi:id="_5F0Wx8FMEea5pdrFDq-m2g">
            <body>If not (yet) known, the end of the Period may be omitted.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F0WwMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F0WwcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5F0WycFMEea5pdrFDq-m2g" name="length" type="_4k6pIMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5F0Wz8FMEea5pdrFDq-m2g">
            <body>Quantity of time the encounter lasted. This excludes the time during leaves of absence.</body>
          </ownedComment>
          <ownedComment xmi:id="_5F0WzcFMEea5pdrFDq-m2g">
            <body>Quantity of time the encounter lasted (less time absent)</body>
          </ownedComment>
          <ownedComment xmi:id="_5F090MFMEea5pdrFDq-m2g">
            <body>May differ from the time the Encounter.period lasted because of leave of absence.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F0WysFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F0Wy8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5F090sFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5F1k4cFMEea5pdrFDq-m2g">
            <body>Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.</body>
          </ownedComment>
          <ownedComment xmi:id="_5F0918FMEea5pdrFDq-m2g">
            <body>Reason the encounter takes place (code)</body>
          </ownedComment>
          <ownedComment xmi:id="_5F1k48FMEea5pdrFDq-m2g">
            <body>For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F0908FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F091MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GAkAcFMEea5pdrFDq-m2g" name="location" type="_5F_8-MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5GAkBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GAkC8FMEea5pdrFDq-m2g">
            <body>List of locations where  the patient has been during this encounter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GAkCcFMEea5pdrFDq-m2g">
            <body>List of locations where the patient has been</body>
          </ownedComment>
          <ownedComment xmi:id="_5GAkDcFMEea5pdrFDq-m2g">
            <body>Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type &quot;kind&quot; such as &quot;client's home&quot; and an encounter.class = &quot;virtual&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GAkAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GAkA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GDAQMFMEea5pdrFDq-m2g" name="serviceProvider" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5GDARMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GDASsFMEea5pdrFDq-m2g">
            <body>An organization that is in charge of maintaining the information of this Encounter (e.g. who maintains the report or the master service catalog item, etc.). This MAY be the same as the organization on the Patient record, however it could be different. This MAY not be not the Service Delivery Location's Organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GDASMFMEea5pdrFDq-m2g">
            <body>The custodian organization of this Encounter record</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GDAQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GDAQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GDATMFMEea5pdrFDq-m2g" name="partOf" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5GDnUsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GDnWMFMEea5pdrFDq-m2g">
            <body>Another Encounter of which this encounter is a part of (administratively or in time).</body>
          </ownedComment>
          <ownedComment xmi:id="_5GDnVsFMEea5pdrFDq-m2g">
            <body>Another Encounter this encounter is part of</body>
          </ownedComment>
          <ownedComment xmi:id="_5GDnWsFMEea5pdrFDq-m2g">
            <body>This is also used for associating a child's encounter back to the mother's encounter.  Refer to the Notes section in the Patient resource for further details.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GDATcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GDnUMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_46uhEMFMEea5pdrFDq-m2g" name="StatusHistory">
          <generalization xmi:id="_46uhEcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_46vIJsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_46vvMsFMEea5pdrFDq-m2g">
              <body>planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error.</body>
            </ownedComment>
            <ownedComment xmi:id="_46vvMMFMEea5pdrFDq-m2g">
              <body>planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46vIJ8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46vIKMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_46vvNMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_46vvOsFMEea5pdrFDq-m2g">
              <body>The time that the episode was in the specified status.</body>
            </ownedComment>
            <ownedComment xmi:id="_46vvOMFMEea5pdrFDq-m2g">
              <body>The time that the episode was in the specified status</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46vvNcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46vvNsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5FwsbMFMEea5pdrFDq-m2g" name="Participant">
          <generalization xmi:id="_5FwsbcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Fx6h8FMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FyhksFMEea5pdrFDq-m2g">
              <body>Role of participant in encounter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FyhkMFMEea5pdrFDq-m2g">
              <body>Role of participant in encounter</body>
            </ownedComment>
            <ownedComment xmi:id="_5FyhlMFMEea5pdrFDq-m2g">
              <body>The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fx6iMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fx6icFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FyhlsFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FyhnMFMEea5pdrFDq-m2g">
              <body>The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FyhmsFMEea5pdrFDq-m2g">
              <body>Period of time during the encounter that the participant participated</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fyhl8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FyhmMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FzIoMFMEea5pdrFDq-m2g" name="individual" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FzIpMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5FzIqsFMEea5pdrFDq-m2g">
              <body>Persons involved in the encounter other than the patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FzIqMFMEea5pdrFDq-m2g">
              <body>Persons involved in the encounter other than the patient</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FzIocFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FzIosFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5F3aEMFMEea5pdrFDq-m2g" name="Hospitalization">
          <generalization xmi:id="_5F3aEcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5F4BKcFMEea5pdrFDq-m2g" name="preAdmissionIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F4oM8FMEea5pdrFDq-m2g">
              <body>Pre-admission identifier.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F4oMcFMEea5pdrFDq-m2g">
              <body>Pre-admission identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F4BKsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F4BK8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F4oNcFMEea5pdrFDq-m2g" name="origin" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5F4oOcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5F4oP8FMEea5pdrFDq-m2g">
              <body>The location from which the patient came before admission.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F4oPcFMEea5pdrFDq-m2g">
              <body>The location from which the patient came before admission</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F4oNsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F4oN8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F5PQcFMEea5pdrFDq-m2g" name="admitSource" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F52UsFMEea5pdrFDq-m2g">
              <body>From where patient was admitted (physician referral, transfer).</body>
            </ownedComment>
            <ownedComment xmi:id="_5F52UMFMEea5pdrFDq-m2g">
              <body>From where patient was admitted (physician referral, transfer)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F5PQsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F5PQ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F52VMFMEea5pdrFDq-m2g" name="admittingDiagnosis" type="_463D9sFMEea5pdrFDq-m2g" isOrdered="true" association="_5F52WMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5F6dYMFMEea5pdrFDq-m2g">
              <body>The admitting diagnosis field is used to record the diagnosis codes as reported by admitting practitioner. This could be different or in addition to the conditions reported as reason-condition(s) for the encounter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F52XMFMEea5pdrFDq-m2g">
              <body>The admitting diagnosis as reported by admitting practitioner</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F52VcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F52VsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F6dYsFMEea5pdrFDq-m2g" name="reAdmission" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F7EcsFMEea5pdrFDq-m2g">
              <body>Whether this hospitalization is a readmission and why if known.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F7EcMFMEea5pdrFDq-m2g">
              <body>The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F6dY8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F6dZMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F7EdMFMEea5pdrFDq-m2g" name="dietPreference" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F7rgsFMEea5pdrFDq-m2g">
              <body>Diet preferences reported by the patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F7rgMFMEea5pdrFDq-m2g">
              <body>Diet preferences reported by the patient</body>
            </ownedComment>
            <ownedComment xmi:id="_5F7rhMFMEea5pdrFDq-m2g">
              <body>For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).</body>
            </ownedComment>
            <ownedComment xmi:id="_5F7rhsFMEea5pdrFDq-m2g">
              <body>Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F7EdcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F7EdsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F7riMFMEea5pdrFDq-m2g" name="specialCourtesy" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F9gssFMEea5pdrFDq-m2g">
              <body>Special courtesies (VIP, board member).</body>
            </ownedComment>
            <ownedComment xmi:id="_5F9gsMFMEea5pdrFDq-m2g">
              <body>Special courtesies (VIP, board member)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F7ricFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F7risFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F9gtMFMEea5pdrFDq-m2g" name="specialArrangement" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F-Hw8FMEea5pdrFDq-m2g">
              <body>Wheelchair, translator, stretcher, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F-HwcFMEea5pdrFDq-m2g">
              <body>Wheelchair, translator, stretcher, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F9gtcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F9gtsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F-HxcFMEea5pdrFDq-m2g" name="destination" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5F-u0MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5F-u1sFMEea5pdrFDq-m2g">
              <body>Location to which the patient is discharged.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F-u1MFMEea5pdrFDq-m2g">
              <body>Location to which the patient is discharged</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F-HxsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F-Hx8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F-u2MFMEea5pdrFDq-m2g" name="dischargeDisposition" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5F_V5MFMEea5pdrFDq-m2g">
              <body>Category or kind of location after discharge.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F_V4sFMEea5pdrFDq-m2g">
              <body>Category or kind of location after discharge</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F-u2cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F-u2sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5F_V5sFMEea5pdrFDq-m2g" name="dischargeDiagnosis" type="_463D9sFMEea5pdrFDq-m2g" isOrdered="true" association="_5F_88MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5F_89sFMEea5pdrFDq-m2g">
              <body>The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete.</body>
            </ownedComment>
            <ownedComment xmi:id="_5F_89MFMEea5pdrFDq-m2g">
              <body>The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5F_V58FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5F_V6MFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5F_8-MFMEea5pdrFDq-m2g" name="Location">
          <generalization xmi:id="_5F_8-cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5GBLEMFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5GBLFMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5GBLGsFMEea5pdrFDq-m2g">
              <body>The location where the encounter takes place.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GBLGMFMEea5pdrFDq-m2g">
              <body>Location the encounter takes place</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GBLEcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GBLEsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GBLHMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GByJcFMEea5pdrFDq-m2g">
              <body>The status of the participants' presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GByI8FMEea5pdrFDq-m2g">
              <body>planned | active | reserved | completed</body>
            </ownedComment>
            <ownedComment xmi:id="_5GCZMMFMEea5pdrFDq-m2g">
              <body>When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GBLHcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GBLHsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5GCZMsFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GCZOMFMEea5pdrFDq-m2g">
              <body>Time period during which the patient was present at the location.</body>
            </ownedComment>
            <ownedComment xmi:id="_5GCZNsFMEea5pdrFDq-m2g">
              <body>Time period during which the patient was present at the location</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GCZM8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GCZNMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_46uhF8FMEea5pdrFDq-m2g" memberEnd="_46uhGMFMEea5pdrFDq-m2g _46uhE8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_46uhGMFMEea5pdrFDq-m2g" type="_46sE3cFMEea5pdrFDq-m2g" association="_46uhF8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46uhGcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46uhGsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_46yygcFMEea5pdrFDq-m2g" memberEnd="_46yygsFMEea5pdrFDq-m2g _46yLdsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_46yygsFMEea5pdrFDq-m2g" type="_46sE3cFMEea5pdrFDq-m2g" association="_46yygcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46yyg8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46yyhMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_46yyi8FMEea5pdrFDq-m2g" name="EpisodeOfCare">
        <ownedComment xmi:id="_46zZl8FMEea5pdrFDq-m2g">
          <body>An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.</body>
        </ownedComment>
        <ownedComment xmi:id="_46zZksFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for EpisodeOfCare Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_46zZlcFMEea5pdrFDq-m2g">
          <body>An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility</body>
        </ownedComment>
        <generalization xmi:id="_46zZlMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_460AocFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_460Ap8FMEea5pdrFDq-m2g">
            <body>Identifier(s) by which this EpisodeOfCare is known.</body>
          </ownedComment>
          <ownedComment xmi:id="_460ApcFMEea5pdrFDq-m2g">
            <body>Identifier(s) for the EpisodeOfCare</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_460AosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_460Ao8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_460AqcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_460ntcFMEea5pdrFDq-m2g">
            <body>planned | waitlist | active | onhold | finished | cancelled.</body>
          </ownedComment>
          <ownedComment xmi:id="_460ns8FMEea5pdrFDq-m2g">
            <body>planned | waitlist | active | onhold | finished | cancelled | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_460AqsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_460Aq8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_461OwcFMEea5pdrFDq-m2g" name="statusHistory" type="_460nt8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_461OxcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_461Oy8FMEea5pdrFDq-m2g">
            <body>The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).</body>
          </ownedComment>
          <ownedComment xmi:id="_461OycFMEea5pdrFDq-m2g">
            <body>Past list of status codes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_461OwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_461Ow8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_462c6MFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_463D8sFMEea5pdrFDq-m2g">
            <body>A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.</body>
          </ownedComment>
          <ownedComment xmi:id="_463D8MFMEea5pdrFDq-m2g">
            <body>Type/class  - e.g. specialist referral, disease management</body>
          </ownedComment>
          <ownedComment xmi:id="_463D9MFMEea5pdrFDq-m2g">
            <body>The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_462c6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_462c6sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EF4fMFMEea5pdrFDq-m2g" name="condition" type="_463D9sFMEea5pdrFDq-m2g" isOrdered="true" association="_5EGfgcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EGfh8FMEea5pdrFDq-m2g">
            <body>A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EGfhcFMEea5pdrFDq-m2g">
            <body>Conditions/problems/diagnoses this episode of care is for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EF4fcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EF4fsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EGficFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5EGfjcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EHGk8FMEea5pdrFDq-m2g">
            <body>The patient that this EpisodeOfCare applies to.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EHGkcFMEea5pdrFDq-m2g">
            <body>Patient for this episode of care</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EGfisFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EGfi8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EHGlcFMEea5pdrFDq-m2g" name="managingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5EHGmcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EHGn8FMEea5pdrFDq-m2g">
            <body>The organization that has assumed the specific responsibilities for the specified duration.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EHGncFMEea5pdrFDq-m2g">
            <body>Organization that assumes care</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EHGlsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EHGl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EHtoMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EHtpsFMEea5pdrFDq-m2g">
            <body>The interval during which the managing organization assumes the defined responsibility.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EHtpMFMEea5pdrFDq-m2g">
            <body>Interval during responsibility is assumed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EHtocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EHtosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EHtqMFMEea5pdrFDq-m2g" name="referralRequest" type="_49Q3t8FMEea5pdrFDq-m2g" isOrdered="true" association="_5EHtrMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EIUssFMEea5pdrFDq-m2g">
            <body>Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EIUsMFMEea5pdrFDq-m2g">
            <body>Originating Referral Request(s)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EHtqcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EHtqsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EIUtMFMEea5pdrFDq-m2g" name="careManager" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5EIUuMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EIUvsFMEea5pdrFDq-m2g">
            <body>The practitioner that is the care manager/care co-ordinator for this patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EIUvMFMEea5pdrFDq-m2g">
            <body>Care manager/care co-ordinator for the patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EIUtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EIUtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EI7wMFMEea5pdrFDq-m2g" name="team" type="_49aBoMFMEea5pdrFDq-m2g" isOrdered="true" association="_5EI7xMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EI7ysFMEea5pdrFDq-m2g">
            <body>The list of practitioners that may be facilitating this episode of care for specific purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EI7yMFMEea5pdrFDq-m2g">
            <body>Other practitioners facilitating this episode of care</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EI7wcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EI7wsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FveRMFMEea5pdrFDq-m2g" name="account" type="_5EI7zMFMEea5pdrFDq-m2g" isOrdered="true" association="_5FveSMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FveTsFMEea5pdrFDq-m2g">
            <body>The set of accounts that may be used for billing for this EpisodeOfCare.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FveTMFMEea5pdrFDq-m2g">
            <body>The set of accounts that may be used for billing for this EpisodeOfCare</body>
          </ownedComment>
          <ownedComment xmi:id="_5FwFUcFMEea5pdrFDq-m2g">
            <body>The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FveRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FveRsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_460nt8FMEea5pdrFDq-m2g" name="StatusHistory">
          <generalization xmi:id="_460nuMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_46110cFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_46112MFMEea5pdrFDq-m2g">
              <body>planned | waitlist | active | onhold | finished | cancelled.</body>
            </ownedComment>
            <ownedComment xmi:id="_46111sFMEea5pdrFDq-m2g">
              <body>planned | waitlist | active | onhold | finished | cancelled | entered-in-error</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46110sFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_461108FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_462c4MFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_462c5sFMEea5pdrFDq-m2g">
              <body>The period during this EpisodeOfCare that the specific status applied.</body>
            </ownedComment>
            <ownedComment xmi:id="_462c5MFMEea5pdrFDq-m2g">
              <body>Period for the status</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_462c4cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_462c4sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_461OxcFMEea5pdrFDq-m2g" memberEnd="_461OxsFMEea5pdrFDq-m2g _461OwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_461OxsFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_461OxcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_461Ox8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_461OyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_463D9sFMEea5pdrFDq-m2g" name="Condition">
        <ownedComment xmi:id="_465gN8FMEea5pdrFDq-m2g">
          <body>Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a diagnosis during an encounter; populating a problem list or a summary statement, such as a discharge summary.</body>
        </ownedComment>
        <ownedComment xmi:id="_465gMsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Condition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_465gNcFMEea5pdrFDq-m2g">
          <body>Detailed information about conditions, problems or diagnoses</body>
        </ownedComment>
        <ownedRule xmi:id="_463D98FMEea5pdrFDq-m2g" name="con-4" constrainedElement="_463D9sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_463D-MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>xpath: not(f:abatementBoolean='true' or (not(exists(f:abatementBoolean)) and exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_463rAcFMEea5pdrFDq-m2g" name="con-3" constrainedElement="_463D9sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_463rAsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_464SEMFMEea5pdrFDq-m2g" name="con-1" constrainedElement="_47CqJcFMEea5pdrFDq-m2g _47DRO8FMEea5pdrFDq-m2g _5EC1JsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_464SEcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:summary) or exists(f:assessment)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_464SE8FMEea5pdrFDq-m2g" name="con-2" constrainedElement="_5EEDQcFMEea5pdrFDq-m2g _5EEqUMFMEea5pdrFDq-m2g _5EFRZMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_464SFMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:code) or exists(f:detail)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_465gNMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_465gOcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_466HQsFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_466HQMFMEea5pdrFDq-m2g">
            <body>External Ids for this condition</body>
          </ownedComment>
          <ownedComment xmi:id="_466HRMFMEea5pdrFDq-m2g">
            <body>Need to allow connection to a wider workflow.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_465gOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_465gO8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_466HRsFMEea5pdrFDq-m2g" name="clinicalStatus" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_466uVMFMEea5pdrFDq-m2g">
            <body>The clinical status of the condition.</body>
          </ownedComment>
          <ownedComment xmi:id="_466uUsFMEea5pdrFDq-m2g">
            <body>active | recurrence | inactive | remission | resolved</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_466HR8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_466HSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_466uVsFMEea5pdrFDq-m2g" name="verificationStatus" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_467VZcFMEea5pdrFDq-m2g">
            <body>The verification status to support the clinical status of the condition.</body>
          </ownedComment>
          <ownedComment xmi:id="_467VY8FMEea5pdrFDq-m2g">
            <body>provisional | differential | confirmed | refuted | entered-in-error | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_467VZ8FMEea5pdrFDq-m2g">
            <body>verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_466uV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_466uWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4678ccFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_468jgsFMEea5pdrFDq-m2g">
            <body>A category assigned to the condition.</body>
          </ownedComment>
          <ownedComment xmi:id="_468jgMFMEea5pdrFDq-m2g">
            <body>problem-list-item | encounter-diagnosis</body>
          </ownedComment>
          <ownedComment xmi:id="_468jhMFMEea5pdrFDq-m2g">
            <body>The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4678csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4678c8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_468jhsFMEea5pdrFDq-m2g" name="severity" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_469xpMFMEea5pdrFDq-m2g">
            <body>A subjective assessment of the severity of the condition as evaluated by the clinician.</body>
          </ownedComment>
          <ownedComment xmi:id="_469xosFMEea5pdrFDq-m2g">
            <body>Subjective severity of condition</body>
          </ownedComment>
          <ownedComment xmi:id="_469xpsFMEea5pdrFDq-m2g">
            <body>Coding of the severity with a terminology is preferred, where possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_468jh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_468jiMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_469xqMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46-_wsFMEea5pdrFDq-m2g">
            <body>Identification of the condition, problem or diagnosis.</body>
          </ownedComment>
          <ownedComment xmi:id="_46-_wMFMEea5pdrFDq-m2g">
            <body>Identification of the condition, problem or diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_469xqcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_469xqsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46-_xMFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_46_m0cFMEea5pdrFDq-m2g">
            <body>The anatomical location where this condition manifests itself.</body>
          </ownedComment>
          <ownedComment xmi:id="_46-_ycFMEea5pdrFDq-m2g">
            <body>Anatomical location, if relevant</body>
          </ownedComment>
          <ownedComment xmi:id="_46_m08FMEea5pdrFDq-m2g">
            <body>Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](extension-body-site-instance.html).  May be a summary code, or a reference to a very precise definition of the location, or both.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46-_xcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46-_xsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_46_m1cFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_46_m2cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_46_m38FMEea5pdrFDq-m2g">
            <body>Indicates the patient or group who the condition record is associated with.</body>
          </ownedComment>
          <ownedComment xmi:id="_46_m3cFMEea5pdrFDq-m2g">
            <body>Who has the condition?</body>
          </ownedComment>
          <ownedComment xmi:id="_47AN4MFMEea5pdrFDq-m2g">
            <body>Group is typically used for veterinary or public health use cases.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46_m1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46_m18FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47AN48FMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47AN58FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47AN7cFMEea5pdrFDq-m2g">
            <body>Encounter during which the condition was first asserted.</body>
          </ownedComment>
          <ownedComment xmi:id="_47AN68FMEea5pdrFDq-m2g">
            <body>Encounter when condition first asserted</body>
          </ownedComment>
          <ownedComment xmi:id="_47AN78FMEea5pdrFDq-m2g">
            <body>This record indicates the encounter this particular record is associated with.  In the case of a &quot;new&quot; diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first &quot;known&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47AN5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47AN5cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47A08cFMEea5pdrFDq-m2g" name="onset[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47A098FMEea5pdrFDq-m2g">
            <body>Estimated or actual date or date-time  the condition began, in the opinion of the clinician.</body>
          </ownedComment>
          <ownedComment xmi:id="_47A09cFMEea5pdrFDq-m2g">
            <body>Estimated or actual date,  date-time, or age</body>
          </ownedComment>
          <ownedComment xmi:id="_47A0-cFMEea5pdrFDq-m2g">
            <body>Age is generally used when the patient reports an age at which the Condition began to occur.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47A08sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47A088FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47BcAMFMEea5pdrFDq-m2g" name="abatement[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47BcBsFMEea5pdrFDq-m2g">
            <body>The date or estimated date that the condition resolved or went into remission. This is called &quot;abatement&quot; because of the many overloaded connotations associated with &quot;remission&quot; or &quot;resolution&quot; - Conditions are never really resolved, but they can abate.</body>
          </ownedComment>
          <ownedComment xmi:id="_47BcBMFMEea5pdrFDq-m2g">
            <body>If/when in resolution/remission</body>
          </ownedComment>
          <ownedComment xmi:id="_47BcCMFMEea5pdrFDq-m2g">
            <body>There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.  When abatementString exists, it implies the condition is abated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47BcAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47BcAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47BcC8FMEea5pdrFDq-m2g" name="assertedDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47CDE8FMEea5pdrFDq-m2g">
            <body>The date on which the existance of the Condition was first asserted or acknowledged.</body>
          </ownedComment>
          <ownedComment xmi:id="_47CDEcFMEea5pdrFDq-m2g">
            <body>Date record was believed accurate</body>
          </ownedComment>
          <ownedComment xmi:id="_47CDFcFMEea5pdrFDq-m2g">
            <body>The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified.  The date of the last record modification can be retrieved from the resource metadata.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47BcDMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47BcDcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47CDF8FMEea5pdrFDq-m2g" name="asserter" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47CDG8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47CDIcFMEea5pdrFDq-m2g">
            <body>Individual who is making the condition statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_47CDH8FMEea5pdrFDq-m2g">
            <body>Person who asserts this condition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47CDGMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47CDGcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47CqJcFMEea5pdrFDq-m2g" name="stage" type="_47CqIsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_47DRM8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47DROcFMEea5pdrFDq-m2g">
            <body>Clinical stage or grade of a condition. May include formal severity assessments.</body>
          </ownedComment>
          <ownedComment xmi:id="_47DRN8FMEea5pdrFDq-m2g">
            <body>Stage/grade, usually assessed formally</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47DRMMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47DRMcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EEDQcFMEea5pdrFDq-m2g" name="evidence" type="_5EDcM8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5EEDRcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EEDS8FMEea5pdrFDq-m2g">
            <body>Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EEDScFMEea5pdrFDq-m2g">
            <body>Supporting evidence</body>
          </ownedComment>
          <ownedComment xmi:id="_5EEDTcFMEea5pdrFDq-m2g">
            <body>The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EEDQsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EEDQ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EF4dMFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EF4esFMEea5pdrFDq-m2g">
            <body>Additional information about the Condition. This is a general notes/comments entry  for description of the Condition, its diagnosis and prognosis.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EF4eMFMEea5pdrFDq-m2g">
            <body>Additional information about the Condition</body>
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              <body>A simple summary of the stage such as &quot;Stage 3&quot;. The determination of the stage is disease-specific.</body>
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            <ownedComment xmi:id="_47D4QsFMEea5pdrFDq-m2g">
              <body>Simple summary (disease specific)</body>
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            <ownedComment xmi:id="_5EDcMMFMEea5pdrFDq-m2g">
              <body>Reference to a formal record of the evidence on which the staging assessment is based.</body>
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            <ownedComment xmi:id="_5EC1LsFMEea5pdrFDq-m2g">
              <body>Formal record of assessment</body>
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              <body>A manifestation or symptom that led to the recording of this condition.</body>
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              <body>Manifestation/symptom</body>
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              <body>Links to other relevant information, including pathology reports.</body>
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              <body>Supporting information found elsewhere</body>
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          <body>A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,  but this varies greatly depending on the clinical workflow. This resource is called &quot;ClinicalImpression&quot; rather than &quot;ClinicalAssessment&quot; to avoid confusion with the recording of assessment tools such as Apgar score.</body>
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        <ownedComment xmi:id="_47EfUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ClinicalImpression Resource</body>
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        <ownedComment xmi:id="_47FGYcFMEea5pdrFDq-m2g">
          <body>A clinical assessment performed when planning treatments and management strategies for a patient</body>
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            <body>A unique identifier assigned to the clinical impression that remains consistent regardless of what server the impression is stored on.</body>
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          <ownedComment xmi:id="_47FGacFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
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            <body>Identifies the workflow status of the assessment.</body>
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          <ownedComment xmi:id="_47FtdMFMEea5pdrFDq-m2g">
            <body>draft | completed | entered-in-error</body>
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          <ownedComment xmi:id="_47GUiMFMEea5pdrFDq-m2g">
            <body>Categorizes the type of clinical assessment performed.</body>
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          <ownedComment xmi:id="_47GUhsFMEea5pdrFDq-m2g">
            <body>Kind of assessment performed</body>
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          <ownedComment xmi:id="_47GUisFMEea5pdrFDq-m2g">
            <body>This is present as a place-holder only and may be removed based on feedback/work group opinion.</body>
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            <body>A summary of the context and/or cause of the assessment - why / where was it peformed, and what patient events/status prompted it.</body>
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          <ownedComment xmi:id="_47G7lMFMEea5pdrFDq-m2g">
            <body>Why/how the assessment was performed</body>
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        <ownedAttribute xmi:id="_47G7mMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47G7nMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47HiocFMEea5pdrFDq-m2g">
            <body>The patient or group of individuals assessed as part of this record.</body>
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          <ownedComment xmi:id="_47G7oMFMEea5pdrFDq-m2g">
            <body>Patient or group assessed</body>
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          <ownedComment xmi:id="_47Hio8FMEea5pdrFDq-m2g">
            <body>Group is typically for veterinary and/or public health purposes.</body>
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        <ownedAttribute xmi:id="_47HipsFMEea5pdrFDq-m2g" name="assessor" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_47IJsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47IJtsFMEea5pdrFDq-m2g">
            <body>The clinician performing the assessment.</body>
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          <ownedComment xmi:id="_47IJtMFMEea5pdrFDq-m2g">
            <body>The clinician performing the assessment</body>
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        <ownedAttribute xmi:id="_47IJuMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>Indicates when the documentation of the assessment was complete.</body>
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          <ownedComment xmi:id="_47IJvMFMEea5pdrFDq-m2g">
            <body>When the assessment was documented</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47IJucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47IJusFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_47IwwMFMEea5pdrFDq-m2g" name="effective[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>The point in time or period over which the subject was assessed.</body>
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          <ownedComment xmi:id="_47IwxMFMEea5pdrFDq-m2g">
            <body>Time of assessment</body>
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          <ownedComment xmi:id="_47IwyMFMEea5pdrFDq-m2g">
            <body>This SHOULD be accurate to at least the minute, though some assessments only have a known date.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47IwwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47IwwsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_47JX0MFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47JX1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47JX2sFMEea5pdrFDq-m2g">
            <body>The encounter or episode of care this impression was created as part of.</body>
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          <ownedComment xmi:id="_47JX2MFMEea5pdrFDq-m2g">
            <body>Encounter or Episode created from</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47JX0cFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_47JX3cFMEea5pdrFDq-m2g" name="previous" type="_47D4RsFMEea5pdrFDq-m2g" isOrdered="true" association="_47J-4cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47J-58FMEea5pdrFDq-m2g">
            <body>A reference to the last assesment that was conducted bon this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.</body>
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          <ownedComment xmi:id="_47J-5cFMEea5pdrFDq-m2g">
            <body>Reference to last assessment</body>
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          <ownedComment xmi:id="_47J-6cFMEea5pdrFDq-m2g">
            <body>It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).</body>
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        <ownedAttribute xmi:id="_47bEqMFMEea5pdrFDq-m2g" name="problem" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47bErMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47brssFMEea5pdrFDq-m2g">
            <body>This a list of the relevant problems/conditions for a patient.</body>
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          <ownedComment xmi:id="_47brsMFMEea5pdrFDq-m2g">
            <body>Relevant impressions of patient state</body>
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          <ownedComment xmi:id="_47brtMFMEea5pdrFDq-m2g">
            <body>e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin.</body>
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        <ownedAttribute xmi:id="_47cSwcFMEea5pdrFDq-m2g" name="investigation" type="_47brt8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_47cSxcFMEea5pdrFDq-m2g">
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            <body>One or more sets of investigations (signs, symptions, etc.). The actual grouping of investigations vary greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.</body>
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          <ownedComment xmi:id="_47cSycFMEea5pdrFDq-m2g">
            <body>One or more sets of investigations (signs, symptions, etc.)</body>
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            <body>Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.</body>
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          <ownedComment xmi:id="_5DkUCcFMEea5pdrFDq-m2g">
            <body>Clinical Protocol followed</body>
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        <ownedAttribute xmi:id="_5Dk7EMFMEea5pdrFDq-m2g" name="summary" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Dk7FsFMEea5pdrFDq-m2g">
            <body>A text summary of the investigations and the diagnosis.</body>
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          <ownedComment xmi:id="_5Dk7FMFMEea5pdrFDq-m2g">
            <body>Summary of the assessment</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Dk7EcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Dk7EsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_5DliK8FMEea5pdrFDq-m2g">
            <body>Specific findings or diagnoses that was considered likely or relevant to ongoing treatment.</body>
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          <ownedComment xmi:id="_5DliKcFMEea5pdrFDq-m2g">
            <body>Possible or likely findings and diagnoses</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DliIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DliI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5D_KwMFMEea5pdrFDq-m2g" name="prognosisCodeableConcept" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EAY4MFMEea5pdrFDq-m2g">
            <body>Estimate of likely outcome.</body>
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          <ownedComment xmi:id="_5D_x08FMEea5pdrFDq-m2g">
            <body>Estimate of likely outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5D_KwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5D_KwsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EAY4sFMEea5pdrFDq-m2g" name="prognosisReference" type="_4--u_MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EA_8MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EA_9sFMEea5pdrFDq-m2g">
            <body>RiskAssessment expressing likely outcome.</body>
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          <ownedComment xmi:id="_5EA_9MFMEea5pdrFDq-m2g">
            <body>RiskAssessment expressing likely outcome</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EAY48FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EAY5MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EBnAMFMEea5pdrFDq-m2g" name="action" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EBnBMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EBnCsFMEea5pdrFDq-m2g">
            <body>Action taken as part of assessment procedure.</body>
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          <ownedComment xmi:id="_5EBnCMFMEea5pdrFDq-m2g">
            <body>Action taken as part of assessment procedure</body>
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          <ownedComment xmi:id="_5ECOEMFMEea5pdrFDq-m2g">
            <body>Actions recommended as a result of the impression should not be captured using the 'action' element.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EBnAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EBnAsFMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5ECOE8FMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EC1IsFMEea5pdrFDq-m2g">
            <body>Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.</body>
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          <ownedComment xmi:id="_5EC1IMFMEea5pdrFDq-m2g">
            <body>Comments made about the ClinicalImpression</body>
          </ownedComment>
          <ownedComment xmi:id="_5EC1JMFMEea5pdrFDq-m2g">
            <body>Don't use this element for content that should more properly appear as one of the specific elements of the impression.</body>
          </ownedComment>
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              <body>A name/code for the group (&quot;set&quot;) of investigations. Typically, this will be something like &quot;signs&quot;, &quot;symptoms&quot;, &quot;clinical&quot;, &quot;diagnostic&quot;, but the list is not constrained, and others such groups such as (exposure|family|travel|nutitirional) history may be used.</body>
            </ownedComment>
            <ownedComment xmi:id="_47dg5MFMEea5pdrFDq-m2g">
              <body>A name/code for the set</body>
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              <body>A record of a specific investigation that was undertaken.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Djs_cFMEea5pdrFDq-m2g">
              <body>Record of a specific investigation</body>
            </ownedComment>
            <ownedComment xmi:id="_5DkUAsFMEea5pdrFDq-m2g">
              <body>Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used.</body>
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              <body>Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions.</body>
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              <body>What was found</body>
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              <body>Which investigations support finding or diagnosis.</body>
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              <body>Which investigations support finding</body>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_47J-68FMEea5pdrFDq-m2g" name="AllergyIntolerance">
        <ownedComment xmi:id="_47L0GMFMEea5pdrFDq-m2g">
          <body>Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.</body>
        </ownedComment>
        <ownedComment xmi:id="_47L0EcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for AllergyIntolerance Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_47L0E8FMEea5pdrFDq-m2g">
          <body>To record a clinical assessment of a propensity, or potential risk to an individual, of an adverse reaction upon future exposure to the specified substance, or class of substance.</body>
        </ownedComment>
        <ownedComment xmi:id="_47L0FsFMEea5pdrFDq-m2g">
          <body>Allergy or Intolerance (generally: Risk of adverse reaction to a substance)</body>
        </ownedComment>
        <ownedComment xmi:id="_47L0GsFMEea5pdrFDq-m2g">
          <body>Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.</body>
        </ownedComment>
        <ownedRule xmi:id="_47J-7MFMEea5pdrFDq-m2g" name="ait-1" constrainedElement="_47J-68FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_47J-7cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_47Kl8cFMEea5pdrFDq-m2g" name="ait-2" constrainedElement="_47J-68FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_47Kl8sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:verificationStatus/@value!='entered-in-error' or not(exists(f:clinicalStatus))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_47L0FcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_47L0HMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47MbJMFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this allergy/intolerance concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_47MbIsFMEea5pdrFDq-m2g">
            <body>External ids for this item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47L0HcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47MbIMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47MbJsFMEea5pdrFDq-m2g" name="clinicalStatus" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47NCNMFMEea5pdrFDq-m2g">
            <body>The clinical status of the allergy or intolerance.</body>
          </ownedComment>
          <ownedComment xmi:id="_47NCMsFMEea5pdrFDq-m2g">
            <body>active | inactive | resolved</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47MbJ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47MbKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47NCNsFMEea5pdrFDq-m2g" name="verificationStatus" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47NpRcFMEea5pdrFDq-m2g">
            <body>Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).</body>
          </ownedComment>
          <ownedComment xmi:id="_47NpQ8FMEea5pdrFDq-m2g">
            <body>unconfirmed | confirmed | refuted | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_47NpR8FMEea5pdrFDq-m2g">
            <body>Decision support would typically raise alerts for 'confirmed' and 'unconfirmed' and ignore a 'refuted' reaction. In particular, 'refuted' may be useful for reconciliation of the Adverse Reaction List.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47NCN8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47NCOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47OQUcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47O3YsFMEea5pdrFDq-m2g">
            <body>Identification of the underlying physiological mechanism for the reaction risk.</body>
          </ownedComment>
          <ownedComment xmi:id="_47O3YMFMEea5pdrFDq-m2g">
            <body>allergy | intolerance - Underlying mechanism (if known)</body>
          </ownedComment>
          <ownedComment xmi:id="_47O3ZMFMEea5pdrFDq-m2g">
            <body>Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians may not be in a position to distinguish the mechanism of a particular reaction. Often the term &quot;allergy&quot; is used rather generically and may overlap with the use of &quot;intolerance&quot; - in practice the boundaries between these two concepts may not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47OQUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47OQU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47O3ZsFMEea5pdrFDq-m2g" name="category" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47PedMFMEea5pdrFDq-m2g">
            <body>Category of the identified substance.</body>
          </ownedComment>
          <ownedComment xmi:id="_47PecsFMEea5pdrFDq-m2g">
            <body>food | medication | biologic | environment</body>
          </ownedComment>
          <ownedComment xmi:id="_47PedsFMEea5pdrFDq-m2g">
            <body>This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation.  When searching on category, consider the implications of AllergyIntolerance resources without a category.  For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned.  Refer to [search](search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47O3Z8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47O3aMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47QFgMFMEea5pdrFDq-m2g" name="criticality" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47QskcFMEea5pdrFDq-m2g">
            <body>Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.</body>
          </ownedComment>
          <ownedComment xmi:id="_47QFh8FMEea5pdrFDq-m2g">
            <body>low | high | unable-to-assess</body>
          </ownedComment>
          <ownedComment xmi:id="_47Qsk8FMEea5pdrFDq-m2g">
            <body>The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47QFgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47QFgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47QslcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47RTo8FMEea5pdrFDq-m2g">
            <body>Code for an allergy or intolerance statement (either a positive or a negated/excluded statement).  This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., &quot;Latex&quot;), an allergy or intolerance condition (e.g., &quot;Latex allergy&quot;), or a negated/excluded code for a specific substance or class (e.g., &quot;No latex allergy&quot;) or a general or categorical negated statement (e.g.,  &quot;No known allergy&quot;, &quot;No known drug allergies&quot;).</body>
          </ownedComment>
          <ownedComment xmi:id="_47RTocFMEea5pdrFDq-m2g">
            <body>Allergy or intolerance code</body>
          </ownedComment>
          <ownedComment xmi:id="_47RTpcFMEea5pdrFDq-m2g">
            <body>It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNI, ATC and CPT. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.  When a substance or product code is specified for the 'code' element, the &quot;default&quot; semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product.  In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the &quot;Causative agent&quot; relationship.  The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements.  This extension provides the capability to make &quot;no known allergy&quot; (or &quot;no risk of adverse reaction&quot;) statements regarding any coded substance/product (including cases when a pre-coordinated &quot;no allergy to x&quot; concept for that substance/product does not exist).  If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47QslsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47Qsl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47R6sMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_47R6tMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47R6usFMEea5pdrFDq-m2g">
            <body>The patient who has the allergy or intolerance.</body>
          </ownedComment>
          <ownedComment xmi:id="_47R6uMFMEea5pdrFDq-m2g">
            <body>Who the sensitivity is for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47R6scFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47R6ssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47R6vMFMEea5pdrFDq-m2g" name="onset[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47ShxcFMEea5pdrFDq-m2g">
            <body>Estimated or actual date,  date-time, or age when allergy or intolerance was identified.</body>
          </ownedComment>
          <ownedComment xmi:id="_47Shw8FMEea5pdrFDq-m2g">
            <body>When allergy or intolerance was identified</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47ShwMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47ShwcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47ShyMFMEea5pdrFDq-m2g" name="assertedDate" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47TI0MFMEea5pdrFDq-m2g">
            <body>The date on which the existance of the AllergyIntolerance was first asserted or acknowledged.</body>
          </ownedComment>
          <ownedComment xmi:id="_47ShzMFMEea5pdrFDq-m2g">
            <body>Date record was believed accurate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47ShycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47ShysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47TI0sFMEea5pdrFDq-m2g" name="recorder" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47TI1sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47TI3MFMEea5pdrFDq-m2g">
            <body>Individual who recorded the record and takes responsibility for its content.</body>
          </ownedComment>
          <ownedComment xmi:id="_47TI2sFMEea5pdrFDq-m2g">
            <body>Who recorded the sensitivity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47TI08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47TI1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47Tv4cFMEea5pdrFDq-m2g" name="asserter" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47Tv5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47Tv68FMEea5pdrFDq-m2g">
            <body>The source of the information about the allergy that is recorded.</body>
          </ownedComment>
          <ownedComment xmi:id="_47Tv6cFMEea5pdrFDq-m2g">
            <body>Source of the information about the allergy</body>
          </ownedComment>
          <ownedComment xmi:id="_47Tv7cFMEea5pdrFDq-m2g">
            <body>The recorder takes repsonsibility for the content, but can reference the source from where they got it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47Tv4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47Tv48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47UW8cFMEea5pdrFDq-m2g" name="lastOccurrence" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47UW98FMEea5pdrFDq-m2g">
            <body>Represents the date and/or time of the last known occurrence of a reaction event.</body>
          </ownedComment>
          <ownedComment xmi:id="_47UW9cFMEea5pdrFDq-m2g">
            <body>Date(/time) of last known occurrence of a reaction</body>
          </ownedComment>
          <ownedComment xmi:id="_47UW-cFMEea5pdrFDq-m2g">
            <body>This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47UW8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47UW88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47UW-8FMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47U-AsFMEea5pdrFDq-m2g">
            <body>Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.</body>
          </ownedComment>
          <ownedComment xmi:id="_47U-AMFMEea5pdrFDq-m2g">
            <body>Additional text not captured in other fields</body>
          </ownedComment>
          <ownedComment xmi:id="_47U-BMFMEea5pdrFDq-m2g">
            <body>For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and  AllergyIntolerance.event.notes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47UW_MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47UW_cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47VlEcFMEea5pdrFDq-m2g" name="reaction" type="_47U-BsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_47VlFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47VlG8FMEea5pdrFDq-m2g">
            <body>Details about each adverse reaction event linked to exposure to the identified substance.</body>
          </ownedComment>
          <ownedComment xmi:id="_47VlGcFMEea5pdrFDq-m2g">
            <body>Adverse Reaction Events linked to exposure to substance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47VlEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47VlE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_47U-BsFMEea5pdrFDq-m2g" name="Reaction">
          <generalization xmi:id="_47U-B8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_47VlHcFMEea5pdrFDq-m2g" name="substance" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47WMJMFMEea5pdrFDq-m2g">
              <body>Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.</body>
            </ownedComment>
            <ownedComment xmi:id="_47WMIsFMEea5pdrFDq-m2g">
              <body>Specific substance or pharmaceutical product considered to be responsible for event</body>
            </ownedComment>
            <ownedComment xmi:id="_47WMJsFMEea5pdrFDq-m2g">
              <body>Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible.  The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, &quot;penicillins&quot;), the 'reaction.substance' element could be used to code the specific substance that was identifed as having caused the reaction (for example, &quot;amoxycillin&quot;). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47VlHsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47VlH8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47WzMMFMEea5pdrFDq-m2g" name="certainty" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47XaQcFMEea5pdrFDq-m2g">
              <body>Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event.</body>
            </ownedComment>
            <ownedComment xmi:id="_47WzN8FMEea5pdrFDq-m2g">
              <body>unlikely | likely | confirmed | unknown</body>
            </ownedComment>
            <ownedComment xmi:id="_47XaQ8FMEea5pdrFDq-m2g">
              <body>When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47WzMcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47WzMsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47XaRcFMEea5pdrFDq-m2g" name="manifestation" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47YBVMFMEea5pdrFDq-m2g">
              <body>Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.</body>
            </ownedComment>
            <ownedComment xmi:id="_47YBUsFMEea5pdrFDq-m2g">
              <body>Clinical symptoms/signs associated with the Event</body>
            </ownedComment>
            <ownedComment xmi:id="_47YBVsFMEea5pdrFDq-m2g">
              <body>Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines.  Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47XaRsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47XaR8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47YoYMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47YoZsFMEea5pdrFDq-m2g">
              <body>Text description about the reaction as a whole, including details of the manifestation if required.</body>
            </ownedComment>
            <ownedComment xmi:id="_47YoZMFMEea5pdrFDq-m2g">
              <body>Description of the event as a whole</body>
            </ownedComment>
            <ownedComment xmi:id="_47YoaMFMEea5pdrFDq-m2g">
              <body>Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47YoYcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47YoYsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47YoasFMEea5pdrFDq-m2g" name="onset" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47ZPcsFMEea5pdrFDq-m2g">
              <body>Record of the date and/or time of the onset of the Reaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_47ZPcMFMEea5pdrFDq-m2g">
              <body>Date(/time) when manifestations showed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47Yoa8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47YobMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47ZPdMFMEea5pdrFDq-m2g" name="severity" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47Z2gsFMEea5pdrFDq-m2g">
              <body>Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.</body>
            </ownedComment>
            <ownedComment xmi:id="_47Z2gMFMEea5pdrFDq-m2g">
              <body>mild | moderate | severe (of event as a whole)</body>
            </ownedComment>
            <ownedComment xmi:id="_47Z2hMFMEea5pdrFDq-m2g">
              <body>It is acknowledged that this assessment is very subjective. There may be some some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47ZPdcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47ZPdsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47Z2hsFMEea5pdrFDq-m2g" name="exposureRoute" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47adk8FMEea5pdrFDq-m2g">
              <body>Identification of the route by which the subject was exposed to the substance.</body>
            </ownedComment>
            <ownedComment xmi:id="_47adkcFMEea5pdrFDq-m2g">
              <body>How the subject was exposed to the substance</body>
            </ownedComment>
            <ownedComment xmi:id="_47adlcFMEea5pdrFDq-m2g">
              <body>Coding of the route of exposure with a terminology should be used wherever possible.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47Z2h8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47Z2iMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_47adl8FMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_47bEpMFMEea5pdrFDq-m2g">
              <body>Additional text about the adverse reaction event not captured in other fields.</body>
            </ownedComment>
            <ownedComment xmi:id="_47bEosFMEea5pdrFDq-m2g">
              <body>Text about event not captured in other fields</body>
            </ownedComment>
            <ownedComment xmi:id="_47bEpsFMEea5pdrFDq-m2g">
              <body>Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47admMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47bEoMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47R6tMFMEea5pdrFDq-m2g" memberEnd="_47R6tcFMEea5pdrFDq-m2g _47R6sMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47R6tcFMEea5pdrFDq-m2g" type="_47J-68FMEea5pdrFDq-m2g" association="_47R6tMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47R6tsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47R6t8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47TI1sFMEea5pdrFDq-m2g" memberEnd="_47TI18FMEea5pdrFDq-m2g _47TI0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47TI18FMEea5pdrFDq-m2g" type="_47J-68FMEea5pdrFDq-m2g" association="_47TI1sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47TI2MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47TI2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47Tv5cFMEea5pdrFDq-m2g" memberEnd="_47Tv5sFMEea5pdrFDq-m2g _47Tv4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47Tv5sFMEea5pdrFDq-m2g" type="_47J-68FMEea5pdrFDq-m2g" association="_47Tv5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47Tv58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47Tv6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47VlFcFMEea5pdrFDq-m2g" memberEnd="_47VlFsFMEea5pdrFDq-m2g _47VlEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47VlFsFMEea5pdrFDq-m2g" type="_47J-68FMEea5pdrFDq-m2g" association="_47VlFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47VlF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47VlGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47bErMFMEea5pdrFDq-m2g" memberEnd="_47bErcFMEea5pdrFDq-m2g _47bEqMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47bErcFMEea5pdrFDq-m2g" type="_47D4RsFMEea5pdrFDq-m2g" association="_47bErMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47bErsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47bEr8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47cSxcFMEea5pdrFDq-m2g" memberEnd="_47cSxsFMEea5pdrFDq-m2g _47cSwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47cSxsFMEea5pdrFDq-m2g" type="_47D4RsFMEea5pdrFDq-m2g" association="_47cSxcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47cSx8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47cSyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_47eH8MFMEea5pdrFDq-m2g" name="Observation">
        <ownedComment xmi:id="_47jngcFMEea5pdrFDq-m2g">
          <body>Measurements and simple assertions made about a patient, device or other subject.</body>
        </ownedComment>
        <ownedComment xmi:id="_47f9IcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Observation Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_47f9I8FMEea5pdrFDq-m2g">
          <body>Observations are a key aspect of healthcare.  This resource is used to capture those that do not require more sophisticated mechanisms.</body>
        </ownedComment>
        <ownedComment xmi:id="_47f9JsFMEea5pdrFDq-m2g">
          <body>Measurements and simple assertions</body>
        </ownedComment>
        <ownedComment xmi:id="_47jng8FMEea5pdrFDq-m2g">
          <body>Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as lab reports, etc.</body>
        </ownedComment>
        <ownedRule xmi:id="_47eH8cFMEea5pdrFDq-m2g" name="obs-7" constrainedElement="_47eH8MFMEea5pdrFDq-m2g _47puLcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_47eH8sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:value)) or not(count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_47eH9MFMEea5pdrFDq-m2g" name="obs-6" constrainedElement="_47eH8MFMEea5pdrFDq-m2g _47qVOsFMEea5pdrFDq-m2g _5DVqi8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_47eH9cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_47evAcFMEea5pdrFDq-m2g" name="obs-3" constrainedElement="_49IU0cFMEea5pdrFDq-m2g _49Ji8MFMEea5pdrFDq-m2g _49Ji-MFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_47evAsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(exists(f:low) or exists(f:high)or exists(f:text))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_47f9JcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_47jnhcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47kOk8FMEea5pdrFDq-m2g">
            <body>A unique identifier for the simple observation instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_47kOkcFMEea5pdrFDq-m2g">
            <body>Unique Id for this particular observation</body>
          </ownedComment>
          <ownedComment xmi:id="_47kOlcFMEea5pdrFDq-m2g">
            <body>Allows observations to be distinguished and referenced.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47jnhsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47jnh8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47kOl8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47lcscFMEea5pdrFDq-m2g">
            <body>The status of the result value.</body>
          </ownedComment>
          <ownedComment xmi:id="_47k1pMFMEea5pdrFDq-m2g">
            <body>registered | preliminary | final | amended +</body>
          </ownedComment>
          <ownedComment xmi:id="_47lcs8FMEea5pdrFDq-m2g">
            <body>Need to track the status of individual results. Some results are finalized before the whole report is finalized.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47kOmMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47kOmcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47lctcFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47mDw8FMEea5pdrFDq-m2g">
            <body>A code that classifies the general type of observation being made.</body>
          </ownedComment>
          <ownedComment xmi:id="_47mDwcFMEea5pdrFDq-m2g">
            <body>Classification of  type of observation</body>
          </ownedComment>
          <ownedComment xmi:id="_47mDxcFMEea5pdrFDq-m2g">
            <body>There may be multiple axis of categoriization depending on the context or use case for retrieving or displaying the resource.  The level of granularity is defined by the category concepts in the value set.</body>
          </ownedComment>
          <ownedComment xmi:id="_47mDx8FMEea5pdrFDq-m2g">
            <body>Used for filtering what observations are retreived and displayed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47lctsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47lct8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47mDycFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47mq1sFMEea5pdrFDq-m2g">
            <body>Describes what was observed. Sometimes this is called the observation &quot;name&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_47mq1MFMEea5pdrFDq-m2g">
            <body>Type of observation (code / type)</body>
          </ownedComment>
          <ownedComment xmi:id="_47nR4cFMEea5pdrFDq-m2g">
            <body>Knowing what kind of observation is being made is essential to understanding the observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47mq0MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47mq0cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47nR48FMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47nR58FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47nR7cFMEea5pdrFDq-m2g">
            <body>The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed.  Comments: Indirect characteristics may be those of a specimen, fetus, donor,  other observer (for example a relative or EMT), or any observation made about the subject.</body>
          </ownedComment>
          <ownedComment xmi:id="_47nR68FMEea5pdrFDq-m2g">
            <body>Who and/or what this is about</body>
          </ownedComment>
          <ownedComment xmi:id="_47nR78FMEea5pdrFDq-m2g">
            <body>One would expect this element to be a cardinality  of 1..1.  The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.  If the target of the observation is different than the subject, the general extension [observation-focal-subject](extension-observation-focal-subject.html).  may be used.  However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code.</body>
          </ownedComment>
          <ownedComment xmi:id="_47n48MFMEea5pdrFDq-m2g">
            <body>Observations have no value if you don't know who or what they're about.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47nR5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47nR5cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47n488FMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_47n498FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47n4_cFMEea5pdrFDq-m2g">
            <body>The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.</body>
          </ownedComment>
          <ownedComment xmi:id="_47n4-8FMEea5pdrFDq-m2g">
            <body>Healthcare event during which this observation is made</body>
          </ownedComment>
          <ownedComment xmi:id="_47ogAMFMEea5pdrFDq-m2g">
            <body>For some observations it may be important to know the link between an observation and a particular encounter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47n49MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47n49cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47ogAsFMEea5pdrFDq-m2g" name="effective[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47ogCMFMEea5pdrFDq-m2g">
            <body>The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the &quot;physiologically relevant time&quot;. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.</body>
          </ownedComment>
          <ownedComment xmi:id="_47ogBsFMEea5pdrFDq-m2g">
            <body>Clinically relevant time/time-period for observation</body>
          </ownedComment>
          <ownedComment xmi:id="_47ogCsFMEea5pdrFDq-m2g">
            <body>At least a date should be present unless this observation is a historical report.</body>
          </ownedComment>
          <ownedComment xmi:id="_47ogDMFMEea5pdrFDq-m2g">
            <body>Knowing when an observation was deemed true is important to its relevance as well as determining trends.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47ogA8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47ogBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47pHEcFMEea5pdrFDq-m2g" name="issued" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47pHF8FMEea5pdrFDq-m2g">
            <body>The date and time this observation was made available to providers, typically after the results have been reviewed and verified.</body>
          </ownedComment>
          <ownedComment xmi:id="_47pHFcFMEea5pdrFDq-m2g">
            <body>Date/Time this was made available</body>
          </ownedComment>
          <ownedComment xmi:id="_47pHGcFMEea5pdrFDq-m2g">
            <body>Updated when the result is updated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47pHEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47pHE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47pHG8FMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47puIsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47puKMFMEea5pdrFDq-m2g">
            <body>Who was responsible for asserting the observed value as &quot;true&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_47puJsFMEea5pdrFDq-m2g">
            <body>Who is responsible for the observation</body>
          </ownedComment>
          <ownedComment xmi:id="_47puKsFMEea5pdrFDq-m2g">
            <body>May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47pHHMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47puIMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47puLcFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47qVM8FMEea5pdrFDq-m2g">
            <body>The information determined as a result of making the observation, if the information has a simple value.</body>
          </ownedComment>
          <ownedComment xmi:id="_47qVMcFMEea5pdrFDq-m2g">
            <body>Actual result</body>
          </ownedComment>
          <ownedComment xmi:id="_47qVNcFMEea5pdrFDq-m2g">
            <body>Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is &quot;'value' + the type name&quot; with a capital on the first letter of the type).   If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text.  A value set is bound to the ValueCodeableConcept element.  For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These &quot;yes/no&quot; concepts can be mapped to the display name &quot;true/false&quot; or other mutually exclusive terms that may be needed.   For further discussion and examples see the  [notes section](observation.html#4.20.4) below.</body>
          </ownedComment>
          <ownedComment xmi:id="_47qVN8FMEea5pdrFDq-m2g">
            <body>An observation exists to have a value, though it may not if it is in error, or it represents a group of observations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47puLsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47puL8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47qVOsFMEea5pdrFDq-m2g" name="dataAbsentReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47q8RsFMEea5pdrFDq-m2g">
            <body>Provides a reason why the expected value in the element Observation.value[x] is missing.</body>
          </ownedComment>
          <ownedComment xmi:id="_47q8RMFMEea5pdrFDq-m2g">
            <body>Why the result is missing</body>
          </ownedComment>
          <ownedComment xmi:id="_47rjUcFMEea5pdrFDq-m2g">
            <body>Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  &quot;detected&quot;, &quot;not detected&quot;, &quot;inconclusive&quot;, or  &quot;specimen unsatisfactory&quot;.   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code &quot;error&quot; could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.</body>
          </ownedComment>
          <ownedComment xmi:id="_47rjU8FMEea5pdrFDq-m2g">
            <body>For many results it is necessary to handle exceptional values in measurements.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47qVO8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47qVPMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47rjVcFMEea5pdrFDq-m2g" name="interpretation" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47sKY8FMEea5pdrFDq-m2g">
            <body>The assessment made based on the result of the observation.  Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.</body>
          </ownedComment>
          <ownedComment xmi:id="_47sKYcFMEea5pdrFDq-m2g">
            <body>High, low, normal, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_47sKZcFMEea5pdrFDq-m2g">
            <body>For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47rjVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47rjV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47sKZ8FMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47sxc8FMEea5pdrFDq-m2g">
            <body>May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.</body>
          </ownedComment>
          <ownedComment xmi:id="_47sxccFMEea5pdrFDq-m2g">
            <body>Comments about result</body>
          </ownedComment>
          <ownedComment xmi:id="_47sxdcFMEea5pdrFDq-m2g">
            <body>Need to be able to provide free text additional information.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47sKaMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47sKacFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47sxd8FMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47tYgsFMEea5pdrFDq-m2g">
            <body>Indicates the site on the subject's body where the observation was made (i.e. the target site).</body>
          </ownedComment>
          <ownedComment xmi:id="_47tYgMFMEea5pdrFDq-m2g">
            <body>Observed body part</body>
          </ownedComment>
          <ownedComment xmi:id="_47tYhMFMEea5pdrFDq-m2g">
            <body>Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](extension-body-site-instance.html).</body>
          </ownedComment>
          <ownedComment xmi:id="_47tYhsFMEea5pdrFDq-m2g">
            <body>Knowing where the observation is made is important for tracking if multiple sites are possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47sxeMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47sxecFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47tYiMFMEea5pdrFDq-m2g" name="method" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47t_lcFMEea5pdrFDq-m2g">
            <body>Indicates the mechanism used to perform the observation.</body>
          </ownedComment>
          <ownedComment xmi:id="_47t_k8FMEea5pdrFDq-m2g">
            <body>How it was done</body>
          </ownedComment>
          <ownedComment xmi:id="_47umoMFMEea5pdrFDq-m2g">
            <body>Only used if not implicit in code for Observation.code.</body>
          </ownedComment>
          <ownedComment xmi:id="_47umosFMEea5pdrFDq-m2g">
            <body>In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47tYicFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47tYisFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48zkuMFMEea5pdrFDq-m2g" name="device" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48zkvMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49HGsMFMEea5pdrFDq-m2g">
            <body>The device used to generate the observation data.</body>
          </ownedComment>
          <ownedComment xmi:id="_49GfoMFMEea5pdrFDq-m2g">
            <body>(Measurement) Device</body>
          </ownedComment>
          <ownedComment xmi:id="_49HGssFMEea5pdrFDq-m2g">
            <body>An extension should be used if further typing of the device is needed.  Devices used to support obtaining an observation can be represented using either extension or through the Observation.related element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48zkucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48zkusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49IU0cFMEea5pdrFDq-m2g" name="referenceRange" type="_49HtwcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_49IU1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49I74sFMEea5pdrFDq-m2g">
            <body>Guidance on how to interpret the value by comparison to a normal or recommended range.</body>
          </ownedComment>
          <ownedComment xmi:id="_49I74MFMEea5pdrFDq-m2g">
            <body>Provides guide for interpretation</body>
          </ownedComment>
          <ownedComment xmi:id="_49I75MFMEea5pdrFDq-m2g">
            <body>Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.</body>
          </ownedComment>
          <ownedComment xmi:id="_49I75sFMEea5pdrFDq-m2g">
            <body>Knowing what values are considered &quot;normal&quot; can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49IU0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49IU08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49NNUcFMEea5pdrFDq-m2g" name="related" type="_49MmRMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_49NNVcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49NNW8FMEea5pdrFDq-m2g">
            <body>A  reference to another resource (usually another Observation) whose relationship is defined by the relationship type code.</body>
          </ownedComment>
          <ownedComment xmi:id="_49NNWcFMEea5pdrFDq-m2g">
            <body>Resource related to this observation</body>
          </ownedComment>
          <ownedComment xmi:id="_49N0YcFMEea5pdrFDq-m2g">
            <body>For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4).</body>
          </ownedComment>
          <ownedComment xmi:id="_49N0Y8FMEea5pdrFDq-m2g">
            <body>Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse  from which the measure is derived.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49NNUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49NNU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DT1U8FMEea5pdrFDq-m2g" name="component" type="_5DT1UMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DUcYMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DUcZsFMEea5pdrFDq-m2g">
            <body>Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DUcZMFMEea5pdrFDq-m2g">
            <body>Component results</body>
          </ownedComment>
          <ownedComment xmi:id="_5DUcaMFMEea5pdrFDq-m2g">
            <body>For a discussion on the ways Observations can assembled in groups together see [Notes](observation.html#notes) below.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DUcasFMEea5pdrFDq-m2g">
            <body>Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DT1VMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DT1VcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_49HtwcFMEea5pdrFDq-m2g" name="ReferenceRange">
          <generalization xmi:id="_49HtwsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_49Ji8MFMEea5pdrFDq-m2g" name="low" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49Ji9sFMEea5pdrFDq-m2g">
              <body>The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - &lt;=9).   If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is &lt;=2.3).</body>
            </ownedComment>
            <ownedComment xmi:id="_49Ji9MFMEea5pdrFDq-m2g">
              <body>Low Range, if relevant</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49Ji8cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49Ji8sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49Ji-MFMEea5pdrFDq-m2g" name="high" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49KKA8FMEea5pdrFDq-m2g">
              <body>The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - &lt;=9).   If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).</body>
            </ownedComment>
            <ownedComment xmi:id="_49KKAcFMEea5pdrFDq-m2g">
              <body>High Range, if relevant</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49Ji-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49Ji-sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49KKBcFMEea5pdrFDq-m2g" name="meaning" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49LYJMFMEea5pdrFDq-m2g">
              <body>Codes to indicate the the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex, race, therapeutic status, or endocrine or reproductive status.</body>
            </ownedComment>
            <ownedComment xmi:id="_49LYIsFMEea5pdrFDq-m2g">
              <body>Reference range qualifier</body>
            </ownedComment>
            <ownedComment xmi:id="_49LYJsFMEea5pdrFDq-m2g">
              <body>This SHOULD be populated if there is more than one range.  If this element is not present then the norma population is assumed.</body>
            </ownedComment>
            <ownedComment xmi:id="_49LYKMFMEea5pdrFDq-m2g">
              <body>Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc  - for proper interpretation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49KKBsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49KKB8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49L_MMFMEea5pdrFDq-m2g" name="age" type="_4k9FY8FMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49L_NsFMEea5pdrFDq-m2g">
              <body>The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.</body>
            </ownedComment>
            <ownedComment xmi:id="_49L_NMFMEea5pdrFDq-m2g">
              <body>Applicable age range, if relevant</body>
            </ownedComment>
            <ownedComment xmi:id="_49L_OMFMEea5pdrFDq-m2g">
              <body>Some analytes vary greatly over age.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49L_McFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49L_MsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49L_OsFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49MmQsFMEea5pdrFDq-m2g">
              <body>Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of &quot;Negative&quot; or a list or table of 'normals'.</body>
            </ownedComment>
            <ownedComment xmi:id="_49MmQMFMEea5pdrFDq-m2g">
              <body>Text based reference range in an observation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49L_O8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49L_PMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_49MmRMFMEea5pdrFDq-m2g" name="Related">
          <generalization xmi:id="_49MmRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_49N0ZcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49Obc8FMEea5pdrFDq-m2g">
              <body>A code specifying the kind of relationship that exists with the target resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_49ObccFMEea5pdrFDq-m2g">
              <body>has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by</body>
            </ownedComment>
            <ownedComment xmi:id="_49ObdcFMEea5pdrFDq-m2g">
              <body>&quot;derived-from&quot; is only logical choice when referencing QuestionnaireAnswer resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_49Obd8FMEea5pdrFDq-m2g">
              <body>A relationship type SHOULD be provided.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49N0ZsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49N0Z8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DTOQMFMEea5pdrFDq-m2g" name="target" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5DTORMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5DTOSsFMEea5pdrFDq-m2g">
              <body>A reference to the observation or [QuestionnaireResponse](questionnaireresponse.html#) resource that is related to this observation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DTOSMFMEea5pdrFDq-m2g">
              <body>Resource that is related to this one</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DTOQcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DTOQsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5DT1UMFMEea5pdrFDq-m2g" name="Component">
          <generalization xmi:id="_5DT1UcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5DUcbMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DVDc8FMEea5pdrFDq-m2g">
              <body>Describes what was observed. Sometimes this is called the observation &quot;code&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DVDccFMEea5pdrFDq-m2g">
              <body>Type of component observation (code / type)</body>
            </ownedComment>
            <ownedComment xmi:id="_5DVDdcFMEea5pdrFDq-m2g">
              <body>Knowing what kind of observation is being made is essential to understanding the observation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DUcbcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DUcbsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DVDd8FMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DVqhMFMEea5pdrFDq-m2g">
              <body>The information determined as a result of making the observation, if the information has a simple value.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DVqgsFMEea5pdrFDq-m2g">
              <body>Actual component result</body>
            </ownedComment>
            <ownedComment xmi:id="_5DVqhsFMEea5pdrFDq-m2g">
              <body>Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.   For boolean values use valueCodeableConcept and select codes from &lt;http://hl7.org/fhir/ValueSet/v2-0136> (These &quot;yes/no&quot; concepts can be mapped to the display name &quot;true/false&quot; or other mutually exclusive terms that may be needed&quot;).  The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is &quot;'value' + the type name&quot; with a capital on the first letter of the type).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DVqiMFMEea5pdrFDq-m2g">
              <body>An observation exists to have a value, though it may not if it is in error, or it represents a group of observations.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DVDeMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DVqgMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DVqi8FMEea5pdrFDq-m2g" name="dataAbsentReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DWRlsFMEea5pdrFDq-m2g">
              <body>Provides a reason why the expected value in the element Observation.value[x] is missing.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DWRlMFMEea5pdrFDq-m2g">
              <body>Why the component result is missing</body>
            </ownedComment>
            <ownedComment xmi:id="_5DWRmMFMEea5pdrFDq-m2g">
              <body>&quot;Null&quot; or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  &quot;detected&quot;, &quot;not detected&quot;, &quot;inconclusive&quot;, or  &quot;test not done&quot;.   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code &quot;error&quot; could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DW4oMFMEea5pdrFDq-m2g">
              <body>For many results it is necessary to handle exceptional values in measurements.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DWRkMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DWRkcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DW4osFMEea5pdrFDq-m2g" name="interpretation" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DW4qcFMEea5pdrFDq-m2g">
              <body>The assessment made based on the result of the observation.  Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DW4p8FMEea5pdrFDq-m2g">
              <body>High, low, normal, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DXfscFMEea5pdrFDq-m2g">
              <body>The component interpretation is applies only to the indivual component value.  For an overall interpretation all components together use Observation.interpretation element.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DXfs8FMEea5pdrFDq-m2g">
              <body>For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DW4o8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DW4pMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DXftcFMEea5pdrFDq-m2g" name="referenceRange" type="_49HtwcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DXfucFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5DYGwcFMEea5pdrFDq-m2g">
              <body>Guidance on how to interpret the value by comparison to a normal or recommended range.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DXfvcFMEea5pdrFDq-m2g">
              <body>Provides guide for interpretation of component result</body>
            </ownedComment>
            <ownedComment xmi:id="_5DYGw8FMEea5pdrFDq-m2g">
              <body>Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DYGxcFMEea5pdrFDq-m2g">
              <body>Knowing what values are considered &quot;normal&quot; can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DXftsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DXft8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47nR58FMEea5pdrFDq-m2g" memberEnd="_47nR6MFMEea5pdrFDq-m2g _47nR48FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47nR6MFMEea5pdrFDq-m2g" type="_47eH8MFMEea5pdrFDq-m2g" association="_47nR58FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47nR6cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47nR6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47n498FMEea5pdrFDq-m2g" memberEnd="_47n4-MFMEea5pdrFDq-m2g _47n488FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47n4-MFMEea5pdrFDq-m2g" type="_47eH8MFMEea5pdrFDq-m2g" association="_47n498FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47n4-cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47n4-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47puIsFMEea5pdrFDq-m2g" memberEnd="_47puI8FMEea5pdrFDq-m2g _47pHG8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47puI8FMEea5pdrFDq-m2g" type="_47eH8MFMEea5pdrFDq-m2g" association="_47puIsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47puJMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47puJcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_47umpMFMEea5pdrFDq-m2g" name="Specimen">
        <ownedComment xmi:id="_47vNt8FMEea5pdrFDq-m2g">
          <body>A sample to be used for analysis.</body>
        </ownedComment>
        <ownedComment xmi:id="_47vNssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Specimen Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_47vNtcFMEea5pdrFDq-m2g">
          <body>Sample for analysis</body>
        </ownedComment>
        <generalization xmi:id="_47vNtMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_47vNucFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47v0xMFMEea5pdrFDq-m2g">
            <body>Id for specimen.</body>
          </ownedComment>
          <ownedComment xmi:id="_47v0wsFMEea5pdrFDq-m2g">
            <body>External Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47vNusFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47v0wMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47v0xsFMEea5pdrFDq-m2g" name="accessionIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47v0zMFMEea5pdrFDq-m2g">
            <body>The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.</body>
          </ownedComment>
          <ownedComment xmi:id="_47v0ysFMEea5pdrFDq-m2g">
            <body>Identifier assigned by the lab</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47v0x8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47v0yMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47wb0MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47xC4MFMEea5pdrFDq-m2g">
            <body>The availability of the specimen.</body>
          </ownedComment>
          <ownedComment xmi:id="_47wb18FMEea5pdrFDq-m2g">
            <body>available | unavailable | unsatisfactory | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47wb0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47wb0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47xC4sFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47xp88FMEea5pdrFDq-m2g">
            <body>The kind of material that forms the specimen.</body>
          </ownedComment>
          <ownedComment xmi:id="_47xp8cFMEea5pdrFDq-m2g">
            <body>Kind of material that forms the specimen</body>
          </ownedComment>
          <ownedComment xmi:id="_47xp9cFMEea5pdrFDq-m2g">
            <body>The type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47xC48FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47xC5MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47xp98FMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47yRAMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47yRBsFMEea5pdrFDq-m2g">
            <body>Where the specimen came from. This may be from the patient(s) or from the environment or a device.</body>
          </ownedComment>
          <ownedComment xmi:id="_47yRBMFMEea5pdrFDq-m2g">
            <body>Where the specimen came from. This may be from the patient(s) or from the environment or a device</body>
          </ownedComment>
          <ownedComment xmi:id="_47yRCMFMEea5pdrFDq-m2g">
            <body>Must know the subject context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47xp-MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47xp-cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47yRC8FMEea5pdrFDq-m2g" name="receivedTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47y4EcFMEea5pdrFDq-m2g">
            <body>Time when specimen was received for processing or testing.</body>
          </ownedComment>
          <ownedComment xmi:id="_47yRD8FMEea5pdrFDq-m2g">
            <body>The time when specimen was received for processing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47yRDMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47yRDcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47y4E8FMEea5pdrFDq-m2g" name="parent" type="_47umpMFMEea5pdrFDq-m2g" isOrdered="true" association="_47y4F8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47y4HcFMEea5pdrFDq-m2g">
            <body>Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.</body>
          </ownedComment>
          <ownedComment xmi:id="_47y4G8FMEea5pdrFDq-m2g">
            <body>Specimen from which this specimen originated</body>
          </ownedComment>
          <ownedComment xmi:id="_47y4H8FMEea5pdrFDq-m2g">
            <body>The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47y4FMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47y4FcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48WRssFMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48WRtsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48WRvMFMEea5pdrFDq-m2g">
            <body>Details concerning a test or procedure request that required a specimen to be collected.</body>
          </ownedComment>
          <ownedComment xmi:id="_48WRusFMEea5pdrFDq-m2g">
            <body>Why the specimen was collected</body>
          </ownedComment>
          <ownedComment xmi:id="_48WRvsFMEea5pdrFDq-m2g">
            <body>The request may be explicit or implied such with a DiagnosticRequest that requires a blood draw.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48WRs8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48WRtMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48W4xMFMEea5pdrFDq-m2g" name="collection" type="_48W4wcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48Xf0cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48Xf18FMEea5pdrFDq-m2g">
            <body>Details concerning the specimen collection.</body>
          </ownedComment>
          <ownedComment xmi:id="_48Xf1cFMEea5pdrFDq-m2g">
            <body>Collection details</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48W4xcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48W4xsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48cYU8FMEea5pdrFDq-m2g" name="treatment" type="_48cYUMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48cYV8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48c_ZcFMEea5pdrFDq-m2g">
            <body>Details concerning treatment and processing steps for the specimen.</body>
          </ownedComment>
          <ownedComment xmi:id="_48c_Y8FMEea5pdrFDq-m2g">
            <body>Treatment and processing step details</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48cYVMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48cYVcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48fbocFMEea5pdrFDq-m2g" name="container" type="_48e0lMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48fbpcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48fbq8FMEea5pdrFDq-m2g">
            <body>The container holding the specimen.  The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.</body>
          </ownedComment>
          <ownedComment xmi:id="_48fbqcFMEea5pdrFDq-m2g">
            <body>Direct container of specimen (tube/slide, etc.)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48fbosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48fbo8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48ie9cFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48jGAsFMEea5pdrFDq-m2g">
            <body>To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).</body>
          </ownedComment>
          <ownedComment xmi:id="_48jGAMFMEea5pdrFDq-m2g">
            <body>Comments</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48ie9sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48ie98FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_48W4wcFMEea5pdrFDq-m2g" name="Collection">
          <generalization xmi:id="_48W4wsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_48Xf2cFMEea5pdrFDq-m2g" name="collector" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_48Xf3cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_48YG4MFMEea5pdrFDq-m2g">
              <body>Person who collected the specimen.</body>
            </ownedComment>
            <ownedComment xmi:id="_48Xf4cFMEea5pdrFDq-m2g">
              <body>Who collected the specimen</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48Xf2sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Xf28FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48YG4sFMEea5pdrFDq-m2g" name="collected[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48YG6MFMEea5pdrFDq-m2g">
              <body>Time when specimen was collected from subject - the physiologically relevant time.</body>
            </ownedComment>
            <ownedComment xmi:id="_48YG5sFMEea5pdrFDq-m2g">
              <body>Collection time</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48YG48FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48YG5MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48YG68FMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48Yt9MFMEea5pdrFDq-m2g">
              <body>The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.</body>
            </ownedComment>
            <ownedComment xmi:id="_48Yt8sFMEea5pdrFDq-m2g">
              <body>The quantity of specimen collected</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48YG7MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Yt8MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48Yt9sFMEea5pdrFDq-m2g" name="method" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48bKNcFMEea5pdrFDq-m2g">
              <body>A coded value specifying the technique that is used to perform the procedure.</body>
            </ownedComment>
            <ownedComment xmi:id="_48bKM8FMEea5pdrFDq-m2g">
              <body>Technique used to perform collection</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48Yt98FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Yt-MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48bxQMFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48bxR8FMEea5pdrFDq-m2g">
              <body>Anatomical location from which the specimen was collected (if subject is a patient). This is the target site.  This element is not used for environmental specimens.</body>
            </ownedComment>
            <ownedComment xmi:id="_48bxRcFMEea5pdrFDq-m2g">
              <body>Anatomical collection site</body>
            </ownedComment>
            <ownedComment xmi:id="_48bxScFMEea5pdrFDq-m2g">
              <body>If the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [body-site-instance](extension-body-site-instance.html).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48bxQcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48bxQsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_48cYUMFMEea5pdrFDq-m2g" name="Treatment">
          <generalization xmi:id="_48cYUcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_48c_Z8FMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48c_bcFMEea5pdrFDq-m2g">
              <body>Textual description of procedure.</body>
            </ownedComment>
            <ownedComment xmi:id="_48c_a8FMEea5pdrFDq-m2g">
              <body>Textual description of procedure</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48c_aMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48c_acFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48c_b8FMEea5pdrFDq-m2g" name="procedure" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48dmdsFMEea5pdrFDq-m2g">
              <body>A coded value specifying the procedure used to process the specimen.</body>
            </ownedComment>
            <ownedComment xmi:id="_48dmdMFMEea5pdrFDq-m2g">
              <body>Indicates the treatment or processing step  applied to the specimen</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48c_cMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48c_ccFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48eNgMFMEea5pdrFDq-m2g" name="additive" type="_4o3VBcFMEea5pdrFDq-m2g" isOrdered="true" association="_48eNhMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_48eNisFMEea5pdrFDq-m2g">
              <body>Material used in the processing step.</body>
            </ownedComment>
            <ownedComment xmi:id="_48eNiMFMEea5pdrFDq-m2g">
              <body>Material used in the processing step</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48eNgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48eNgsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48eNjMFMEea5pdrFDq-m2g" name="time[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48e0kcFMEea5pdrFDq-m2g">
              <body>A record of the time or period when the specimen treatment occurred.  For example the time of sample fixation or the period of time the sample was in formalin.</body>
            </ownedComment>
            <ownedComment xmi:id="_48eNkMFMEea5pdrFDq-m2g">
              <body>Date and time of specimen treatment</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48eNjcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48eNjsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_48e0lMFMEea5pdrFDq-m2g" name="Container">
          <generalization xmi:id="_48e0lcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_48fbrcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48gCtcFMEea5pdrFDq-m2g">
              <body>Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.</body>
            </ownedComment>
            <ownedComment xmi:id="_48gCs8FMEea5pdrFDq-m2g">
              <body>Id for the container</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48gCsMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48gCscFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48gCt8FMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48gCvcFMEea5pdrFDq-m2g">
              <body>Textual description of the container.</body>
            </ownedComment>
            <ownedComment xmi:id="_48gCu8FMEea5pdrFDq-m2g">
              <body>Textual description of the container</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48gCuMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48gCucFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48gpwMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48hQ0MFMEea5pdrFDq-m2g">
              <body>The type of container associated with the specimen (e.g. slide, aliquot, etc.).</body>
            </ownedComment>
            <ownedComment xmi:id="_48gpx8FMEea5pdrFDq-m2g">
              <body>Kind of container directly associated with specimen</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48gpwcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48gpwsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48hQ0sFMEea5pdrFDq-m2g" name="capacity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48hQ2MFMEea5pdrFDq-m2g">
              <body>The capacity (volume or other measure) the container may contain.</body>
            </ownedComment>
            <ownedComment xmi:id="_48hQ1sFMEea5pdrFDq-m2g">
              <body>Container volume or size</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48hQ08FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48hQ1MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48hQ2sFMEea5pdrFDq-m2g" name="specimenQuantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48h34cFMEea5pdrFDq-m2g">
              <body>The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.</body>
            </ownedComment>
            <ownedComment xmi:id="_48hQ3sFMEea5pdrFDq-m2g">
              <body>Quantity of specimen within container</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48hQ28FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48hQ3MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48h348FMEea5pdrFDq-m2g" name="additive[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48ie8sFMEea5pdrFDq-m2g">
              <body>Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.</body>
            </ownedComment>
            <ownedComment xmi:id="_48ie8MFMEea5pdrFDq-m2g">
              <body>Additive associated with container</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48h35MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48h35cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47yRAMFMEea5pdrFDq-m2g" memberEnd="_47yRAcFMEea5pdrFDq-m2g _47xp98FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47yRAcFMEea5pdrFDq-m2g" type="_47umpMFMEea5pdrFDq-m2g" association="_47yRAMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47yRAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47yRA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47y4F8FMEea5pdrFDq-m2g" memberEnd="_47y4GMFMEea5pdrFDq-m2g _47y4E8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47y4GMFMEea5pdrFDq-m2g" type="_47umpMFMEea5pdrFDq-m2g" association="_47y4F8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47y4GcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47y4GsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_47zfIMFMEea5pdrFDq-m2g" name="DiagnosticRequest">
        <ownedComment xmi:id="_470GNcFMEea5pdrFDq-m2g">
          <body>A record of a request for a diagnostic investigation service to be performed.</body>
        </ownedComment>
        <ownedComment xmi:id="_470GMMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DiagnosticRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_470GM8FMEea5pdrFDq-m2g">
          <body>A request for a diagnostic service</body>
        </ownedComment>
        <generalization xmi:id="_470GMsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_470GN8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_470tQMFMEea5pdrFDq-m2g">
            <body>Identifiers assigned to this order instance by the orderer and/or  the receiver and/or order fulfiller.</body>
          </ownedComment>
          <ownedComment xmi:id="_470GO8FMEea5pdrFDq-m2g">
            <body>Identifiers assigned to this order</body>
          </ownedComment>
          <ownedComment xmi:id="_470tQsFMEea5pdrFDq-m2g">
            <body>The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the [notes section](diagnosticrequest.html#4.22.4) below.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_470GOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_470GOcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_470tRMFMEea5pdrFDq-m2g" name="definition" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_470tSMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_470tTsFMEea5pdrFDq-m2g">
            <body>Protocol or definition followed by this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_470tTMFMEea5pdrFDq-m2g">
            <body>Protocol or definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_470tRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_470tRsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_471UUMFMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_471UVMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_471UWsFMEea5pdrFDq-m2g">
            <body>Plan/proposal/order fulfilled by this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_471UWMFMEea5pdrFDq-m2g">
            <body>What request fulfills</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_471UUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_471UUsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_471UXMFMEea5pdrFDq-m2g" name="replaces" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4717YMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4717ZsFMEea5pdrFDq-m2g">
            <body>The request takes the place of the referenced completed or terminated request(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_4717ZMFMEea5pdrFDq-m2g">
            <body>What request replaces</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_471UXcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_471UXsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4717aMFMEea5pdrFDq-m2g" name="requisition" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4717bsFMEea5pdrFDq-m2g">
            <body>A shared identifier common to all diagnostic requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_4717bMFMEea5pdrFDq-m2g">
            <body>Composite Request ID</body>
          </ownedComment>
          <ownedComment xmi:id="_4717cMFMEea5pdrFDq-m2g">
            <body>Requests are linked either by a &quot;basedOn&quot; relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.</body>
          </ownedComment>
          <ownedComment xmi:id="_472iccFMEea5pdrFDq-m2g">
            <body>Some business processes need to know if multiple items were ordered as part of the same &quot;requisition&quot; for billing or other purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4717acFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4717asFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_472ic8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_473JgsFMEea5pdrFDq-m2g">
            <body>The status of the order.</body>
          </ownedComment>
          <ownedComment xmi:id="_473JgMFMEea5pdrFDq-m2g">
            <body>draft | active | suspended | completed | entered-in-error | cancelled</body>
          </ownedComment>
          <ownedComment xmi:id="_473JhMFMEea5pdrFDq-m2g">
            <body>The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_472idMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_472idcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_473JhsFMEea5pdrFDq-m2g" name="intent" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_473wlcFMEea5pdrFDq-m2g">
            <body>Whether the request is a proposal, plan, an original order or a reflex order.</body>
          </ownedComment>
          <ownedComment xmi:id="_473wk8FMEea5pdrFDq-m2g">
            <body>proposal | plan | original-order | reflex-order</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_473Jh8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_473JiMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_474XoMFMEea5pdrFDq-m2g" name="priority" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_474-ssFMEea5pdrFDq-m2g">
            <body>Indicates how quickly the {{title}} should be addressed with respect to other requests.</body>
          </ownedComment>
          <ownedComment xmi:id="_474-sMFMEea5pdrFDq-m2g">
            <body>routine | urgent | asap | stat</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_474XocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_474XosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_474-tMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_475lw8FMEea5pdrFDq-m2g">
            <body>A code that identifies a particular diagnostic investigation, or panel of investigations, that have been requested.</body>
          </ownedComment>
          <ownedComment xmi:id="_475lwcFMEea5pdrFDq-m2g">
            <body>What’s being requested/ordered</body>
          </ownedComment>
          <ownedComment xmi:id="_475lxcFMEea5pdrFDq-m2g">
            <body>Many laboratory tests and radiology tests embed the specimen/organ system in the test name, for example,  serum or serum/plasma glucose, or a chest xray. The specimen may not be recorded separately from the test code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_474-tcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_474-tsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_475lx8FMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_476M0cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_476M18FMEea5pdrFDq-m2g">
            <body>On whom or what the investigation is to be performed. This is usually a human patient, but diagnostic tests can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).</body>
          </ownedComment>
          <ownedComment xmi:id="_476M1cFMEea5pdrFDq-m2g">
            <body>Individual the test is ordered for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_475lyMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_475lycFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_476M2sFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_476z4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_476z5sFMEea5pdrFDq-m2g">
            <body>An encounter or episode of care that provides additional information about the healthcare context in which this request is made.</body>
          </ownedComment>
          <ownedComment xmi:id="_476z5MFMEea5pdrFDq-m2g">
            <body>Encounter or Episode during which request was created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_476M28FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_476M3MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_476z6cFMEea5pdrFDq-m2g" name="occurrence[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_477a8sFMEea5pdrFDq-m2g">
            <body>The date/time at which the diagnostic testing should occur.</body>
          </ownedComment>
          <ownedComment xmi:id="_477a8MFMEea5pdrFDq-m2g">
            <body>When testing should occur</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_476z6sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_476z68FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_477a9cFMEea5pdrFDq-m2g" name="authoredOn" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_478CA8FMEea5pdrFDq-m2g">
            <body>When the request transitioned to being actionable.</body>
          </ownedComment>
          <ownedComment xmi:id="_478CAcFMEea5pdrFDq-m2g">
            <body>Date request signed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_477a9sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_477a98FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_478CBcFMEea5pdrFDq-m2g" name="requester" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_478CCcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_478CD8FMEea5pdrFDq-m2g">
            <body>Who/what is requesting diagnostics.  The practitioner that holds legal responsibility for ordering the investigation.</body>
          </ownedComment>
          <ownedComment xmi:id="_478CDcFMEea5pdrFDq-m2g">
            <body>Who/what is requesting diagnostics</body>
          </ownedComment>
          <ownedComment xmi:id="_478pEMFMEea5pdrFDq-m2g">
            <body>This not the dispatcher, but rather who is authorizing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_478CBsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_478CB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_478pE8FMEea5pdrFDq-m2g" name="performerType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_479QI8FMEea5pdrFDq-m2g">
            <body>Desired type of performer for doing the diagnostic testing. (.</body>
          </ownedComment>
          <ownedComment xmi:id="_479QIcFMEea5pdrFDq-m2g">
            <body>Performer role</body>
          </ownedComment>
          <ownedComment xmi:id="_479QJcFMEea5pdrFDq-m2g">
            <body>this is a  role, not  aparticipation type.  I.e. doesn’t describe the task, describes the capacity.  Examples “compounding pharmacy” or “psychiatrist” or “internal referral”.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_478pFMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_478pFcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_479QJ8FMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4793MMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4793NsFMEea5pdrFDq-m2g">
            <body>The desired perfomer for doing the diagnostic testing.</body>
          </ownedComment>
          <ownedComment xmi:id="_4793NMFMEea5pdrFDq-m2g">
            <body>Requested perfomer</body>
          </ownedComment>
          <ownedComment xmi:id="_4793OMFMEea5pdrFDq-m2g">
            <body>Use an [extension] (extensibility.html) or listing alternative alternative performers and/or roles and/or preference.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_479QKMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_479QKcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4793O8FMEea5pdrFDq-m2g" name="reasonCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47-eQ8FMEea5pdrFDq-m2g">
            <body>An explanation or justification for why this diagnostic investigation is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in supportingInformation.</body>
          </ownedComment>
          <ownedComment xmi:id="_47-eQcFMEea5pdrFDq-m2g">
            <body>Explanation/Justification for test</body>
          </ownedComment>
          <ownedComment xmi:id="_47-eRcFMEea5pdrFDq-m2g">
            <body>This may be used to decide how the diagnostic investigation will be performed, or even if it will be performed at all.   Use CodeableConcept text element if the data is free (uncoded) text as shown in the [CT Scan example](diagnosticrequest-example-di.html).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4793PMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4793PcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47-eR8FMEea5pdrFDq-m2g" name="reasonReference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47_FUMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47_FVsFMEea5pdrFDq-m2g">
            <body>Indicates another resource that provides a justification for why this diagnostic investigation is being requested.   May relate to the resources referred to in supportingInformation.</body>
          </ownedComment>
          <ownedComment xmi:id="_47_FVMFMEea5pdrFDq-m2g">
            <body>Explanation/Justification for test</body>
          </ownedComment>
          <ownedComment xmi:id="_47_FWMFMEea5pdrFDq-m2g">
            <body>This may be used to decide how the diagnostic investigation will be performed, or even if it will be performed at all.   Use CodeableConcept text element if the data is free (uncoded) text as shown in the [CT Scan example](diagnosticrequest-example-di.html).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47-eSMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47-eScFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47_FW8FMEea5pdrFDq-m2g" name="supportingInformation" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_47_sYMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_47_sZsFMEea5pdrFDq-m2g">
            <body>Additional clinical information about the patient or specimen that may influence test interpretations.  This includes observations explicitly requested by the producer(filler) to provide context or supporting information needed to complete the order.</body>
          </ownedComment>
          <ownedComment xmi:id="_47_sZMFMEea5pdrFDq-m2g">
            <body>Additional clinical information</body>
          </ownedComment>
          <ownedComment xmi:id="_47_saMFMEea5pdrFDq-m2g">
            <body>This information includes diagnosis, clinical findings and other observations.  In laboratory ordering these are typically referred to as &quot;ask at order entry questions (AOEs)&quot;. Examples include reporting the amount of inspired oxygen for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47_FXMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47_FXcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_47_sasFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_47_scMFMEea5pdrFDq-m2g">
            <body>Any other notes and comments made about the service request. (e.g. &quot;patient hates needles&quot;).</body>
          </ownedComment>
          <ownedComment xmi:id="_47_sbsFMEea5pdrFDq-m2g">
            <body>Comments</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47_sa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47_sbMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48L5osFMEea5pdrFDq-m2g" name="relevantHistory" type="_48ATcMFMEea5pdrFDq-m2g" isOrdered="true" association="_48L5psFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48L5rMFMEea5pdrFDq-m2g">
            <body>Key events in the history of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_48L5qsFMEea5pdrFDq-m2g">
            <body>Request provenance</body>
          </ownedComment>
          <ownedComment xmi:id="_48L5rsFMEea5pdrFDq-m2g">
            <body>This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48L5o8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48L5pMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_470tSMFMEea5pdrFDq-m2g" memberEnd="_470tScFMEea5pdrFDq-m2g _470tRMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_470tScFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_470tSMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_470tSsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_470tS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_471UVMFMEea5pdrFDq-m2g" memberEnd="_471UVcFMEea5pdrFDq-m2g _471UUMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_471UVcFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_471UVMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_471UVsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_471UV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4717YMFMEea5pdrFDq-m2g" memberEnd="_4717YcFMEea5pdrFDq-m2g _471UXMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4717YcFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_4717YMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4717YsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4717Y8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_476M0cFMEea5pdrFDq-m2g" memberEnd="_476M0sFMEea5pdrFDq-m2g _475lx8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_476M0sFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_476M0cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_476M08FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_476M1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_476z4MFMEea5pdrFDq-m2g" memberEnd="_476z4cFMEea5pdrFDq-m2g _476M2sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_476z4cFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_476z4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_476z4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_476z48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_478CCcFMEea5pdrFDq-m2g" memberEnd="_478CCsFMEea5pdrFDq-m2g _478CBcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_478CCsFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_478CCcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_478CC8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_478CDMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4793MMFMEea5pdrFDq-m2g" memberEnd="_4793McFMEea5pdrFDq-m2g _479QJ8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4793McFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_4793MMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4793MsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4793M8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47_FUMFMEea5pdrFDq-m2g" memberEnd="_47_FUcFMEea5pdrFDq-m2g _47-eR8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47_FUcFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_47_FUMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47_FUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47_FU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_47_sYMFMEea5pdrFDq-m2g" memberEnd="_47_sYcFMEea5pdrFDq-m2g _47_FW8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_47_sYcFMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_47_sYMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_47_sYsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_47_sY8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_48ATcMFMEea5pdrFDq-m2g" name="Provenance">
        <ownedComment xmi:id="_48A6hsFMEea5pdrFDq-m2g">
          <body>Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.</body>
        </ownedComment>
        <ownedComment xmi:id="_48A6gcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Provenance Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_48A6hMFMEea5pdrFDq-m2g">
          <body>Who, What, When for a set of resources</body>
        </ownedComment>
        <ownedComment xmi:id="_48A6iMFMEea5pdrFDq-m2g">
          <body>Some parties may be duplicated between the target resource and its provenance.  For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance.</body>
        </ownedComment>
        <generalization xmi:id="_48A6g8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_48A6isFMEea5pdrFDq-m2g" name="target" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48BhkMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48BhlsFMEea5pdrFDq-m2g">
            <body>The Reference(s) that were generated or updated by  the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.</body>
          </ownedComment>
          <ownedComment xmi:id="_48BhlMFMEea5pdrFDq-m2g">
            <body>Target Reference(s) (usually version specific)</body>
          </ownedComment>
          <ownedComment xmi:id="_48BhmMFMEea5pdrFDq-m2g">
            <body>Target references are usually version specific, but may not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource may not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48A6i8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48A6jMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48BhmsFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48BhoMFMEea5pdrFDq-m2g">
            <body>The period during which the activity occurred.</body>
          </ownedComment>
          <ownedComment xmi:id="_48BhnsFMEea5pdrFDq-m2g">
            <body>When the activity occurred</body>
          </ownedComment>
          <ownedComment xmi:id="_48CIoMFMEea5pdrFDq-m2g">
            <body>The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48Bhm8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48BhnMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48CIosFMEea5pdrFDq-m2g" name="recorded" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48CIqMFMEea5pdrFDq-m2g">
            <body>The instant of time at which the activity was recorded.</body>
          </ownedComment>
          <ownedComment xmi:id="_48CIpsFMEea5pdrFDq-m2g">
            <body>When the activity was recorded / updated</body>
          </ownedComment>
          <ownedComment xmi:id="_48CIqsFMEea5pdrFDq-m2g">
            <body>This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48CIo8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48CIpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48CIrMFMEea5pdrFDq-m2g" name="reason" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48CvtsFMEea5pdrFDq-m2g">
            <body>The reason that the activity was taking place.</body>
          </ownedComment>
          <ownedComment xmi:id="_48CvtMFMEea5pdrFDq-m2g">
            <body>Reason the activity is occurring</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48CIrcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48CIrsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48DWwMFMEea5pdrFDq-m2g" name="activity" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48D90sFMEea5pdrFDq-m2g">
            <body>An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.</body>
          </ownedComment>
          <ownedComment xmi:id="_48D90MFMEea5pdrFDq-m2g">
            <body>Activity that occurred</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48DWwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48DWwsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48D91MFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_48D92MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48D93sFMEea5pdrFDq-m2g">
            <body>Where the activity occurred, if relevant.</body>
          </ownedComment>
          <ownedComment xmi:id="_48D93MFMEea5pdrFDq-m2g">
            <body>Where the activity occurred, if relevant</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48D91cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48D91sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48D94MFMEea5pdrFDq-m2g" name="policy" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48Ek5cFMEea5pdrFDq-m2g">
            <body>Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_48Ek48FMEea5pdrFDq-m2g">
            <body>Policy or plan the activity was defined by</body>
          </ownedComment>
          <ownedComment xmi:id="_48Ek58FMEea5pdrFDq-m2g">
            <body>For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48Ek4MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Ek4cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48FL8cFMEea5pdrFDq-m2g" name="agent" type="_48Ek6cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48FL9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48FL-8FMEea5pdrFDq-m2g">
            <body>An actor taking a role in an activity  for which it can be assigned some degree of responsibility for the activity taking place.</body>
          </ownedComment>
          <ownedComment xmi:id="_48FL-cFMEea5pdrFDq-m2g">
            <body>Actor involved</body>
          </ownedComment>
          <ownedComment xmi:id="_48FL_cFMEea5pdrFDq-m2g">
            <body>Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.</body>
          </ownedComment>
          <ownedComment xmi:id="_48FzAMFMEea5pdrFDq-m2g">
            <body>An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48FL8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48FL88FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48I2UcFMEea5pdrFDq-m2g" name="entity" type="_48IPRMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48I2VcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48I2W8FMEea5pdrFDq-m2g">
            <body>An entity used in this activity.</body>
          </ownedComment>
          <ownedComment xmi:id="_48I2WcFMEea5pdrFDq-m2g">
            <body>An entity used in this activity</body>
          </ownedComment>
          <ownedComment xmi:id="_48JdYcFMEea5pdrFDq-m2g">
            <body>Multiple userIds may be associated with the same Practitioner or other individual across various appearances, each with distinct privileges.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48I2UsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48I2U8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48LSm8FMEea5pdrFDq-m2g" name="signature" type="_4lJSoMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48L5oMFMEea5pdrFDq-m2g">
            <body>A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.</body>
          </ownedComment>
          <ownedComment xmi:id="_48LSn8FMEea5pdrFDq-m2g">
            <body>Signature on target</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48LSnMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48LSncFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_48Ek6cFMEea5pdrFDq-m2g" name="Agent">
          <generalization xmi:id="_48Ek6sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_48FzAsFMEea5pdrFDq-m2g" name="role" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48GaEsFMEea5pdrFDq-m2g">
              <body>The function of the agent with respect to the activity.</body>
            </ownedComment>
            <ownedComment xmi:id="_48GaEMFMEea5pdrFDq-m2g">
              <body>What the agents involvement was</body>
            </ownedComment>
            <ownedComment xmi:id="_48GaFMFMEea5pdrFDq-m2g">
              <body>For example, author, performer, enterer, attester, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48FzA8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48FzBMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48GaFsFMEea5pdrFDq-m2g" name="who[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48HBIsFMEea5pdrFDq-m2g">
              <body>The individual, device or organization that participated in the event.</body>
            </ownedComment>
            <ownedComment xmi:id="_48HBIMFMEea5pdrFDq-m2g">
              <body>Who participated</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48GaF8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48GaGMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48HBJcFMEea5pdrFDq-m2g" name="onBehalfOf[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48HBK8FMEea5pdrFDq-m2g">
              <body>A reference to an application-usable description of the identity that is represented by the signature.</body>
            </ownedComment>
            <ownedComment xmi:id="_48HBKcFMEea5pdrFDq-m2g">
              <body>On behalf of</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48HBJsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48HBJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48HoMcFMEea5pdrFDq-m2g" name="relatedAgentType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48IPQsFMEea5pdrFDq-m2g">
              <body>The type of relationship between agents.</body>
            </ownedComment>
            <ownedComment xmi:id="_48IPQMFMEea5pdrFDq-m2g">
              <body>Type of relationship between agents</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48HoMsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48HoM8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_48IPRMFMEea5pdrFDq-m2g" name="Entity">
          <generalization xmi:id="_48IPRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_48JdY8FMEea5pdrFDq-m2g" name="role" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48KEdMFMEea5pdrFDq-m2g">
              <body>How the entity was used during the activity.</body>
            </ownedComment>
            <ownedComment xmi:id="_48KEcsFMEea5pdrFDq-m2g">
              <body>derivation | revision | quotation | source | removal</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48JdZMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48JdZcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48KrgMFMEea5pdrFDq-m2g" name="reference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48KrhMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_48KrisFMEea5pdrFDq-m2g">
              <body>Identity of the  Entity used. May be a logical or physical uri and maybe absolute or relative.</body>
            </ownedComment>
            <ownedComment xmi:id="_48KriMFMEea5pdrFDq-m2g">
              <body>Identity of entity</body>
            </ownedComment>
            <ownedComment xmi:id="_48KrjMFMEea5pdrFDq-m2g">
              <body>Identity may be a reference to a resource or to something else, depending on the type.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48KrgcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48KrgsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48KrjsFMEea5pdrFDq-m2g" name="agent" type="_48Ek6cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48LSkcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_48LSl8FMEea5pdrFDq-m2g">
              <body>The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity.</body>
            </ownedComment>
            <ownedComment xmi:id="_48LSlcFMEea5pdrFDq-m2g">
              <body>Entity is attributed to this agent</body>
            </ownedComment>
            <ownedComment xmi:id="_48LSmcFMEea5pdrFDq-m2g">
              <body>A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it.  This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48Krj8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48KrkMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48BhkMFMEea5pdrFDq-m2g" memberEnd="_48BhkcFMEea5pdrFDq-m2g _48A6isFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48BhkcFMEea5pdrFDq-m2g" type="_48ATcMFMEea5pdrFDq-m2g" association="_48BhkMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48BhksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Bhk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48D92MFMEea5pdrFDq-m2g" memberEnd="_48D92cFMEea5pdrFDq-m2g _48D91MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48D92cFMEea5pdrFDq-m2g" type="_48ATcMFMEea5pdrFDq-m2g" association="_48D92MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48D92sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48D928FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48FL9cFMEea5pdrFDq-m2g" memberEnd="_48FL9sFMEea5pdrFDq-m2g _48FL8cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48FL9sFMEea5pdrFDq-m2g" type="_48ATcMFMEea5pdrFDq-m2g" association="_48FL9cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48FL98FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48FL-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48I2VcFMEea5pdrFDq-m2g" memberEnd="_48I2VsFMEea5pdrFDq-m2g _48I2UcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48I2VsFMEea5pdrFDq-m2g" type="_48ATcMFMEea5pdrFDq-m2g" association="_48I2VcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48I2V8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48I2WMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48KrhMFMEea5pdrFDq-m2g" memberEnd="_48KrhcFMEea5pdrFDq-m2g _48KrgMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48KrhcFMEea5pdrFDq-m2g" type="_48IPRMFMEea5pdrFDq-m2g" association="_48KrhMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48KrhsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Krh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48LSkcFMEea5pdrFDq-m2g" memberEnd="_48LSksFMEea5pdrFDq-m2g _48KrjsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48LSksFMEea5pdrFDq-m2g" type="_48IPRMFMEea5pdrFDq-m2g" association="_48LSkcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48LSk8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48LSlMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48L5psFMEea5pdrFDq-m2g" memberEnd="_48L5p8FMEea5pdrFDq-m2g _48L5osFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_48L5p8FMEea5pdrFDq-m2g" type="_47zfIMFMEea5pdrFDq-m2g" association="_48L5psFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48L5qMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48L5qcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_48MgsMFMEea5pdrFDq-m2g" name="ProcedureRequest">
        <ownedComment xmi:id="_48NHxsFMEea5pdrFDq-m2g">
          <body>A request for a procedure to be performed. May be a proposal or an order.</body>
        </ownedComment>
        <ownedComment xmi:id="_48NHwcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ProcedureRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_48NHxMFMEea5pdrFDq-m2g">
          <body>A request for a procedure to be performed</body>
        </ownedComment>
        <generalization xmi:id="_48NHw8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_48NHyMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48NHzsFMEea5pdrFDq-m2g">
            <body>Identifiers assigned to this order by the order or by the receiver.</body>
          </ownedComment>
          <ownedComment xmi:id="_48NHzMFMEea5pdrFDq-m2g">
            <body>Unique identifier for the request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48NHycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48NHysFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48Nu0MFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48Nu1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48Nu2sFMEea5pdrFDq-m2g">
            <body>The person, animal or group that should receive the procedure.</body>
          </ownedComment>
          <ownedComment xmi:id="_48Nu2MFMEea5pdrFDq-m2g">
            <body>Who the procedure should be done to</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48Nu0cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48Nu0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48OV4MFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48O88sFMEea5pdrFDq-m2g">
            <body>The specific procedure that is ordered. Use text if the exact nature of the procedure cannot be coded.</body>
          </ownedComment>
          <ownedComment xmi:id="_48O88MFMEea5pdrFDq-m2g">
            <body>What procedure to perform</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48OV4cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48OV4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48O89MFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48PkAcFMEea5pdrFDq-m2g">
            <body>Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).</body>
          </ownedComment>
          <ownedComment xmi:id="_48O8-cFMEea5pdrFDq-m2g">
            <body>What part of body to perform on</body>
          </ownedComment>
          <ownedComment xmi:id="_48PkA8FMEea5pdrFDq-m2g">
            <body>Only used if not implicit in the code found in ProcedureRequest.type.</body>
          </ownedComment>
          <ownedComment xmi:id="_48PkBcFMEea5pdrFDq-m2g">
            <body>Knowing where the procedure is made is important for tracking if multiple sites are possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48O89cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48O89sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48PkB8FMEea5pdrFDq-m2g" name="reason[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48QLFMFMEea5pdrFDq-m2g">
            <body>The reason why the procedure is being proposed or ordered. This procedure request may be motivated by a Condition for instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_48QLEsFMEea5pdrFDq-m2g">
            <body>Why procedure should occur</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48PkCMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48PkCcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48QyIcFMEea5pdrFDq-m2g" name="scheduled[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48QyJ8FMEea5pdrFDq-m2g">
            <body>The timing schedule for the proposed or ordered procedure. The Schedule data type allows many different expressions.  E.g. &quot;Every 8 hours&quot;; &quot;Three times a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;; &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_48QyJcFMEea5pdrFDq-m2g">
            <body>When procedure should occur</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48QyIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48QyI8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48RZMMFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_48RZNMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48RZOsFMEea5pdrFDq-m2g">
            <body>The encounter within which the procedure proposal or request was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_48RZOMFMEea5pdrFDq-m2g">
            <body>Encounter request created during</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48RZMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48RZMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48RZPMFMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48RZQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48SARcFMEea5pdrFDq-m2g">
            <body>For example, the surgeon, anaethetist, endoscopist, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_48SAQ8FMEea5pdrFDq-m2g">
            <body>Who should perform the procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48RZPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48RZPsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48SASMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48SnVMFMEea5pdrFDq-m2g">
            <body>The status of the order.</body>
          </ownedComment>
          <ownedComment xmi:id="_48SnUsFMEea5pdrFDq-m2g">
            <body>proposed | draft | requested | received | accepted | in-progress | completed | suspended | rejected | aborted</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48SAScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48SASsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48SnVsFMEea5pdrFDq-m2g" name="supportingInfo" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_48TOYMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48TOZsFMEea5pdrFDq-m2g">
            <body>Information that may be needed by/relevant to the performer in their execution of this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_48TOZMFMEea5pdrFDq-m2g">
            <body>Extra information to use in performing request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48SnV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48SnWMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48TOaMFMEea5pdrFDq-m2g" name="notes" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48TObsFMEea5pdrFDq-m2g">
            <body>Any other notes associated with this proposal or order - e.g. provider instructions.</body>
          </ownedComment>
          <ownedComment xmi:id="_48TObMFMEea5pdrFDq-m2g">
            <body>Additional information about desired procedure</body>
          </ownedComment>
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            <body>If a CodeableConcept is present, it indicates the pre-condition for performing the procedure.</body>
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            <body>Preconditions for procedure</body>
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            <body>The time when the request was made.</body>
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            <body>When request was created</body>
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            <body>The healthcare professional responsible for proposing or ordering the procedure.</body>
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            <body>Who made request</body>
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            <body>The clinical priority associated with this order.</body>
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            <body>routine | urgent | stat | asap</body>
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          <body>Describes a measurement, calculation or setting capability of a medical device.</body>
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        <ownedComment xmi:id="_48jtE8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DeviceMetric Resource</body>
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        <ownedComment xmi:id="_48kUIsFMEea5pdrFDq-m2g">
          <body>Measurement, calculation or setting capability of a medical device</body>
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        <ownedComment xmi:id="_48kUJsFMEea5pdrFDq-m2g">
          <body>For the initial scope, this DeviceMetric resource is only applicable to describe a single metric node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard.</body>
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          <ownedComment xmi:id="_48k7McFMEea5pdrFDq-m2g">
            <body>Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc.</body>
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          <ownedComment xmi:id="_48kULcFMEea5pdrFDq-m2g">
            <body>Type of metric</body>
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          <ownedComment xmi:id="_48k7M8FMEea5pdrFDq-m2g">
            <body>DeviceMetric.type can be referred to either GDMN (nomenclature system supported by FDA Global UDI Database) or preferable RTMMS coding system.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48kUKcFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_48k7NcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>Describes the unique identification of this metric that has been assigned by the device or gateway software. For example: handle ID.  It should be noted that in order to make the identifier unique, the system element of the identifier should be set to the unique identifier of the device.</body>
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          <ownedComment xmi:id="_48k7OcFMEea5pdrFDq-m2g">
            <body>Unique identifier of this DeviceMetric</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48k7NsFMEea5pdrFDq-m2g" value="1"/>
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            <body>Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc.</body>
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          <ownedComment xmi:id="_48liRMFMEea5pdrFDq-m2g">
            <body>Unit of metric</body>
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          <ownedComment xmi:id="_48liSMFMEea5pdrFDq-m2g">
            <body>DeviceMetric.unit can be referred to either UCUM or preferable RTMMS coding system.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48liQMFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_48mJUcFMEea5pdrFDq-m2g" name="source" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_48mJVcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48mJW8FMEea5pdrFDq-m2g">
            <body>Describes the link to the  Device that this DeviceMetric belongs to and that contains administrative device information such as manufacture, serial number, etc.</body>
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          <ownedComment xmi:id="_48mJWcFMEea5pdrFDq-m2g">
            <body>Describes the link to the source Device</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48mJUsFMEea5pdrFDq-m2g"/>
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            <body>Describes the link to the  DeviceComponent that this DeviceMetric belongs to and that provide information about the location of this DeviceMetric in the containment structure of the parent Device. An example would be a DeviceComponent that represents a Channel. This reference can be used by a client application to distinguish DeviceMetrics that have the same type, but should be interpreted based on their containment location.</body>
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          <ownedComment xmi:id="_48uFIMFMEea5pdrFDq-m2g">
            <body>Describes the link to the parent DeviceComponent</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48teFcFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_48uFJMFMEea5pdrFDq-m2g" name="operationalStatus" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>Indicates current operational state of the device. For example: On, Off, Standby, etc.</body>
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          <ownedComment xmi:id="_48usMMFMEea5pdrFDq-m2g">
            <body>on | off | standby</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48uFJcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48uFJsFMEea5pdrFDq-m2g" value="1"/>
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            <body>Describes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta.</body>
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          <ownedComment xmi:id="_48vTQsFMEea5pdrFDq-m2g">
            <body>black | red | green | yellow | blue | magenta | cyan | white</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48usNcFMEea5pdrFDq-m2g"/>
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            <body>Indicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation.</body>
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          <ownedComment xmi:id="_48whYMFMEea5pdrFDq-m2g">
            <body>measurement | setting | calculation | unspecified</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48v6UcFMEea5pdrFDq-m2g" value="1"/>
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            <body>Describes the measurement repetition time. This is not necessarily the same as the update period. The measurement repetition time can range from milliseconds up to hours. An example for a measurement repetition time in the range of milliseconds is the sampling rate of an ECG. An example for a measurement repetition time in the range of hours is a NIBP that is triggered automatically every hour. The update period may be different than the measurement repetition time, if the device does not update the published observed value with the same frequency as it was measured.</body>
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          <ownedComment xmi:id="_48whaMFMEea5pdrFDq-m2g">
            <body>Describes the measurement repetition time</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48whZcFMEea5pdrFDq-m2g"/>
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            <body>Describes the calibrations that have been performed or that are required to be performed.</body>
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          <ownedComment xmi:id="_48xvhcFMEea5pdrFDq-m2g">
            <body>Describes the calibrations that have been performed or that are required to be performed</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48xIdMFMEea5pdrFDq-m2g"/>
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              <body>Describes the type of the calibration method.</body>
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            <ownedComment xmi:id="_48yWksFMEea5pdrFDq-m2g">
              <body>unspecified | offset | gain | two-point</body>
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              <body>Describes the state of the calibration.</body>
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            <ownedComment xmi:id="_48y9o8FMEea5pdrFDq-m2g">
              <body>not-calibrated | calibration-required | calibrated | unspecified</body>
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              <body>Describes the time last calibration has been performed.</body>
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            <ownedComment xmi:id="_48zktMFMEea5pdrFDq-m2g">
              <body>Describes the time last calibration has been performed</body>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48mJWMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_48mJXcFMEea5pdrFDq-m2g" name="DeviceComponent">
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          <body>Describes the characteristics, operational status and capabilities of a medical-related component of a medical device.</body>
        </ownedComment>
        <ownedComment xmi:id="_48mwYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DeviceComponent Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_48mwZcFMEea5pdrFDq-m2g">
          <body>An instance of a medical-related component of a medical device</body>
        </ownedComment>
        <ownedComment xmi:id="_48nXcsFMEea5pdrFDq-m2g">
          <body>For the initial scope, this DeviceComponent resource is only applicable to describe a single node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard and that does not represent a metric. Examples for such a node are MDS, VMD, or Channel.</body>
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            <body>Describes the specific component type as defined in the object-oriented or metric nomenclature partition.</body>
          </ownedComment>
          <ownedComment xmi:id="_48nXecFMEea5pdrFDq-m2g">
            <body>What kind of component it is</body>
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          <ownedComment xmi:id="_48n-gMFMEea5pdrFDq-m2g">
            <body>DeviceComponent.type can be referred to either GDMN (nomenclature system supported by FDA Global UDI Database) or preferable RTMMS coding system.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48nXdcFMEea5pdrFDq-m2g" value="1"/>
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            <body>Describes the local assigned unique identification by the software. For example: handle ID.</body>
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          <ownedComment xmi:id="_48n-hsFMEea5pdrFDq-m2g">
            <body>Instance id assigned by the software stack</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48n-g8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48n-hMFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_48n-isFMEea5pdrFDq-m2g" name="lastSystemChange" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>Describes the timestamp for the most recent system change which includes device configuration or setting change.</body>
          </ownedComment>
          <ownedComment xmi:id="_48olkMFMEea5pdrFDq-m2g">
            <body>Recent system change timestamp</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48n-i8FMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_48olnsFMEea5pdrFDq-m2g">
            <body>Describes the link to the source Device that contains administrative device information such as manufacture, serial number, etc.</body>
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          <ownedComment xmi:id="_48olnMFMEea5pdrFDq-m2g">
            <body>A source device of this component</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48ollcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48ollsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_48pMoMFMEea5pdrFDq-m2g" name="parent" type="_48mJXcFMEea5pdrFDq-m2g" isOrdered="true" association="_48pMpMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48pMqsFMEea5pdrFDq-m2g">
            <body>Describes the link to the parent resource. For example: Channel is linked to its VMD parent.</body>
          </ownedComment>
          <ownedComment xmi:id="_48pMqMFMEea5pdrFDq-m2g">
            <body>Parent resource link</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48pMocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48pMosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48pMrMFMEea5pdrFDq-m2g" name="operationalStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48pzs8FMEea5pdrFDq-m2g">
            <body>Indicates current operational status of the device. For example: On, Off, Standby, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_48pzscFMEea5pdrFDq-m2g">
            <body>Component operational status</body>
          </ownedComment>
          <ownedComment xmi:id="_48pztcFMEea5pdrFDq-m2g">
            <body>OperationalStatus for the MDS, VMD, or Channel will be bound to a specific ValueSet that is defined in its profile.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48pMrcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48pMrsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48pzt8FMEea5pdrFDq-m2g" name="parameterGroup" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48qawsFMEea5pdrFDq-m2g">
            <body>Describes the parameter group supported by the current device component that is based on some nomenclature, e.g. cardiovascular.</body>
          </ownedComment>
          <ownedComment xmi:id="_48qawMFMEea5pdrFDq-m2g">
            <body>Current supported parameter group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48pzuMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48pzucFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48qaxMFMEea5pdrFDq-m2g" name="measurementPrinciple" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48rB0sFMEea5pdrFDq-m2g">
            <body>Describes the physical principle of the measurement. For example: thermal, chemical, acoustical, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_48rB0MFMEea5pdrFDq-m2g">
            <body>other | chemical | electrical | impedance | nuclear | optical | thermal | biological | mechanical | acoustical | manual+</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48qaxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48qaxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48ro4cFMEea5pdrFDq-m2g" name="productionSpecification" type="_48rB1MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_48ro5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_48ro68FMEea5pdrFDq-m2g">
            <body>Describes the production specification such as component revision, serial number, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_48ro6cFMEea5pdrFDq-m2g">
            <body>Production specification of the component</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48ro4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48ro48FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_48s3CMFMEea5pdrFDq-m2g" name="languageCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_48teEsFMEea5pdrFDq-m2g">
            <body>Describes the language code for the human-readable text string produced by the device. This language code will follow the IETF language tag. Example: en-US.</body>
          </ownedComment>
          <ownedComment xmi:id="_48teEMFMEea5pdrFDq-m2g">
            <body>Language code for the human-readable text strings produced by the device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48s3CcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48s3CsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_48rB1MFMEea5pdrFDq-m2g" name="ProductionSpecification">
          <generalization xmi:id="_48rB1cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_48ro7cFMEea5pdrFDq-m2g" name="specType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48sP88FMEea5pdrFDq-m2g">
              <body>Describes the specification type, such as, serial number, part number, hardware revision, software revision, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_48sP8cFMEea5pdrFDq-m2g">
              <body>Specification type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48ro7sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48ro78FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_48sP9cFMEea5pdrFDq-m2g" name="componentId" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48sP-8FMEea5pdrFDq-m2g">
              <body>Describes the internal component unique identification. This is a provision for manufacture specific standard components using a private OID. 11073-10101 has a partition for private OID semantic that the manufacture can make use of.</body>
            </ownedComment>
            <ownedComment xmi:id="_48sP-cFMEea5pdrFDq-m2g">
              <body>Internal component unique identification</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48sP9sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48sP98FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_48s3AMFMEea5pdrFDq-m2g" name="productionSpec" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_48s3BsFMEea5pdrFDq-m2g">
              <body>Describes the printable string defining the component.</body>
            </ownedComment>
            <ownedComment xmi:id="_48s3BMFMEea5pdrFDq-m2g">
              <body>A printable string defining the component</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_48s3AcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_48s3AsFMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48pMpMFMEea5pdrFDq-m2g" memberEnd="_48pMpcFMEea5pdrFDq-m2g _48pMoMFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_48ro5cFMEea5pdrFDq-m2g" memberEnd="_48ro5sFMEea5pdrFDq-m2g _48ro4cFMEea5pdrFDq-m2g">
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      </packagedElement>
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      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_49PCgMFMEea5pdrFDq-m2g" name="QuestionnaireResponse">
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          <body>A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the underlying questions.</body>
        </ownedComment>
        <ownedComment xmi:id="_49QQocFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for QuestionnaireResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_49QQo8FMEea5pdrFDq-m2g">
          <body>To support structured, hierarchical registration of data gathered using digital forms and other questionnaires.</body>
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        <ownedComment xmi:id="_49QQpsFMEea5pdrFDq-m2g">
          <body>A structured set of questions and their answers</body>
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        <ownedRule xmi:id="_49PCgcFMEea5pdrFDq-m2g" name="qrs-1" constrainedElement="_5CvNkcFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(exists(f:answer) and exists(f:item))</body>
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        <generalization xmi:id="_49QQpcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_49QQqsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49Q3s8FMEea5pdrFDq-m2g">
            <body>A business identifier assigned to a particular completed (or partially completed) questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_49Q3scFMEea5pdrFDq-m2g">
            <body>Unique id for this set of answers</body>
          </ownedComment>
          <ownedComment xmi:id="_49Q3tcFMEea5pdrFDq-m2g">
            <body>Used for tracking, registration and other business purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49QQq8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49QQrMFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5BAvS8FMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BAvT8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BBWUsFMEea5pdrFDq-m2g">
            <body>Identifies the order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BBWUMFMEea5pdrFDq-m2g">
            <body>Request fulfilled by this QuestionnaireResponse</body>
          </ownedComment>
          <ownedComment xmi:id="_5BBWVMFMEea5pdrFDq-m2g">
            <body>Supports traceability of authorization and confirmation of action on recommendations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BAvTMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BAvTcFMEea5pdrFDq-m2g" value="*"/>
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          <ownedComment xmi:id="_5CpuAsFMEea5pdrFDq-m2g">
            <body>Identifies a procedure or observation that this questionnaire was performed as part of the execution of.</body>
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          <ownedComment xmi:id="_5CpuAMFMEea5pdrFDq-m2g">
            <body>Part of this action</body>
          </ownedComment>
          <ownedComment xmi:id="_5CpuBMFMEea5pdrFDq-m2g">
            <body>Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CpG-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CpG-8FMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5CpuB8FMEea5pdrFDq-m2g" name="questionnaire" type="_49h9dsFMEea5pdrFDq-m2g" isOrdered="true" association="_5CpuC8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CqVEsFMEea5pdrFDq-m2g">
            <body>Indicates the Questionnaire resource that defines the form for which answers are being provided.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CqVEMFMEea5pdrFDq-m2g">
            <body>Form being answered</body>
          </ownedComment>
          <ownedComment xmi:id="_5CqVFMFMEea5pdrFDq-m2g">
            <body>Needed to allow editing of the questionnaire in a manner that enforces the constraints of the original form.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CpuCMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CpuCcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CqVFsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Cq8JMFMEea5pdrFDq-m2g">
            <body>The lifecycle status of the questionnaire response as a whole.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cq8IsFMEea5pdrFDq-m2g">
            <body>in-progress | completed | amended | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cq8JsFMEea5pdrFDq-m2g">
            <body>The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished. Questionnaire resources with just questions may serve as template forms, with the applicable publication statuses.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CqVF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CqVGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Cq8KMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CrjMcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CrjN8FMEea5pdrFDq-m2g">
            <body>The subject of the questionnaire response.  This could be a patient, organization, practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily the source of information.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CrjNcFMEea5pdrFDq-m2g">
            <body>The subject of the questions</body>
          </ownedComment>
          <ownedComment xmi:id="_5CrjOcFMEea5pdrFDq-m2g">
            <body>If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of that type.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CrjO8FMEea5pdrFDq-m2g">
            <body>The subject context must be known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cq8KcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cq8KsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CrjPcFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CsKQsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CsKSMFMEea5pdrFDq-m2g">
            <body>The encounter or episode of care with primary association to the questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CsKRsFMEea5pdrFDq-m2g">
            <body>Encounter or Episode during which questionnaire was completed</body>
          </ownedComment>
          <ownedComment xmi:id="_5CsKSsFMEea5pdrFDq-m2g">
            <body>A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CrjPsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CsKQMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CsKTcFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CsxU8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CsxWcFMEea5pdrFDq-m2g">
            <body>Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CsxV8FMEea5pdrFDq-m2g">
            <body>Person who received and recorded the answers</body>
          </ownedComment>
          <ownedComment xmi:id="_5CsxW8FMEea5pdrFDq-m2g">
            <body>Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CsxXcFMEea5pdrFDq-m2g">
            <body>Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CsxUMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CsxUcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CtYYcFMEea5pdrFDq-m2g" name="authored" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CtYZ8FMEea5pdrFDq-m2g">
            <body>The date and/or time that this version of the questionnaire response was authored.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CtYZcFMEea5pdrFDq-m2g">
            <body>Date this version was authored</body>
          </ownedComment>
          <ownedComment xmi:id="_5CtYacFMEea5pdrFDq-m2g">
            <body>May be different from the update time of the resource itself, because that is the status of the collection and authoring.  This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CtYa8FMEea5pdrFDq-m2g">
            <body>Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CtYYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CtYY8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ct_cMFMEea5pdrFDq-m2g" name="source" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Ct_dMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Ct_esFMEea5pdrFDq-m2g">
            <body>The person who answered the questions about the subject.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ct_eMFMEea5pdrFDq-m2g">
            <body>The person who answered the questions</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ct_fMFMEea5pdrFDq-m2g">
            <body>If not specified, no inference can be made about who provided the data.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CumgMFMEea5pdrFDq-m2g">
            <body>When answering questions about a subject that is minor, incapable of answering or an animal, another human source is used to answer the questions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ct_ccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ct_csFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CvNkcFMEea5pdrFDq-m2g" name="item" type="_5Cumg8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5CvNlcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CvNm8FMEea5pdrFDq-m2g">
            <body>Corresponds to a group or question item from the original questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CvNmcFMEea5pdrFDq-m2g">
            <body>Groups and questions</body>
          </ownedComment>
          <ownedComment xmi:id="_5CvNncFMEea5pdrFDq-m2g">
            <body>Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CvNksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CvNk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Cumg8FMEea5pdrFDq-m2g" name="Item">
          <generalization xmi:id="_5CumhMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5CvNn8FMEea5pdrFDq-m2g" name="linkId" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Cv0pcFMEea5pdrFDq-m2g">
              <body>Identifies the item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Cv0o8FMEea5pdrFDq-m2g">
              <body>Pointer to specific item from Questionnaire</body>
            </ownedComment>
            <ownedComment xmi:id="_5Cv0p8FMEea5pdrFDq-m2g">
              <body>Items can repeat in the answers, so a direct 1..1 correspondence may not exist - requiring correspondence by identifier.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cv0oMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cv0ocFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Cv0qcFMEea5pdrFDq-m2g" name="definition" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Cv0r8FMEea5pdrFDq-m2g">
              <body>A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Cv0rcFMEea5pdrFDq-m2g">
              <body>ElementDefinition - details for the item</body>
            </ownedComment>
            <ownedComment xmi:id="_5CwbscFMEea5pdrFDq-m2g">
              <body>The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by it\'s id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].</body>
            </ownedComment>
            <ownedComment xmi:id="_5Cwbs8FMEea5pdrFDq-m2g">
              <body>A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cv0qsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cv0q8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5CwbtcFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Cwbu8FMEea5pdrFDq-m2g">
              <body>Text that is displayed above the contents of the group or as the text of the question being answered.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CwbucFMEea5pdrFDq-m2g">
              <body>Name for group or question text</body>
            </ownedComment>
            <ownedComment xmi:id="_5CwbvcFMEea5pdrFDq-m2g">
              <body>Allows the questionnaire response to be read without access to the questionnaire.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CwbtsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cwbt8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5CxCwMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CxCxMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5CxCysFMEea5pdrFDq-m2g">
              <body>More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CxCyMFMEea5pdrFDq-m2g">
              <body>The subject this group's answers are about</body>
            </ownedComment>
            <ownedComment xmi:id="_5CxCzMFMEea5pdrFDq-m2g">
              <body>Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CxCwcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CxCwsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Cxp08FMEea5pdrFDq-m2g" name="answer" type="_5Cxp0MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Cxp18FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5CyQ4sFMEea5pdrFDq-m2g">
              <body>The respondent's answer(s) to the question.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CyQ4MFMEea5pdrFDq-m2g">
              <body>The response(s) to the question</body>
            </ownedComment>
            <ownedComment xmi:id="_5CyQ5MFMEea5pdrFDq-m2g">
              <body>The value is nested because we cannot have a repeating structure that has variable type.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cxp1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cxp1cFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C0GE8FMEea5pdrFDq-m2g" name="item" type="_5Cumg8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5C0GF8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5C0GHcFMEea5pdrFDq-m2g">
              <body>Questions or sub-groups nested beneath a question or group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C0GG8FMEea5pdrFDq-m2g">
              <body>Nested questionnaire response items</body>
            </ownedComment>
            <ownedComment xmi:id="_5C0GH8FMEea5pdrFDq-m2g">
              <body>Reports can consist of complex nested groups.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C0GFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C0GFcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Cxp0MFMEea5pdrFDq-m2g" name="Answer">
            <generalization xmi:id="_5Cxp0cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5CyQ5sFMEea5pdrFDq-m2g" name="value[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Cy39MFMEea5pdrFDq-m2g">
                <body>The answer (or one of the answers) provided by the respondent to the question.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Cy38sFMEea5pdrFDq-m2g">
                <body>Single-valued answer to the question</body>
              </ownedComment>
              <ownedComment xmi:id="_5Cy39sFMEea5pdrFDq-m2g">
                <body>More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Cy3-MFMEea5pdrFDq-m2g">
                <body>Ability to retain a single-valued answer to a question.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CyQ58FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CyQ6MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5CzfAcFMEea5pdrFDq-m2g" name="item" type="_5Cumg8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5CzfBcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5CzfC8FMEea5pdrFDq-m2g">
                <body>Nested groups and/or questions found within this particular answer.</body>
              </ownedComment>
              <ownedComment xmi:id="_5CzfCcFMEea5pdrFDq-m2g">
                <body>Nested groups and questions</body>
              </ownedComment>
              <ownedComment xmi:id="_5C0GEcFMEea5pdrFDq-m2g">
                <body>It is useful to have &quot;sub-questions&quot;, questions which normally appear when certain answers are given and which collect additional details.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CzfAsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CzfA8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_49Q3t8FMEea5pdrFDq-m2g" name="ReferralRequest">
        <ownedComment xmi:id="_49Rex8FMEea5pdrFDq-m2g">
          <body>Used to record and send details about a request for referral service or transfer of a patient to the care of another provider or provider organization.</body>
        </ownedComment>
        <ownedComment xmi:id="_49RewsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ReferralRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_49RexcFMEea5pdrFDq-m2g">
          <body>A request for referral or transfer of care</body>
        </ownedComment>
        <generalization xmi:id="_49RexMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_49SF0cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49SF18FMEea5pdrFDq-m2g">
            <body>Business identifier that uniquely identifies the referral/care transfer request instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_49SF1cFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49SF0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49SF08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A3lUcFMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5A3lVcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5A3lW8FMEea5pdrFDq-m2g">
            <body>Indicates any plans, proposals or orders that this request is intended to satisfy - in whole or in part.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A3lWcFMEea5pdrFDq-m2g">
            <body>Request fulfilled by this request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A3lUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A3lU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A4MYMFMEea5pdrFDq-m2g" name="parent" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A4MZsFMEea5pdrFDq-m2g">
            <body>The business identifier of the logical &quot;grouping&quot; request/order that this referral is a part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A4MZMFMEea5pdrFDq-m2g">
            <body>Composite request this is part of</body>
          </ownedComment>
          <ownedComment xmi:id="_5A4MaMFMEea5pdrFDq-m2g">
            <body>Allows multiple orders to be collected as part of a single requisition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A4MYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A4MYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A4MasFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A4zdcFMEea5pdrFDq-m2g">
            <body>The status of the authorization/intention reflected by the referral request record.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A4zc8FMEea5pdrFDq-m2g">
            <body>draft | active | cancelled | completed | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_5A4zd8FMEea5pdrFDq-m2g">
            <body>Workflow status is handled by the Task resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A4Ma8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A4MbMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A5agcFMEea5pdrFDq-m2g" name="category" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A6BksFMEea5pdrFDq-m2g">
            <body>Distinguishes the &quot;level&quot; of authorization/demand implicit in this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A6BkMFMEea5pdrFDq-m2g">
            <body>proposal | plan | request</body>
          </ownedComment>
          <ownedComment xmi:id="_5A6BlMFMEea5pdrFDq-m2g">
            <body>The same resource structure is used when capturing proposals/recommendations, plans and actual requests.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A5agsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A5ag8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A6BlsFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A6oosFMEea5pdrFDq-m2g">
            <body>An indication of the type of referral (or where applicable the type of transfer of care) request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A6ooMFMEea5pdrFDq-m2g">
            <body>Referral/Transition of care request type</body>
          </ownedComment>
          <ownedComment xmi:id="_5A6opMFMEea5pdrFDq-m2g">
            <body>Examples of referral type: - consultation;         second opinion;          third opinion - Assume management - Request for procedure(s)  HL7 v2.8 Example - Table 0336: S = second opinion p = patient preference o = provider ordered w = work load.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A6Bl8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A6BmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A6opsFMEea5pdrFDq-m2g" name="priority" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A7PssFMEea5pdrFDq-m2g">
            <body>An indication of the urgency of referral (or where applicable the type of transfer of care) request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A7PsMFMEea5pdrFDq-m2g">
            <body>Urgency of referral / transfer of care request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A6op8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A6oqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A7PtMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5A7PuMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5A72wcFMEea5pdrFDq-m2g">
            <body>The patient who is the subject of a referral or transfer of care request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A7PvMFMEea5pdrFDq-m2g">
            <body>Patient referred to care or transfer</body>
          </ownedComment>
          <ownedComment xmi:id="_5A72w8FMEea5pdrFDq-m2g">
            <body>Referral of family, group or community is to be catered for by profiles.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A7PtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A7PtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A72xcFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5A72ycFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5A72z8FMEea5pdrFDq-m2g">
            <body>The encounter at which the request for referral or transfer of care is initiated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A72zcFMEea5pdrFDq-m2g">
            <body>Originating encounter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A72xsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A72x8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A8d0sFMEea5pdrFDq-m2g" name="fulfillmentTime" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A8d2MFMEea5pdrFDq-m2g">
            <body>The period of time within which the services identified in the referral/transfer of care is specified or required to occur.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A8d1sFMEea5pdrFDq-m2g">
            <body>Requested service(s) fulfillment time</body>
          </ownedComment>
          <ownedComment xmi:id="_5A8d2sFMEea5pdrFDq-m2g">
            <body>Use cases: (1) to indicate that the requested service is not to happen before a specified date, and saving the start date in Period.start; (2) to indicate that the requested service must happen before a specified date, and saving the end date in Period.end; (3) to indicate that the requested service must happen during the specified dates (&quot;start&quot; and &quot;end&quot; values).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A8d08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A8d1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A9E4MFMEea5pdrFDq-m2g" name="authored" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A9E5sFMEea5pdrFDq-m2g">
            <body>Date/DateTime of creation for draft requests and date of activation for active requests.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A9E5MFMEea5pdrFDq-m2g">
            <body>Date of creation/activation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A9E4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A9E4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A9E6MFMEea5pdrFDq-m2g" name="requester" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5A9E7MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5A9r8MFMEea5pdrFDq-m2g">
            <body>The healthcare provider or provider organization who/which initiated the referral/transfer of care request. Can also be  Patient (a self referral).</body>
          </ownedComment>
          <ownedComment xmi:id="_5A9E8MFMEea5pdrFDq-m2g">
            <body>Requester of referral / transfer of care</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A9E6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A9E6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A9r88FMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A-TAsFMEea5pdrFDq-m2g">
            <body>Indication of the clinical domain or discipline to which the referral or transfer of care request is sent.  For example: Cardiology Gastroenterology Diabetology.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A-TAMFMEea5pdrFDq-m2g">
            <body>The clinical specialty (discipline) that the referral is requested for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A9r9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A9r9cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A-TBMFMEea5pdrFDq-m2g" name="recipient" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5A-TCMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5A-6FcFMEea5pdrFDq-m2g">
            <body>The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A-6E8FMEea5pdrFDq-m2g">
            <body>Receiver of referral / transfer of care request</body>
          </ownedComment>
          <ownedComment xmi:id="_5A-6F8FMEea5pdrFDq-m2g">
            <body>There will be a primary receiver. But the request can be received by any number of &quot;copied to&quot; providers or organizations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A-TBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A-TBsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A-6GsFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A_hIsFMEea5pdrFDq-m2g">
            <body>Description of clinical condition indicating why referral/transfer of care is requested.  For example:  Pathological Anomalies, Disabled (physical or mental),  Behavioral Management.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A_hIMFMEea5pdrFDq-m2g">
            <body>Reason for referral / transfer of care request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A-6G8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A-6HMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A_hJMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A_hKsFMEea5pdrFDq-m2g">
            <body>The reason element gives a short description of why the referral is being made, the description expands on this to support a more complete clinical summary.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A_hKMFMEea5pdrFDq-m2g">
            <body>A textual description of the referral</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A_hJcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A_hJsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BAIMMFMEea5pdrFDq-m2g" name="serviceRequested" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BAIN8FMEea5pdrFDq-m2g">
            <body>The service(s) that is/are requested to be provided to the patient.  For example: cardiac pacemaker insertion.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BAINcFMEea5pdrFDq-m2g">
            <body>Actions requested as part of the referral</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BAIMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BAIMsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BAIOcFMEea5pdrFDq-m2g" name="supportingInformation" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BAvQ8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BAvScFMEea5pdrFDq-m2g">
            <body>Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care.  For example: Presenting problems/chief complaints Medical History Family History Alerts Allergy/Intolerance and Adverse Reactions Medications Observations/Assessments (may include cognitive and fundtional assessments) Diagnostic Reports Care Plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BAvR8FMEea5pdrFDq-m2g">
            <body>Additonal information to support referral or transfer of care request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BAvQMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BAvQcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_49SF2cFMEea5pdrFDq-m2g" name="CarePlan">
        <ownedComment xmi:id="_49TT98FMEea5pdrFDq-m2g">
          <body>Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.</body>
        </ownedComment>
        <ownedComment xmi:id="_49TT8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CarePlan Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_49TT9cFMEea5pdrFDq-m2g">
          <body>Healthcare plan for patient or group</body>
        </ownedComment>
        <ownedRule xmi:id="_49SF2sFMEea5pdrFDq-m2g" name="ctm-3" constrainedElement="_4_PNocFMEea5pdrFDq-m2g _5AqJ-MFMEea5pdrFDq-m2g _5ArYE8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_49SF28FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:detail)) or not(exists(f:reference))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_49TT9MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_49T7AcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49T7B8FMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_49T7BcFMEea5pdrFDq-m2g">
            <body>External Ids for this plan</body>
          </ownedComment>
          <ownedComment xmi:id="_49T7CcFMEea5pdrFDq-m2g">
            <body>Need to allow connection to a wider workflow.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49T7AsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49T7A8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49T7C8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49VJIcFMEea5pdrFDq-m2g">
            <body>Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.</body>
          </ownedComment>
          <ownedComment xmi:id="_49UiFcFMEea5pdrFDq-m2g">
            <body>proposed | draft | active | suspended | completed | entered-in-error | cancelled | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_49VJI8FMEea5pdrFDq-m2g">
            <body>The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49VJJcFMEea5pdrFDq-m2g">
            <body>Allows clinicians to determine whether the plan is actionable or not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49T7DMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49UiEMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49VJJ8FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49VwNMFMEea5pdrFDq-m2g">
            <body>Identifies what &quot;kind&quot; of plan this is to support differentiation between multiple co-existing plans; e.g. &quot;Home health&quot;, &quot;psychiatric&quot;, &quot;asthma&quot;, &quot;disease management&quot;, &quot;wellness plan&quot;, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_49VwMsFMEea5pdrFDq-m2g">
            <body>Type of plan</body>
          </ownedComment>
          <ownedComment xmi:id="_49VwNsFMEea5pdrFDq-m2g">
            <body>There may be multiple axis of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern.</body>
          </ownedComment>
          <ownedComment xmi:id="_49VwOMFMEea5pdrFDq-m2g">
            <body>Used for filtering what plan(s) are retrieved and displayed to different types of users.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49VJKMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49VJKcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49WXQMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49WXRsFMEea5pdrFDq-m2g">
            <body>A description of the scope and nature of the plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49WXRMFMEea5pdrFDq-m2g">
            <body>Summary of nature of plan</body>
          </ownedComment>
          <ownedComment xmi:id="_49WXSMFMEea5pdrFDq-m2g">
            <body>Provides more detail than conveyed by category.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49WXQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49WXQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49WXSsFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_49W-U8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49W-WcFMEea5pdrFDq-m2g">
            <body>Identifies the patient or group whose intended care is described by the plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49W-V8FMEea5pdrFDq-m2g">
            <body>Who care plan is for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49W-UMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49W-UcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49W-XMFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_49XlYcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49XlZ8FMEea5pdrFDq-m2g">
            <body>Identifies the original context in which this particular CarePlan was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_49XlZcFMEea5pdrFDq-m2g">
            <body>Created in context of</body>
          </ownedComment>
          <ownedComment xmi:id="_49XlacFMEea5pdrFDq-m2g">
            <body>Activities conducted as a result of the care plan may well occur as part of other encounters/episodes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49W-XcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49W-XsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49XlbMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49YMdMFMEea5pdrFDq-m2g">
            <body>Indicates when the plan did (or is intended to) come into effect and end.</body>
          </ownedComment>
          <ownedComment xmi:id="_49YMcsFMEea5pdrFDq-m2g">
            <body>Time period plan covers</body>
          </ownedComment>
          <ownedComment xmi:id="_49YMdsFMEea5pdrFDq-m2g">
            <body>Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).</body>
          </ownedComment>
          <ownedComment xmi:id="_49YMeMFMEea5pdrFDq-m2g">
            <body>Allows tracking what plan(s) are in effect at a particular time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49XlbcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49YMcMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49YMesFMEea5pdrFDq-m2g" name="modified" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49YzgsFMEea5pdrFDq-m2g">
            <body>Identifies the most recent date on which the plan has been revised.</body>
          </ownedComment>
          <ownedComment xmi:id="_49YzgMFMEea5pdrFDq-m2g">
            <body>When last updated</body>
          </ownedComment>
          <ownedComment xmi:id="_49YzhMFMEea5pdrFDq-m2g">
            <body>Indicates how current the plan is.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49YMe8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49YMfMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49YzhsFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_49YzisFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49ZaksFMEea5pdrFDq-m2g">
            <body>Identifies the individual(s) or ogranization who is responsible for the content of the care plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49ZakMFMEea5pdrFDq-m2g">
            <body>Who is responsible for contents of the plan</body>
          </ownedComment>
          <ownedComment xmi:id="_49ZalMFMEea5pdrFDq-m2g">
            <body>Collaborative care plans may have multiple authors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49Yzh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49YziMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49gITsFMEea5pdrFDq-m2g" name="careTeam" type="_49aBoMFMEea5pdrFDq-m2g" isOrdered="true" association="_49gvUcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49gvV8FMEea5pdrFDq-m2g">
            <body>Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49gvVcFMEea5pdrFDq-m2g">
            <body>Who's involved in plan?</body>
          </ownedComment>
          <ownedComment xmi:id="_49gvWcFMEea5pdrFDq-m2g">
            <body>Allows representation of care teams, helps scope care plan.  In some cases may be a determiner of access permissions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49gIT8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49gIUMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49gvW8FMEea5pdrFDq-m2g" name="addresses" type="_463D9sFMEea5pdrFDq-m2g" isOrdered="true" association="_49gvX8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49hWZcFMEea5pdrFDq-m2g">
            <body>Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49hWY8FMEea5pdrFDq-m2g">
            <body>Health issues this plan addresses</body>
          </ownedComment>
          <ownedComment xmi:id="_49hWZ8FMEea5pdrFDq-m2g">
            <body>Links plan to the conditions it manages.  The element can identify risks addressed by the plan as well as active conditions.  (The Condition resource can include things like &quot;at risk for hypertension&quot; or &quot;fall risk&quot;.)  Also scopes plans - multiple plans may exist addressing different concerns.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49gvXMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49gvXcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49hWacFMEea5pdrFDq-m2g" name="support" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_49hWbcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49h9cMFMEea5pdrFDq-m2g">
            <body>Identifies portions of the patient's record that specifically influenced the formation of the plan.  These might include co-morbidities, recent procedures, limitations, recent assessments, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_49hWccFMEea5pdrFDq-m2g">
            <body>Information considered as part of plan</body>
          </ownedComment>
          <ownedComment xmi:id="_49h9csFMEea5pdrFDq-m2g">
            <body>Use &quot;concern&quot; to identify specific conditions addressed by the care plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_49h9dMFMEea5pdrFDq-m2g">
            <body>Identifies barriers and other considerations associated with the care plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49hWasFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49hWa8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_497mEcFMEea5pdrFDq-m2g" name="definition" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_497mFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_497mG8FMEea5pdrFDq-m2g">
            <body>Identifies the protocol, questionnaire, guideline or other specification the care plan should be conducted in accordance with.</body>
          </ownedComment>
          <ownedComment xmi:id="_497mGcFMEea5pdrFDq-m2g">
            <body>Protocol or definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_497mEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_497mE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_498NI8FMEea5pdrFDq-m2g" name="relatedPlan" type="_498NIMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_498NJ8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4980NMFMEea5pdrFDq-m2g">
            <body>Identifies CarePlans with some sort of formal relationship to the current plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_4980MsFMEea5pdrFDq-m2g">
            <body>Plans related to this one</body>
          </ownedComment>
          <ownedComment xmi:id="_4980NsFMEea5pdrFDq-m2g">
            <body>Relationships are uni-directional with the &quot;newer&quot; plan pointing to the older one.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_498NJMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_498NJcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_N_hsFMEea5pdrFDq-m2g" name="goal" type="_49-CXMFMEea5pdrFDq-m2g" isOrdered="true" association="_4_OmkcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_Oml8FMEea5pdrFDq-m2g">
            <body>Describes the intended objective(s) of carrying out the care plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_OmlcFMEea5pdrFDq-m2g">
            <body>Desired outcome of plan</body>
          </ownedComment>
          <ownedComment xmi:id="_4_OmmcFMEea5pdrFDq-m2g">
            <body>Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_Omm8FMEea5pdrFDq-m2g">
            <body>Provides context for plan.  Allows plan effectiveness to be evaluated by clinicians.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_N_h8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_N_iMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_PNocFMEea5pdrFDq-m2g" name="activity" type="_4_OmncFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4_PNpcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_P0sMFMEea5pdrFDq-m2g">
            <body>Identifies a planned action to occur as part of the plan.  For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_PNqcFMEea5pdrFDq-m2g">
            <body>Action to occur as part of plan</body>
          </ownedComment>
          <ownedComment xmi:id="_4_P0ssFMEea5pdrFDq-m2g">
            <body>Allows systems to prompt for performance of planned activities, and validate plans against best practice.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_PNosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_PNo8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5A2-RsFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5A2-TMFMEea5pdrFDq-m2g">
            <body>General notes about the care plan not covered elsewhere.</body>
          </ownedComment>
          <ownedComment xmi:id="_5A2-SsFMEea5pdrFDq-m2g">
            <body>Comments about the plan</body>
          </ownedComment>
          <ownedComment xmi:id="_5A2-TsFMEea5pdrFDq-m2g">
            <body>Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A2-R8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A2-SMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_498NIMFMEea5pdrFDq-m2g" name="RelatedPlan">
          <generalization xmi:id="_498NIcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4980OMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_499bRcFMEea5pdrFDq-m2g">
              <body>Identifies the type of relationship this plan has to the target plan.</body>
            </ownedComment>
            <ownedComment xmi:id="_499bQ8FMEea5pdrFDq-m2g">
              <body>includes | replaces | fulfills</body>
            </ownedComment>
            <ownedComment xmi:id="_499bR8FMEea5pdrFDq-m2g">
              <body>Read the relationship as &quot;this plan&quot; [relatedPlan.code] &quot;relatedPlan.plan&quot;; e.g. This plan includes Plan B.  Additional relationship types can be proposed for future releases or handled as extensions.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4980OcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4980OsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49-CUMFMEea5pdrFDq-m2g" name="plan" type="_49SF2cFMEea5pdrFDq-m2g" isOrdered="true" association="_49-CVMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_49-CWsFMEea5pdrFDq-m2g">
              <body>A reference to the plan to which a relationship is asserted.</body>
            </ownedComment>
            <ownedComment xmi:id="_49-CWMFMEea5pdrFDq-m2g">
              <body>Plan relationship exists with</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49-CUcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49-CUsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4_OmncFMEea5pdrFDq-m2g" name="Activity">
          <generalization xmi:id="_4_OmnsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4_P0tMFMEea5pdrFDq-m2g" name="actionResulting" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_P0uMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4_P0vsFMEea5pdrFDq-m2g">
              <body>Resources that describe follow-on actions resulting from the plan, such as drug prescriptions, encounter records, appointments, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_P0vMFMEea5pdrFDq-m2g">
              <body>Appointments, orders, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_QbwMFMEea5pdrFDq-m2g">
              <body>Links plan to resulting actions.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_P0tcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_P0tsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_QbwsFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_QbycFMEea5pdrFDq-m2g">
              <body>Results of the careplan activity.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_Qbx8FMEea5pdrFDq-m2g">
              <body>Results of the activity</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_Qbw8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_QbxMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_RC0MFMEea5pdrFDq-m2g" name="progress" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_RC1sFMEea5pdrFDq-m2g">
              <body>Notes about the adherence/status/progress of the activity.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_RC1MFMEea5pdrFDq-m2g">
              <body>Comments about the activity status/progress</body>
            </ownedComment>
            <ownedComment xmi:id="_4_RC2MFMEea5pdrFDq-m2g">
              <body>This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_RC2sFMEea5pdrFDq-m2g">
              <body>Can be used to capture information about adherence, progress, concerns, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_RC0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_RC0sFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AqJ-MFMEea5pdrFDq-m2g" name="reference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5AqxAMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5AqxBsFMEea5pdrFDq-m2g">
              <body>The details of the proposed activity represented in a specific resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AqxBMFMEea5pdrFDq-m2g">
              <body>Activity details defined in specific resource</body>
            </ownedComment>
            <ownedComment xmi:id="_5AqxCMFMEea5pdrFDq-m2g">
              <body>Standard extension exists ([goal-pertainstogoal](extension-goal-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.   The goal should be visible when the resource referenced by CarePlan.activity.reference is viewed indepedently from the CarePlan.  Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the &quot;basedOn&quot; element.  i.e. Requests that are part of a CarePlan are not &quot;based on&quot; the CarePlan.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AqxCsFMEea5pdrFDq-m2g">
              <body>Details in a form consistent with other applications and contexts of use.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AqJ-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AqJ-sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ArYE8FMEea5pdrFDq-m2g" name="detail" type="_5ArYEMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Ar_IcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Ar_J8FMEea5pdrFDq-m2g">
              <body>A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ar_JcFMEea5pdrFDq-m2g">
              <body>In-line definition of activity</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ar_KcFMEea5pdrFDq-m2g">
              <body>Details in a simple form for generic care plan systems.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ArYFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ArYFcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5ArYEMFMEea5pdrFDq-m2g" name="Detail">
            <generalization xmi:id="_5ArYEcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5Ar_K8FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5AsmNcFMEea5pdrFDq-m2g">
                <body>High-level categorization of the type of activity in a care plan.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AsmM8FMEea5pdrFDq-m2g">
                <body>diet | drug | encounter | observation | procedure | supply | other</body>
              </ownedComment>
              <ownedComment xmi:id="_5AtNQMFMEea5pdrFDq-m2g">
                <body>May determine what types of extensions are permitted.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ar_LMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ar_LcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AtNQsFMEea5pdrFDq-m2g" name="definition" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5AtNRsFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5AtNTMFMEea5pdrFDq-m2g">
                <body>Identifies the protocol, questionnaire, guideline or other specification the planned activity should be conducted in accordance with.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AtNSsFMEea5pdrFDq-m2g">
                <body>Protocol or definition</body>
              </ownedComment>
              <ownedComment xmi:id="_5At0UcFMEea5pdrFDq-m2g">
                <body>Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AtNQ8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AtNRMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5At0VMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5AubZMFMEea5pdrFDq-m2g">
                <body>Detailed description of the type of planned activity; e.g. What lab test, what procedure, what kind of encounter.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AubYsFMEea5pdrFDq-m2g">
                <body>Detail type of activity</body>
              </ownedComment>
              <ownedComment xmi:id="_5AubZsFMEea5pdrFDq-m2g">
                <body>Tends to be less relevant for activities involving particular products.  Codes should not convey negation - use &quot;prohibited&quot; instead.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AubaMFMEea5pdrFDq-m2g">
                <body>Allows matching performed to planned as well as validation against protocols.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5At0VcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5At0VsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AvCcMFMEea5pdrFDq-m2g" name="reasonCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5AvpgsFMEea5pdrFDq-m2g">
                <body>Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AvpgMFMEea5pdrFDq-m2g">
                <body>Why activity should be done or why activity was prohibited</body>
              </ownedComment>
              <ownedComment xmi:id="_5AvphMFMEea5pdrFDq-m2g">
                <body>This could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AvCccFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AvCcsFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AvphsFMEea5pdrFDq-m2g" name="reasonReference" type="_463D9sFMEea5pdrFDq-m2g" isOrdered="true" association="_5AvpisFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5AwQkMFMEea5pdrFDq-m2g">
                <body>Provides the health condition(s) that drove the inclusion of this particular activity as part of the plan.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AvpjsFMEea5pdrFDq-m2g">
                <body>Condition triggering need for activity</body>
              </ownedComment>
              <ownedComment xmi:id="_5AwQksFMEea5pdrFDq-m2g">
                <body>Conditions can be identified at the activity level that are not identified as reasons for the overall plan.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Avph8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AvpiMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AwQlMFMEea5pdrFDq-m2g" name="goal" type="_49-CXMFMEea5pdrFDq-m2g" isOrdered="true" association="_5AwQmMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5AwQnsFMEea5pdrFDq-m2g">
                <body>Internal reference that identifies the goals that this activity is intended to contribute towards meeting.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AwQnMFMEea5pdrFDq-m2g">
                <body>Goals this activity relates to</body>
              </ownedComment>
              <ownedComment xmi:id="_5Aw3oMFMEea5pdrFDq-m2g">
                <body>So that participants know the link explicitly.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AwQlcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AwQlsFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Aw3osFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5AxessFMEea5pdrFDq-m2g">
                <body>Identifies what progress is being made for the specific activity.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AxesMFMEea5pdrFDq-m2g">
                <body>not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown</body>
              </ownedComment>
              <ownedComment xmi:id="_5AxetMFMEea5pdrFDq-m2g">
                <body>Some aspects of status can be inferred based on the resources linked in actionTaken.  Note that &quot;status&quot; is only as current as the plan was most recently updated.   The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AxetsFMEea5pdrFDq-m2g">
                <body>Indicates progress against the plan, whether the activity is still relevant for the plan.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Aw3o8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Aw3pMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AxeuMFMEea5pdrFDq-m2g" name="statusReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5AyFxMFMEea5pdrFDq-m2g">
                <body>Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AyFwsFMEea5pdrFDq-m2g">
                <body>Reason for current status</body>
              </ownedComment>
              <ownedComment xmi:id="_5AyFxsFMEea5pdrFDq-m2g">
                <body>Will generally not be present if status is &quot;complete&quot;.  Be sure to prompt to update this (or at least remove the existing value) if the status is changed.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AxeucFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AxeusFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AyFyMFMEea5pdrFDq-m2g" name="prohibited" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Ays1cFMEea5pdrFDq-m2g">
                <body>If true, indicates that the described activity is one that must NOT be engaged in when following the plan.  If false, indicates that the described activity is one that should be engaged in when following the plan.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Ays08FMEea5pdrFDq-m2g">
                <body>Do NOT do</body>
              </ownedComment>
              <ownedComment xmi:id="_5Ays18FMEea5pdrFDq-m2g">
                <body>Captures intention to not do something that may have been previously typical.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ays0MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ays0cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Ays2cFMEea5pdrFDq-m2g" name="scheduled[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5AzT4cFMEea5pdrFDq-m2g">
                <body>The period, timing or frequency upon which the described activity is to occur.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Ays3cFMEea5pdrFDq-m2g">
                <body>When activity is to occur</body>
              </ownedComment>
              <ownedComment xmi:id="_5AzT48FMEea5pdrFDq-m2g">
                <body>Allows prompting for activities and detection of missed planned activities.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ays2sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ays28FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5AzT5sFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5AzT6sFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Az68cFMEea5pdrFDq-m2g">
                <body>Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5AzT7sFMEea5pdrFDq-m2g">
                <body>Where it should happen</body>
              </ownedComment>
              <ownedComment xmi:id="_5Az688FMEea5pdrFDq-m2g">
                <body>May reference a specific clinical location or may identify a type of location.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Az69cFMEea5pdrFDq-m2g">
                <body>Helps in planning of activity.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AzT58FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AzT6MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Az698FMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5A0iAcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5A0iB8FMEea5pdrFDq-m2g">
                <body>Identifies who's expected to be involved in the activity.</body>
              </ownedComment>
              <ownedComment xmi:id="_5A0iBcFMEea5pdrFDq-m2g">
                <body>Who will be responsible?</body>
              </ownedComment>
              <ownedComment xmi:id="_5A0iCcFMEea5pdrFDq-m2g">
                <body>A performer MAY also be a participant in the care plan.</body>
              </ownedComment>
              <ownedComment xmi:id="_5A0iC8FMEea5pdrFDq-m2g">
                <body>Helps in planning of activity.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Az6-MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Az6-cFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5A1JEMFMEea5pdrFDq-m2g" name="product[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5A1wIcFMEea5pdrFDq-m2g">
                <body>Identifies the food, drug or other product to be consumed or supplied in the activity.</body>
              </ownedComment>
              <ownedComment xmi:id="_5A1JFcFMEea5pdrFDq-m2g">
                <body>What is to be administered/supplied</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A1JEcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A1JEsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5A1wJMFMEea5pdrFDq-m2g" name="dailyAmount" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5A2XMMFMEea5pdrFDq-m2g">
                <body>Identifies the quantity expected to be consumed in a given day.</body>
              </ownedComment>
              <ownedComment xmi:id="_5A1wKMFMEea5pdrFDq-m2g">
                <body>How to consume/day?</body>
              </ownedComment>
              <ownedComment xmi:id="_5A2XMsFMEea5pdrFDq-m2g">
                <body>Allows rough dose checking.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A1wJcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A1wJsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5A2XNMFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5A2XOsFMEea5pdrFDq-m2g">
                <body>Identifies the quantity expected to be supplied, administered or consumed by the subject.</body>
              </ownedComment>
              <ownedComment xmi:id="_5A2XOMFMEea5pdrFDq-m2g">
                <body>How much to administer/supply/consume</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A2XNcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A2XNsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5A2XPMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5A2-RMFMEea5pdrFDq-m2g">
                <body>This provides a textual description of constraints on the intended activity occurrence, including relation to other activities.  It may also include objectives, pre-conditions and end-conditions.  Finally, it may convey specifics about the activity such as body site, method, route, etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5A2-QsFMEea5pdrFDq-m2g">
                <body>Extra info describing activity to perform</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5A2XPcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5A2-QMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49W-U8FMEea5pdrFDq-m2g" memberEnd="_49W-VMFMEea5pdrFDq-m2g _49WXSsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49W-VMFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_49W-U8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49W-VcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49W-VsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49XlYcFMEea5pdrFDq-m2g" memberEnd="_49XlYsFMEea5pdrFDq-m2g _49W-XMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49XlYsFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_49XlYcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49XlY8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49XlZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49YzisFMEea5pdrFDq-m2g" memberEnd="_49Yzi8FMEea5pdrFDq-m2g _49YzhsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49Yzi8FMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_49YzisFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49YzjMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49YzjcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_49aBoMFMEea5pdrFDq-m2g" name="CareTeam">
        <ownedComment xmi:id="_49aotcFMEea5pdrFDq-m2g">
          <body>The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_49aosMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CareTeam Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_49aos8FMEea5pdrFDq-m2g">
          <body>Planned participants in the coordination and delivery of care for a patient or group</body>
        </ownedComment>
        <generalization xmi:id="_49aossFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_49aot8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49bPwsFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this care team that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.</body>
          </ownedComment>
          <ownedComment xmi:id="_49bPwMFMEea5pdrFDq-m2g">
            <body>External Ids for this team</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49aouMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49aoucFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49bPxMFMEea5pdrFDq-m2g" name="status" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49bPysFMEea5pdrFDq-m2g">
            <body>Indicates whether the care team is currently active, suspended, inactive, or entered in error.</body>
          </ownedComment>
          <ownedComment xmi:id="_49bPyMFMEea5pdrFDq-m2g">
            <body>active | suspended | inactive | entered in error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49bPxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49bPxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49bPzMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49b20sFMEea5pdrFDq-m2g">
            <body>Identifies what kind of team.  This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.</body>
          </ownedComment>
          <ownedComment xmi:id="_49b20MFMEea5pdrFDq-m2g">
            <body>Type of team</body>
          </ownedComment>
          <ownedComment xmi:id="_49b21MFMEea5pdrFDq-m2g">
            <body>There may be multiple axis of categorization and one team may serve multiple purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_49b21sFMEea5pdrFDq-m2g">
            <body>Used for filtering what teams(s) are retrieved and displayed to different types of users.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49bPzcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49bPzsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49b22MFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49cd4cFMEea5pdrFDq-m2g">
            <body>A label for human use intended to distinguish like teams.  E.g. the &quot;red&quot; vs. &quot;green&quot; trauma teams.</body>
          </ownedComment>
          <ownedComment xmi:id="_49b23MFMEea5pdrFDq-m2g">
            <body>Name of the team, such as crisis assessment team</body>
          </ownedComment>
          <ownedComment xmi:id="_49cd48FMEea5pdrFDq-m2g">
            <body>The meaning/purpose of the team is conveyed in CareTeam.category.  This element may also convey semantics of the team (e.g. &quot;Red trauma team&quot;), but it's primary purpose is to distinguish between identical teams in a human-friendly way.  (&quot;Team 18735&quot; isn't as friendly . ).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49b22cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49b22sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49cd5cFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_49cd6cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49cd78FMEea5pdrFDq-m2g">
            <body>Identifies the patient or group whose intended care is handled by the team.</body>
          </ownedComment>
          <ownedComment xmi:id="_49cd7cFMEea5pdrFDq-m2g">
            <body>Who care team is for</body>
          </ownedComment>
          <ownedComment xmi:id="_49dE8MFMEea5pdrFDq-m2g">
            <body>Allows the team to care for a group (e.g. marriage) therapy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49cd5sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49cd58FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49dE88FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49dE-cFMEea5pdrFDq-m2g">
            <body>Indicates when the team did (or is intended to) come into effect and end.</body>
          </ownedComment>
          <ownedComment xmi:id="_49dE98FMEea5pdrFDq-m2g">
            <body>Time period team covers</body>
          </ownedComment>
          <ownedComment xmi:id="_49dE-8FMEea5pdrFDq-m2g">
            <body>Allows tracking what team(s) are in effect at a particular time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49dE9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49dE9cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49dsA8FMEea5pdrFDq-m2g" name="participant" type="_49dsAMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_49eTEMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49eTFsFMEea5pdrFDq-m2g">
            <body>Identifies all people and organizations who are expected to be involved in the care team.</body>
          </ownedComment>
          <ownedComment xmi:id="_49eTFMFMEea5pdrFDq-m2g">
            <body>Members of the team</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49dsBMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49dsBcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49gIQMFMEea5pdrFDq-m2g" name="managingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_49gIRMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49gISsFMEea5pdrFDq-m2g">
            <body>The organization responsible for the care team.</body>
          </ownedComment>
          <ownedComment xmi:id="_49gISMFMEea5pdrFDq-m2g">
            <body>Organization responsible for the care team</body>
          </ownedComment>
          <ownedComment xmi:id="_49gITMFMEea5pdrFDq-m2g">
            <body>Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49gIQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49gIQsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_49dsAMFMEea5pdrFDq-m2g" name="Participant">
          <generalization xmi:id="_49dsAcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_49eTGMFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49e6IsFMEea5pdrFDq-m2g">
              <body>Indicates specific responsibility of an individual within the care team, such as &quot;Primary care physician&quot;, &quot;Trained social worker counselor&quot;, &quot;Caregiver&quot;, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_49e6IMFMEea5pdrFDq-m2g">
              <body>Type of involvement</body>
            </ownedComment>
            <ownedComment xmi:id="_49e6JMFMEea5pdrFDq-m2g">
              <body>Roles may sometimes be inferred by type of Practitioner.  These are relationships that hold only within the context of the care team.  General relationships should be handled as properties of the Patient resource directly.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49eTGcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49eTGsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49e6JsFMEea5pdrFDq-m2g" name="member" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_49e6KsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_49fhMMFMEea5pdrFDq-m2g">
              <body>The specific person or organization who is participating/expected to participate in the care team.</body>
            </ownedComment>
            <ownedComment xmi:id="_49e6LsFMEea5pdrFDq-m2g">
              <body>Who is involved</body>
            </ownedComment>
            <ownedComment xmi:id="_49fhMsFMEea5pdrFDq-m2g">
              <body>Patient only needs to be listed if they have a role other than &quot;subject of care&quot;.  Member is optional because some participants may be known only by their role, particularly in draft plans.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49e6J8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49e6KMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49fhNcFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49fhO8FMEea5pdrFDq-m2g">
              <body>Indicates when the specific member or organization did (or is intended to) come into effect and end.</body>
            </ownedComment>
            <ownedComment xmi:id="_49fhOcFMEea5pdrFDq-m2g">
              <body>Time period of participant</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49fhNsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49fhN8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49cd6cFMEea5pdrFDq-m2g" memberEnd="_49cd6sFMEea5pdrFDq-m2g _49cd5cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49cd6sFMEea5pdrFDq-m2g" type="_49aBoMFMEea5pdrFDq-m2g" association="_49cd6cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49cd68FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49cd7MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49eTEMFMEea5pdrFDq-m2g" memberEnd="_49eTEcFMEea5pdrFDq-m2g _49dsA8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49eTEcFMEea5pdrFDq-m2g" type="_49aBoMFMEea5pdrFDq-m2g" association="_49eTEMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49eTEsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49eTE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49e6KsFMEea5pdrFDq-m2g" memberEnd="_49e6K8FMEea5pdrFDq-m2g _49e6JsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49e6K8FMEea5pdrFDq-m2g" type="_49dsAMFMEea5pdrFDq-m2g" association="_49e6KsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49e6LMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49e6LcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49gIRMFMEea5pdrFDq-m2g" memberEnd="_49gIRcFMEea5pdrFDq-m2g _49gIQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49gIRcFMEea5pdrFDq-m2g" type="_49aBoMFMEea5pdrFDq-m2g" association="_49gIRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49gIRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49gIR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49gvUcFMEea5pdrFDq-m2g" memberEnd="_49gvUsFMEea5pdrFDq-m2g _49gITsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49gvUsFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_49gvUcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49gvU8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
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      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_49h9dsFMEea5pdrFDq-m2g" name="Questionnaire">
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          <body>A structured set of questions intended to guide the collection of answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the underlying questions.</body>
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        <ownedComment xmi:id="_49oEEcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Questionnaire Resource</body>
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        <ownedComment xmi:id="_49oEE8FMEea5pdrFDq-m2g">
          <body>To support structured, hierarchical registration of data gathered using digital forms and other questionnaires.</body>
        </ownedComment>
        <ownedComment xmi:id="_49oEFsFMEea5pdrFDq-m2g">
          <body>A structured set of questions</body>
        </ownedComment>
        <ownedRule xmi:id="_49h9d8FMEea5pdrFDq-m2g" name="que-2" constrainedElement="_49h9dsFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value))</body>
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        </ownedRule>
        <ownedRule xmi:id="_49ikgcFMEea5pdrFDq-m2g" name="que-9" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _492tmcFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(f:type/@value='display' and f:readOnly)</body>
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            <language>XPath</language>
            <body>not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])</body>
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        </ownedRule>
        <ownedRule xmi:id="_49jLlMFMEea5pdrFDq-m2g" name="que-6" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _492GgcFMEea5pdrFDq-m2g _492Gi8FMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(f:type/@value='display' and (f:required or f:repeats))</body>
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        </ownedRule>
        <ownedRule xmi:id="_49jyocFMEea5pdrFDq-m2g" name="que-5" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _4937ssFMEea5pdrFDq-m2g _495J0cFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>f:type/@value=('choice','open-choice') or not(f:option or f:options)</body>
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        <ownedRule xmi:id="_49kZscFMEea5pdrFDq-m2g" name="que-4" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _4937ssFMEea5pdrFDq-m2g _495J0cFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(f:options and f:option)</body>
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        </ownedRule>
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            <language>XPath</language>
            <body>not(f:type/@value='display' and f:concept)</body>
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        </ownedRule>
        <ownedRule xmi:id="_49ln0cFMEea5pdrFDq-m2g" name="que-10" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _493Up8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_49ln0sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_49ln1MFMEea5pdrFDq-m2g" name="que-1" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _496_A8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_49ln1cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))</body>
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        </ownedRule>
        <ownedRule xmi:id="_49mO4cFMEea5pdrFDq-m2g" name="que-11" constrainedElement="_49uxw8FMEea5pdrFDq-m2g _49v_58FMEea5pdrFDq-m2g _49ycI8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_49mO4sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:type)) or exists(f:definition)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_49m18cFMEea5pdrFDq-m2g" name="que-7" constrainedElement="_49zqQsFMEea5pdrFDq-m2g _4904ZsFMEea5pdrFDq-m2g _491fcsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_49m18sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(*[starts-with(local-name(.), 'answer')]|answered) = 1</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_49oEFcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_49oEGsFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49orJMFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this questionnaire is (or will be) published.</body>
          </ownedComment>
          <ownedComment xmi:id="_49orIsFMEea5pdrFDq-m2g">
            <body>Globally unique logical identifier for  questionnaire</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49oEG8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49orIMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49orJsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49orLMFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this question set that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_49orKsFMEea5pdrFDq-m2g">
            <body>External identifiers for this questionnaire</body>
          </ownedComment>
          <ownedComment xmi:id="_49pSMcFMEea5pdrFDq-m2g">
            <body>Need to allow connection to a wider workflow.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49orJ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49orKMFMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_49pSM8FMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49pSOcFMEea5pdrFDq-m2g">
            <body>The version number assigned by the publisher for business reasons.  It may remain the same when the resource is updated.</body>
          </ownedComment>
          <ownedComment xmi:id="_49pSN8FMEea5pdrFDq-m2g">
            <body>Logical identifier for this version of Questionnaire</body>
          </ownedComment>
          <ownedComment xmi:id="_49pSO8FMEea5pdrFDq-m2g">
            <body>In some cases, separate resource instances might be created for each version (if an older version can be maintained once a new version exists).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49pSNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49pSNcFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_49p5QMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49qgUsFMEea5pdrFDq-m2g">
            <body>The lifecycle status of the questionnaire as a whole.</body>
          </ownedComment>
          <ownedComment xmi:id="_49qgUMFMEea5pdrFDq-m2g">
            <body>draft | published | retired</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49p5QcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49p5QsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49qgVMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49qgWsFMEea5pdrFDq-m2g">
            <body>The date that this questionnaire was last changed.</body>
          </ownedComment>
          <ownedComment xmi:id="_49qgWMFMEea5pdrFDq-m2g">
            <body>Date this version was authored</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49qgVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49qgVsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49rHYMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49rHZsFMEea5pdrFDq-m2g">
            <body>Organization or person responsible for developing and maintaining the questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_49rHZMFMEea5pdrFDq-m2g">
            <body>Organization/individual who designed the questionnaire</body>
          </ownedComment>
          <ownedComment xmi:id="_49rHaMFMEea5pdrFDq-m2g">
            <body>Conveys responsibility for the questions and their organization and also helps evaluate the questionnaire's &quot;authority&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49rHYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49rHYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49rHasFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49rucMFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_49rHbsFMEea5pdrFDq-m2g">
            <body>Contact information of the publisher</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49rHa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49rHbMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49rucsFMEea5pdrFDq-m2g" name="useContext" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49sVgsFMEea5pdrFDq-m2g">
            <body>A code that identifies the questionnaire as falling into a particular group of like questionnaires; e.g. &quot;Pediatric&quot;, &quot;Admissions&quot;, &quot;Research&quot;, &quot;Demographic&quot;, &quot;Opinion Survey&quot;, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_49sVgMFMEea5pdrFDq-m2g">
            <body>Questionnaire intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_49sVhMFMEea5pdrFDq-m2g">
            <body>Allows discovery of questionnaires.  Also allows organization of lists of questionnaires into groups for presentation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49ruc8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49rudMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49sVhsFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49sVjMFMEea5pdrFDq-m2g">
            <body>The name or label associated with this questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_49sVisFMEea5pdrFDq-m2g">
            <body>Name for the questionnaire</body>
          </ownedComment>
          <ownedComment xmi:id="_49s8kcFMEea5pdrFDq-m2g">
            <body>Used for display, searching.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49sVh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49sViMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49s8k8FMEea5pdrFDq-m2g" name="concept" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49tjosFMEea5pdrFDq-m2g">
            <body>Identifies how this question or group of questions is known in a particular terminology such as LOINC.</body>
          </ownedComment>
          <ownedComment xmi:id="_49tjoMFMEea5pdrFDq-m2g">
            <body>Concept that represents the overall questionnaire</body>
          </ownedComment>
          <ownedComment xmi:id="_49tjpMFMEea5pdrFDq-m2g">
            <body>Allows linking of the complete Questionnaire resources to formal terminologies.  It's common for &quot;pannels&quot; of questions to be identified by a code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49s8lMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49s8lcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49tjpsFMEea5pdrFDq-m2g" name="subjectType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49uKs8FMEea5pdrFDq-m2g">
            <body>Identifies the types of subjects that can be the subject of the questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_49uKscFMEea5pdrFDq-m2g">
            <body>Resource that can be subject of QuestionnaireResponse</body>
          </ownedComment>
          <ownedComment xmi:id="_49uKtcFMEea5pdrFDq-m2g">
            <body>If none are specified, then the subject is unlimited.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49tjp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49tjqMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49uxw8FMEea5pdrFDq-m2g" name="item" type="_49uxwMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_49vY0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_49vY1sFMEea5pdrFDq-m2g">
            <body>The questions and groupings of questions that make up the questionnaire.</body>
          </ownedComment>
          <ownedComment xmi:id="_49vY1MFMEea5pdrFDq-m2g">
            <body>Questions and sections within the Questionnaire</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49uxxMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49uxxcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_49uxwMFMEea5pdrFDq-m2g" name="Item">
          <generalization xmi:id="_49uxwcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_49vY2MFMEea5pdrFDq-m2g" name="linkId" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49v_4cFMEea5pdrFDq-m2g">
              <body>An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_49vY3MFMEea5pdrFDq-m2g">
              <body>Unique id for item in questionnaire</body>
            </ownedComment>
            <ownedComment xmi:id="_49v_48FMEea5pdrFDq-m2g">
              <body>This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.</body>
            </ownedComment>
            <ownedComment xmi:id="_49v_5cFMEea5pdrFDq-m2g">
              <body>[QuestionnaireResponse](questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49vY2cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49vY2sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49v_58FMEea5pdrFDq-m2g" name="definition" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49v_7cFMEea5pdrFDq-m2g">
              <body>A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item. If a definition is provided, then the following element values can be inferred from the definition:   * concept (ElementDefinition.code) * type (ElementDefinition.type) * required (ElementDefinition.min) * repeats (ElementDefinition.max) * maxLength (ElementDefinition.maxLength) * options (ElementDefinition.binding)  Any information provided in these elements overrides the information from the definition.</body>
            </ownedComment>
            <ownedComment xmi:id="_49v_68FMEea5pdrFDq-m2g">
              <body>ElementDefinition - details for the item</body>
            </ownedComment>
            <ownedComment xmi:id="_49wm8cFMEea5pdrFDq-m2g">
              <body>The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#) or a [DataElement](dataelement.html#), and must have a fragment identifier that identifies the specific data element by it\'s id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].</body>
            </ownedComment>
            <ownedComment xmi:id="_49wm88FMEea5pdrFDq-m2g">
              <body>A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition, and allows the content for the question to come from the underlying definition.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49v_6MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49v_6cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49wm9cFMEea5pdrFDq-m2g" name="concept" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49xOAsFMEea5pdrFDq-m2g">
              <body>Terminology code that corresponds to this group or question (e.g. LOINC).</body>
            </ownedComment>
            <ownedComment xmi:id="_49xOAMFMEea5pdrFDq-m2g">
              <body>Concept that represents this item within in a questionnaire</body>
            </ownedComment>
            <ownedComment xmi:id="_49xOBMFMEea5pdrFDq-m2g">
              <body>The code(s) for the &quot;root&quot; group apply to the questionnaire as a whole. Value may come from the ElementDefinition referred to by .definition.</body>
            </ownedComment>
            <ownedComment xmi:id="_49xOBsFMEea5pdrFDq-m2g">
              <body>Allows linking of groups of questions (and complete Questionnaire resources) to formal terminologies.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49wm9sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49wm98FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49xOCMFMEea5pdrFDq-m2g" name="prefix" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49x1EsFMEea5pdrFDq-m2g">
              <body>A short label for a particular group, question or set of display text within the questionnaire.</body>
            </ownedComment>
            <ownedComment xmi:id="_49x1EMFMEea5pdrFDq-m2g">
              <body>E.g. &quot;1(a)&quot;, &quot;2.5.3&quot;</body>
            </ownedComment>
            <ownedComment xmi:id="_49x1FMFMEea5pdrFDq-m2g">
              <body>These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically these won't be used for &quot;text&quot; items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.</body>
            </ownedComment>
            <ownedComment xmi:id="_49x1FsFMEea5pdrFDq-m2g">
              <body>Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49xOCcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49xOCsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49x1GMFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49ycIcFMEea5pdrFDq-m2g">
              <body>The name of a section, the text of a question or text content for a text item.</body>
            </ownedComment>
            <ownedComment xmi:id="_49x1HMFMEea5pdrFDq-m2g">
              <body>Primary text for the item</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49x1GcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49x1GsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49ycI8FMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_49zDMsFMEea5pdrFDq-m2g">
              <body>Identifies the type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).</body>
            </ownedComment>
            <ownedComment xmi:id="_49zDMMFMEea5pdrFDq-m2g">
              <body>group | display | boolean | decimal | integer | date | dateTime +</body>
            </ownedComment>
            <ownedComment xmi:id="_49zDNMFMEea5pdrFDq-m2g">
              <body>Additional constraints on the type of answer can be conveyed by extensions. Value may come from the ElementDefinition referred to by .definition.</body>
            </ownedComment>
            <ownedComment xmi:id="_49zDNsFMEea5pdrFDq-m2g">
              <body>Defines the format in which the user is to be prompted for the answer.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49ycJMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49ycJcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_49zqQsFMEea5pdrFDq-m2g" name="enableWhen" type="_49zDOMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_49zqRsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_490RVcFMEea5pdrFDq-m2g">
              <body>If present, indicates that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.</body>
            </ownedComment>
            <ownedComment xmi:id="_490RU8FMEea5pdrFDq-m2g">
              <body>Only allow data when:</body>
            </ownedComment>
            <ownedComment xmi:id="_490RV8FMEea5pdrFDq-m2g">
              <body>If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. Treat &quot;enableWhen&quot;s as being joined by an &quot;or&quot; clause.  If enableWhen is present for an item, &quot;required&quot; is ignored unless one of the enableWhen conditions is met.</body>
            </ownedComment>
            <ownedComment xmi:id="_490RWcFMEea5pdrFDq-m2g">
              <body>Allows questionnaires to adapt based on answers to other questions; e.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49zqQ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49zqRMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_492GgcFMEea5pdrFDq-m2g" name="required" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_492Gh8FMEea5pdrFDq-m2g">
              <body>If true, indicates that the item must be present in a &quot;completed&quot; QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.</body>
            </ownedComment>
            <ownedComment xmi:id="_492GhcFMEea5pdrFDq-m2g">
              <body>Whether the item must be included in data results</body>
            </ownedComment>
            <ownedComment xmi:id="_492GicFMEea5pdrFDq-m2g">
              <body>Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). Value may come from the ElementDefinition referred to by .definition.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_492GgsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_492Gg8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_492Gi8FMEea5pdrFDq-m2g" name="repeats" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_492tk8FMEea5pdrFDq-m2g">
              <body>Whether the item may occur multiple times in the instance, containing multiple sets of answers.</body>
            </ownedComment>
            <ownedComment xmi:id="_492tkcFMEea5pdrFDq-m2g">
              <body>Whether the item may repeat</body>
            </ownedComment>
            <ownedComment xmi:id="_492tlcFMEea5pdrFDq-m2g">
              <body>If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition or to simply list each of the answers beneath the question.  (Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.). Value may come from the ElementDefinition referred to by .definition.</body>
            </ownedComment>
            <ownedComment xmi:id="_492tl8FMEea5pdrFDq-m2g">
              <body>Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_492GjMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_492GjcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_492tmcFMEea5pdrFDq-m2g" name="readOnly" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_493UocFMEea5pdrFDq-m2g">
              <body>If true, the value cannot be changed by a human respondent to the Questionnaire.</body>
            </ownedComment>
            <ownedComment xmi:id="_492tncFMEea5pdrFDq-m2g">
              <body>Don't allow human editing</body>
            </ownedComment>
            <ownedComment xmi:id="_493Uo8FMEea5pdrFDq-m2g">
              <body>The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.</body>
            </ownedComment>
            <ownedComment xmi:id="_493UpcFMEea5pdrFDq-m2g">
              <body>Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_492tmsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_492tm8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_493Up8FMEea5pdrFDq-m2g" name="maxLength" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_493UrcFMEea5pdrFDq-m2g">
              <body>The maximum number of characters that are permitted in the answer to be considered a &quot;valid&quot; QuestionnaireResponse.</body>
            </ownedComment>
            <ownedComment xmi:id="_493Uq8FMEea5pdrFDq-m2g">
              <body>No more than this many characters</body>
            </ownedComment>
            <ownedComment xmi:id="_4937sMFMEea5pdrFDq-m2g">
              <body>For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. Value may come from the ElementDefinition referred to by .definition.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_493UqMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_493UqcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4937ssFMEea5pdrFDq-m2g" name="options" type="_4nFzasFMEea5pdrFDq-m2g" isOrdered="true" association="_4937tsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4937vMFMEea5pdrFDq-m2g">
              <body>Reference to a value set containing a list of codes representing permitted answers for the question.</body>
            </ownedComment>
            <ownedComment xmi:id="_4937usFMEea5pdrFDq-m2g">
              <body>Valueset containing permitted answers</body>
            </ownedComment>
            <ownedComment xmi:id="_494iwcFMEea5pdrFDq-m2g">
              <body>LOINC defines many useful value sets for questionnaire response. See [LOINC Answer Lists](loinc.html#alist). Value may come from the ElementDefinition referred to by .definition.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4937s8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4937tMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_495J0cFMEea5pdrFDq-m2g" name="option" type="_494iw8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_495J1cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_495J28FMEea5pdrFDq-m2g">
              <body>For a &quot;choice&quot; question, identifies one of the permitted answers for the question.</body>
            </ownedComment>
            <ownedComment xmi:id="_495J2cFMEea5pdrFDq-m2g">
              <body>Permitted answer</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_495J0sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_495J08FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_496X8cFMEea5pdrFDq-m2g" name="initial[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_496X98FMEea5pdrFDq-m2g">
              <body>The value that should be defaulted when rendering the questionnaire for user input.</body>
            </ownedComment>
            <ownedComment xmi:id="_496X9cFMEea5pdrFDq-m2g">
              <body>Default value when item is first rendered</body>
            </ownedComment>
            <ownedComment xmi:id="_496X-cFMEea5pdrFDq-m2g">
              <body>The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.</body>
            </ownedComment>
            <ownedComment xmi:id="_496_AMFMEea5pdrFDq-m2g">
              <body>In some workflows, having defaults saves time.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_496X8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_496X88FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_496_A8FMEea5pdrFDq-m2g" name="item" type="_49uxwMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_496_B8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_496_DcFMEea5pdrFDq-m2g">
              <body>Allows text, questions and other groups to be nested beneath a question or group.</body>
            </ownedComment>
            <ownedComment xmi:id="_496_C8FMEea5pdrFDq-m2g">
              <body>Nested questionnaire items</body>
            </ownedComment>
            <ownedComment xmi:id="_496_D8FMEea5pdrFDq-m2g">
              <body>Reports can consist of complex nested groups.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_496_BMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_496_BcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_49zDOMFMEea5pdrFDq-m2g" name="EnableWhen">
            <generalization xmi:id="_49zqQMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_490RW8FMEea5pdrFDq-m2g" name="question" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4904YsFMEea5pdrFDq-m2g">
                <body>The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.</body>
              </ownedComment>
              <ownedComment xmi:id="_4904YMFMEea5pdrFDq-m2g">
                <body>Question that determines whether item is enabled</body>
              </ownedComment>
              <ownedComment xmi:id="_4904ZMFMEea5pdrFDq-m2g">
                <body>If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the &quot;ancestor&quot; axis and then the &quot;preceding&quot; axis and then the &quot;following&quot; axis.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_490RXMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_490RXcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4904ZsFMEea5pdrFDq-m2g" name="hasAnswer" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4904bMFMEea5pdrFDq-m2g">
                <body>If present, indicates that this item should be enabled only if the specified question is answered or not answered.</body>
              </ownedComment>
              <ownedComment xmi:id="_4904asFMEea5pdrFDq-m2g">
                <body>Enable when answered or not</body>
              </ownedComment>
              <ownedComment xmi:id="_491fcMFMEea5pdrFDq-m2g">
                <body>If answered=false and answer values are also provided, then they are treated as &quot;or&quot;.  I.e. &quot;Enable if the question is unanswered or the answer is one of the specified values&quot;.  If answered=true and answers are present, one of the specified answers must be met. (So there's little reason to specify answered=true if answers are present.).</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4904Z8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4904aMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_491fcsFMEea5pdrFDq-m2g" name="answer[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_491feMFMEea5pdrFDq-m2g">
                <body>If present, then the answer for the referenced question must match this answer for all components present in the enableWhen.answer.</body>
              </ownedComment>
              <ownedComment xmi:id="_491fdsFMEea5pdrFDq-m2g">
                <body>Value question must have</body>
              </ownedComment>
              <ownedComment xmi:id="_491fesFMEea5pdrFDq-m2g">
                <body>Components not specified in the answer do not need to match.  For example, if enableWhen specifies code + system for a Coding, it's ok if the answer has a &quot;display&quot; element.  The dataType of this element must be the same as the data type of the question being referenced.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_491fc8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_491fdMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_494iw8FMEea5pdrFDq-m2g" name="Option">
            <generalization xmi:id="_494ixMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_495J3cFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_495w5cFMEea5pdrFDq-m2g">
                <body>Identifies a specific answer that's allowed as the answer to a question.</body>
              </ownedComment>
              <ownedComment xmi:id="_495w48FMEea5pdrFDq-m2g">
                <body>Answer value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_495J3sFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_495J38FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49vY0MFMEea5pdrFDq-m2g" memberEnd="_49vY0cFMEea5pdrFDq-m2g _49uxw8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49vY0cFMEea5pdrFDq-m2g" type="_49h9dsFMEea5pdrFDq-m2g" association="_49vY0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49vY0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49vY08FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49zqRsFMEea5pdrFDq-m2g" memberEnd="_490RUMFMEea5pdrFDq-m2g _49zqQsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_490RUMFMEea5pdrFDq-m2g" type="_49uxwMFMEea5pdrFDq-m2g" association="_49zqRsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_490RUcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_490RUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4937tsFMEea5pdrFDq-m2g" memberEnd="_4937t8FMEea5pdrFDq-m2g _4937ssFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4937t8FMEea5pdrFDq-m2g" type="_49uxwMFMEea5pdrFDq-m2g" association="_4937tsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4937uMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4937ucFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_495J1cFMEea5pdrFDq-m2g" memberEnd="_495J1sFMEea5pdrFDq-m2g _495J0cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_495J1sFMEea5pdrFDq-m2g" type="_49uxwMFMEea5pdrFDq-m2g" association="_495J1cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_495J18FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_495J2MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_496_B8FMEea5pdrFDq-m2g" memberEnd="_496_CMFMEea5pdrFDq-m2g _496_A8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_496_CMFMEea5pdrFDq-m2g" type="_49uxwMFMEea5pdrFDq-m2g" association="_496_B8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_496_CcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_496_CsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_497mFcFMEea5pdrFDq-m2g" memberEnd="_497mFsFMEea5pdrFDq-m2g _497mEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_497mFsFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_497mFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_497mF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_497mGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_498NJ8FMEea5pdrFDq-m2g" memberEnd="_498NKMFMEea5pdrFDq-m2g _498NI8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_498NKMFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_498NJ8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4980MMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4980McFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_49-CVMFMEea5pdrFDq-m2g" memberEnd="_49-CVcFMEea5pdrFDq-m2g _49-CUMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_49-CVcFMEea5pdrFDq-m2g" type="_498NIMFMEea5pdrFDq-m2g" association="_49-CVMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49-CVsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49-CV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_49-CXMFMEea5pdrFDq-m2g" name="Goal">
        <ownedComment xmi:id="_49_QcMFMEea5pdrFDq-m2g">
          <body>Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_49-pYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Goal Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_49-pZcFMEea5pdrFDq-m2g">
          <body>Describes the intended objective(s) for a patient, group or organization</body>
        </ownedComment>
        <ownedComment xmi:id="_49_QcsFMEea5pdrFDq-m2g">
          <body>Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.</body>
        </ownedComment>
        <generalization xmi:id="_49-pZMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_49_QdMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49_QesFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_49_QeMFMEea5pdrFDq-m2g">
            <body>External Ids for this goal</body>
          </ownedComment>
          <ownedComment xmi:id="_49_QfMFMEea5pdrFDq-m2g">
            <body>Need to allow connection to a wider workflow.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49_QdcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49_QdsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49_QfsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_49_3iMFMEea5pdrFDq-m2g">
            <body>Indicates whether the goal has been reached and is still considered relevant.</body>
          </ownedComment>
          <ownedComment xmi:id="_49_3hsFMEea5pdrFDq-m2g">
            <body>proposed | planned | accepted | rejected | in-progress | achieved | sustaining | on-hold | cancelled | on-target | ahead-of-target | behind-target | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_4-AekcFMEea5pdrFDq-m2g">
            <body>Allows measuring outcome and whether goal needs to be further tracked.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49_3gMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49_3gcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Aek8FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-BFosFMEea5pdrFDq-m2g">
            <body>Indicates a category the goal falls within.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-BFoMFMEea5pdrFDq-m2g">
            <body>E.g. Treatment, dietary, behavioral, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-BFpMFMEea5pdrFDq-m2g">
            <body>Allows goals to be filtered and sorted.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-AelMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-AelcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-BFpsFMEea5pdrFDq-m2g" name="priority" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-BstMFMEea5pdrFDq-m2g">
            <body>Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-BsssFMEea5pdrFDq-m2g">
            <body>high | medium |low</body>
          </ownedComment>
          <ownedComment xmi:id="_4-BstsFMEea5pdrFDq-m2g">
            <body>Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)  The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority.  (Keep in mind that different coding systems may use a &quot;low value=important&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-BsuMFMEea5pdrFDq-m2g">
            <body>Used for sorting and presenting goals.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-BFp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-BFqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-CTwMFMEea5pdrFDq-m2g" name="description" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-CTx8FMEea5pdrFDq-m2g">
            <body>Code and/or human-readable description of a specific desired objective of care.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-CTxcFMEea5pdrFDq-m2g">
            <body>Code or text describing goal</body>
          </ownedComment>
          <ownedComment xmi:id="_4-C60MFMEea5pdrFDq-m2g">
            <body>If no code is available, use CodeableConcept.text.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-C60sFMEea5pdrFDq-m2g">
            <body>Without a description of what's trying to be achieved, element has no purpose.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-CTwcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-CTwsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-C61MFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4-C62MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-C63sFMEea5pdrFDq-m2g">
            <body>Identifies the patient, group or organization for whom the goal is being established.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-C63MFMEea5pdrFDq-m2g">
            <body>Who this goal is intended for</body>
          </ownedComment>
          <ownedComment xmi:id="_4-C64MFMEea5pdrFDq-m2g">
            <body>Subject is optional to support annonymized reporting.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-C61cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-C61sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Dh4sFMEea5pdrFDq-m2g" name="start[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-EwAsFMEea5pdrFDq-m2g">
            <body>The date or event after which the goal should begin being pursued.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-EwAMFMEea5pdrFDq-m2g">
            <body>When goal pursuit begins</body>
          </ownedComment>
          <ownedComment xmi:id="_4-EwBMFMEea5pdrFDq-m2g">
            <body>Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Dh48FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Dh5MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-EwB8FMEea5pdrFDq-m2g" name="target[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-FXFcFMEea5pdrFDq-m2g">
            <body>Indicates either the date or the duration after start by which the goal should be met.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-FXE8FMEea5pdrFDq-m2g">
            <body>Reach goal on or before</body>
          </ownedComment>
          <ownedComment xmi:id="_4-FXF8FMEea5pdrFDq-m2g">
            <body>Identifies when the goal should be evaluated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-FXEMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-FXEcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-FXGsFMEea5pdrFDq-m2g" name="statusDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-F-IsFMEea5pdrFDq-m2g">
            <body>Identifies when the current status.  I.e. When initially created, when achieved, when cancelled, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-F-IMFMEea5pdrFDq-m2g">
            <body>When goal status took effect</body>
          </ownedComment>
          <ownedComment xmi:id="_4-F-JMFMEea5pdrFDq-m2g">
            <body>To see the date for past statuses, query history.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-FXG8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-FXHMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-F-JsFMEea5pdrFDq-m2g" name="statusReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-GlM8FMEea5pdrFDq-m2g">
            <body>Captures the reason for the current status.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-GlMcFMEea5pdrFDq-m2g">
            <body>Reason for current status</body>
          </ownedComment>
          <ownedComment xmi:id="_4-GlNcFMEea5pdrFDq-m2g">
            <body>This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-F-J8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-F-KMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-GlN8FMEea5pdrFDq-m2g" name="expressedBy" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4-HMQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-HMRsFMEea5pdrFDq-m2g">
            <body>Indicates whose goal this is - patient goal, practitioner goal, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-HMRMFMEea5pdrFDq-m2g">
            <body>Who's responsible for creating Goal?</body>
          </ownedComment>
          <ownedComment xmi:id="_4-HMSMFMEea5pdrFDq-m2g">
            <body>This is the individual reponsible for establishing the goal, not necessarily who recorded it.  (For that, use the Provenance resource.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-GlOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-GlOcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_LjQcFMEea5pdrFDq-m2g" name="addresses" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_LjRcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_LjS8FMEea5pdrFDq-m2g">
            <body>The identified conditions and other health record elements that are intended to be addressed by the goal.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_LjScFMEea5pdrFDq-m2g">
            <body>Issues addressed by this goal</body>
          </ownedComment>
          <ownedComment xmi:id="_4_LjTcFMEea5pdrFDq-m2g">
            <body>Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_LjQsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_LjQ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_MKUcFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_MKV8FMEea5pdrFDq-m2g">
            <body>Any comments related to the goal.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_MKVcFMEea5pdrFDq-m2g">
            <body>Comments about the goal</body>
          </ownedComment>
          <ownedComment xmi:id="_4_MKWcFMEea5pdrFDq-m2g">
            <body>May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_MKW8FMEea5pdrFDq-m2g">
            <body>There's a need to capture information about the goal that doesn't actually describe the goal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_MKUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_MKU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_MxY8FMEea5pdrFDq-m2g" name="outcome" type="_4_MxYMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4_NYcMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_NYdsFMEea5pdrFDq-m2g">
            <body>Identifies the change (or lack of change) at the point where the goal was deemed to be cancelled or achieved.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_NYdMFMEea5pdrFDq-m2g">
            <body>What result was achieved regarding the goal?</body>
          </ownedComment>
          <ownedComment xmi:id="_4_NYeMFMEea5pdrFDq-m2g">
            <body>Note that this should not duplicate the goal status.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_NYesFMEea5pdrFDq-m2g">
            <body>Outcome tracking is a key aspect of care planning.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_MxZMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_MxZcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4_MxYMFMEea5pdrFDq-m2g" name="Outcome">
          <generalization xmi:id="_4_MxYcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4_NYfMFMEea5pdrFDq-m2g" name="result[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_N_g8FMEea5pdrFDq-m2g">
              <body>Details of what's changed (or not changed).</body>
            </ownedComment>
            <ownedComment xmi:id="_4_N_gcFMEea5pdrFDq-m2g">
              <body>Code or observation that resulted from goal</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_NYfcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_NYfsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-C62MFMEea5pdrFDq-m2g" memberEnd="_4-C62cFMEea5pdrFDq-m2g _4-C61MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-C62cFMEea5pdrFDq-m2g" type="_49-CXMFMEea5pdrFDq-m2g" association="_4-C62MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-C62sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-C628FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-HMQMFMEea5pdrFDq-m2g" memberEnd="_4-HMQcFMEea5pdrFDq-m2g _4-GlN8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-HMQcFMEea5pdrFDq-m2g" type="_49-CXMFMEea5pdrFDq-m2g" association="_4-HMQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-HMQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-HMQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4-HMS8FMEea5pdrFDq-m2g" name="MedicationStatement">
        <ownedComment xmi:id="_4-IaZ8FMEea5pdrFDq-m2g">
          <body>A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now, or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from e.g. the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains   The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medication statement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information.</body>
        </ownedComment>
        <ownedComment xmi:id="_4-IaYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MedicationStatement Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4-IaZcFMEea5pdrFDq-m2g">
          <body>Record of medication being taken by a patient</body>
        </ownedComment>
        <ownedComment xmi:id="_4-JBcMFMEea5pdrFDq-m2g">
          <body>When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.</body>
        </ownedComment>
        <ownedRule xmi:id="_4-HMTMFMEea5pdrFDq-m2g" name="mst-1" constrainedElement="_4-HMS8FMEea5pdrFDq-m2g _4-N598FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4-HMTcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:reasonNotTaken) and (f:notTaken/@value='n' or f:notTaken/@value='unk'))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4-IaZMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4-JBcsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-JBeMFMEea5pdrFDq-m2g">
            <body>External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource.  The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated; an administration while the patient was off the ward might be made with a different system and entered after the event.  Particularly important if these records have to be updated.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-JBdsFMEea5pdrFDq-m2g">
            <body>External identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-JBc8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-JBdMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-JBesFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-JohcFMEea5pdrFDq-m2g">
            <body>A code representing the patient or other source's judgment about the state of the medication used that this statement is about.  Generally this will be active or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Jog8FMEea5pdrFDq-m2g">
            <body>active | completed | entered-in-error | intended | stopped | on-hold</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Joh8FMEea5pdrFDq-m2g">
            <body>MedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-JBe8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-JBfMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-KPkcFMEea5pdrFDq-m2g" name="medication[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-KPmMFMEea5pdrFDq-m2g">
            <body>Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-KPlsFMEea5pdrFDq-m2g">
            <body>What medication was taken</body>
          </ownedComment>
          <ownedComment xmi:id="_4-K2oMFMEea5pdrFDq-m2g">
            <body>If only a code is specified, then it needs to be a code for a specific product.  If more information is required, then the use of the medication resource is recommended.  Note: do not use Medication.name to describe the medication this statement concerns. When the only available information is a text description of the medication, Medication.code.text should be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-KPksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-KPk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-K2o8FMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4-K2p8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-LdscFMEea5pdrFDq-m2g">
            <body>The person, animal or group who is/was taking the medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-K2q8FMEea5pdrFDq-m2g">
            <body>Who is/was taking  the medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-K2pMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-K2pcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-LdtMFMEea5pdrFDq-m2g" name="effective[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-LdusFMEea5pdrFDq-m2g">
            <body>The interval of time during which it is being asserted that the patient was taking the medication (or was not taking, when the wasNotGiven element is true).</body>
          </ownedComment>
          <ownedComment xmi:id="_4-LduMFMEea5pdrFDq-m2g">
            <body>Over what period was medication consumed?</body>
          </ownedComment>
          <ownedComment xmi:id="_4-LdvMFMEea5pdrFDq-m2g">
            <body>If the medication is still being taken at the time the statement is recorded, the &quot;end&quot; date will be omitted.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-LdtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-LdtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-MEwcFMEea5pdrFDq-m2g" name="informationSource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4-MExcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-MEy8FMEea5pdrFDq-m2g">
            <body>The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g Claim or MedicationRequest.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-MEycFMEea5pdrFDq-m2g">
            <body>Person or organization that provided the information about the taking of this medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-MEwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-MEw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Mr0MFMEea5pdrFDq-m2g" name="derivedFrom" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4-Mr1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-Mr2sFMEea5pdrFDq-m2g">
            <body>Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Mr2MFMEea5pdrFDq-m2g">
            <body>Additional supporting information</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Mr3MFMEea5pdrFDq-m2g">
            <body>Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Mr0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Mr0sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Mr3sFMEea5pdrFDq-m2g" name="dateAsserted" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-NS48FMEea5pdrFDq-m2g">
            <body>The date when the medication statement was asserted by the information source.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-NS4cFMEea5pdrFDq-m2g">
            <body>When the statement was asserted?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Mr38FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Mr4MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-NS5cFMEea5pdrFDq-m2g" name="notTaken" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-N59cFMEea5pdrFDq-m2g">
            <body>Indicator of the certainty of whether the medication was taken by the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-N588FMEea5pdrFDq-m2g">
            <body>y | n | unk</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-NS5sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-NS58FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-N598FMEea5pdrFDq-m2g" name="reasonNotTaken" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-OhB8FMEea5pdrFDq-m2g">
            <body>A code indicating why the medication was not taken.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-OhBcFMEea5pdrFDq-m2g">
            <body>True if asserting medication was not given</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-N5-MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-OhAMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-PIEcFMEea5pdrFDq-m2g" name="reasonForUseCodeableConcept" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-PIGMFMEea5pdrFDq-m2g">
            <body>A reason for why the medication is being/was taken.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-PIFsFMEea5pdrFDq-m2g">
            <body>Reason for why the medication is being/was taken</body>
          </ownedComment>
          <ownedComment xmi:id="_4-PvIMFMEea5pdrFDq-m2g">
            <body>This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-PIEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-PIE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-PvIsFMEea5pdrFDq-m2g" name="reasonForUseReference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4-PvJsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-PvLMFMEea5pdrFDq-m2g">
            <body>Condition or observation that supports why the medication is being/was taken.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-PvKsFMEea5pdrFDq-m2g">
            <body>Condition or observation that supports why the medication is being/was taken</body>
          </ownedComment>
          <ownedComment xmi:id="_4-PvLsFMEea5pdrFDq-m2g">
            <body>This is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-PvI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-PvJMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-QWMcFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-QWN8FMEea5pdrFDq-m2g">
            <body>Provides extra information about the medication statement that is not conveyed by the other attributes.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-QWNcFMEea5pdrFDq-m2g">
            <body>Further information about the statement</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-QWMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-QWM8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-QWOcFMEea5pdrFDq-m2g" name="category" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-Q9RcFMEea5pdrFDq-m2g">
            <body>Indicates where type of medication statement and where the medication is expected to be consumed or administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Q9Q8FMEea5pdrFDq-m2g">
            <body>Type of medication usage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-QWOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-QWO8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-RkUMFMEea5pdrFDq-m2g" name="dosage" type="_4pFXeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-RkVsFMEea5pdrFDq-m2g">
            <body>Indicates how the medication is/was used by the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-RkVMFMEea5pdrFDq-m2g">
            <body>Details of how medication was taken</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-RkUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-RkUsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-K2p8FMEea5pdrFDq-m2g" memberEnd="_4-K2qMFMEea5pdrFDq-m2g _4-K2o8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-K2qMFMEea5pdrFDq-m2g" type="_4-HMS8FMEea5pdrFDq-m2g" association="_4-K2p8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-K2qcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-K2qsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-MExcFMEea5pdrFDq-m2g" memberEnd="_4-MExsFMEea5pdrFDq-m2g _4-MEwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-MExsFMEea5pdrFDq-m2g" type="_4-HMS8FMEea5pdrFDq-m2g" association="_4-MExcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-MEx8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-MEyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-Mr1MFMEea5pdrFDq-m2g" memberEnd="_4-Mr1cFMEea5pdrFDq-m2g _4-Mr0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-Mr1cFMEea5pdrFDq-m2g" type="_4-HMS8FMEea5pdrFDq-m2g" association="_4-Mr1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Mr1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Mr18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-PvJsFMEea5pdrFDq-m2g" memberEnd="_4-PvJ8FMEea5pdrFDq-m2g _4-PvIsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-PvJ8FMEea5pdrFDq-m2g" type="_4-HMS8FMEea5pdrFDq-m2g" association="_4-PvJsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-PvKMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-PvKcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4-RkWMFMEea5pdrFDq-m2g" name="NutritionRequest">
        <ownedComment xmi:id="_4-Syd8FMEea5pdrFDq-m2g">
          <body>A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.</body>
        </ownedComment>
        <ownedComment xmi:id="_4-SycsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for NutritionRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4-SydcFMEea5pdrFDq-m2g">
          <body>Diet, formula or nutritional supplement request</body>
        </ownedComment>
        <ownedComment xmi:id="_4-TZgMFMEea5pdrFDq-m2g">
          <body>Referenced by an Order Request (workflow).</body>
        </ownedComment>
        <ownedRule xmi:id="_4-RkWcFMEea5pdrFDq-m2g" name="nor-1" constrainedElement="_4-RkWMFMEea5pdrFDq-m2g _4-Y5E8FMEea5pdrFDq-m2g _4-oJocFMEea5pdrFDq-m2g _4-x6ocFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4-RkWsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4-SydMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4-TZgsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-TZiMFMEea5pdrFDq-m2g">
            <body>Identifiers assigned to this order by the order sender or by the order receiver.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-TZhsFMEea5pdrFDq-m2g">
            <body>Identifiers assigned to this order</body>
          </ownedComment>
          <ownedComment xmi:id="_4-TZisFMEea5pdrFDq-m2g">
            <body>The Identifier.type element can be to indicate filler vs placer if needed.  This is explained in further detail [here](diagnosticrequest.html#notes).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-TZg8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-TZhMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-TZjMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-UAlsFMEea5pdrFDq-m2g">
            <body>The workflow status of the nutrition order/request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-UAlMFMEea5pdrFDq-m2g">
            <body>proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_4-UnoMFMEea5pdrFDq-m2g">
            <body>Typically the system placing the order sets the status to &quot;requested&quot;. Thereafter, the order is maintained by the receiver that updates the status as the request is handled.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-TZjcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-TZjsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-UnosFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_4-UnpsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-UnrMFMEea5pdrFDq-m2g">
            <body>The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-UnqsFMEea5pdrFDq-m2g">
            <body>The person who requires the diet, formula or nutritional supplement</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Uno8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-UnpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-UnrsFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_4-VOs8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-VOucFMEea5pdrFDq-m2g">
            <body>An encounter that provides additional information about the healthcare context in which this request is made.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-VOt8FMEea5pdrFDq-m2g">
            <body>The encounter associated with this nutrition order</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-VOsMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-VOscFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-VOu8FMEea5pdrFDq-m2g" name="dateTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-V1wMFMEea5pdrFDq-m2g">
            <body>The date and time that this nutrition order was requested.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-VOv8FMEea5pdrFDq-m2g">
            <body>Date and time the nutrition order was requested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-VOvMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-VOvcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-V1wsFMEea5pdrFDq-m2g" name="orderer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_4-V1xsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-V1zMFMEea5pdrFDq-m2g">
            <body>The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-V1ysFMEea5pdrFDq-m2g">
            <body>Who ordered the diet, formula or nutritional supplement</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-V1w8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-V1xMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Wc0MFMEea5pdrFDq-m2g" name="allergyIntolerance" type="_47J-68FMEea5pdrFDq-m2g" isOrdered="true" association="_4-Wc1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-Wc2sFMEea5pdrFDq-m2g">
            <body>A link to a record of allergies or intolerances  which should be included in the nutrition order.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Wc2MFMEea5pdrFDq-m2g">
            <body>List of the patient's food and nutrition-related allergies and intolerances</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Wc3MFMEea5pdrFDq-m2g">
            <body>Information on a patient's food allergies and intolerances, inform healthcare personnel about the type of foods that the patient should receive or consume.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Wc0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Wc0sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Wc3sFMEea5pdrFDq-m2g" name="foodPreferenceModifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-XD5sFMEea5pdrFDq-m2g">
            <body>This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-XD5MFMEea5pdrFDq-m2g">
            <body>Order-specific modifier about the type of food that should be given</body>
          </ownedComment>
          <ownedComment xmi:id="_4-Xq8cFMEea5pdrFDq-m2g">
            <body>Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Wc38FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Wc4MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Xq88FMEea5pdrFDq-m2g" name="excludeFoodModifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4-YSBcFMEea5pdrFDq-m2g">
            <body>This modifier is used to convey order-specific modifiers about the type of food that should NOT be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or  Gluten-Free.  While it should not be necessary to repeat allergy or intolerance information captured in the referenced allergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason.  This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-YSA8FMEea5pdrFDq-m2g">
            <body>Order-specific modifier about the type of food that should not be given</body>
          </ownedComment>
          <ownedComment xmi:id="_4-YSB8FMEea5pdrFDq-m2g">
            <body>Information on a patient's food allergies and intolerances, and preferences inform healthcare personnel about the type  of foods that the patient should receive or consume.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Xq9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Xq9cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-Y5E8FMEea5pdrFDq-m2g" name="oralDiet" type="_4-Y5EMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4-ZgIcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-ZgJ8FMEea5pdrFDq-m2g">
            <body>Diet given orally in contrast to enteral (tube) feeding.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-ZgJcFMEea5pdrFDq-m2g">
            <body>Oral diet components</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Y5FMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Y5FcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-oJocFMEea5pdrFDq-m2g" name="supplement" type="_4-nilMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4-oJpcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-oJq8FMEea5pdrFDq-m2g">
            <body>Oral nutritional products given in order to add further nutritional value to the patient's diet.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-oJqcFMEea5pdrFDq-m2g">
            <body>Supplement components</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-oJosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-oJo8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-x6ocFMEea5pdrFDq-m2g" name="enteralFormula" type="_4-xTl8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4-x6pcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4-yhsMFMEea5pdrFDq-m2g">
            <body>Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.</body>
          </ownedComment>
          <ownedComment xmi:id="_4-x6qcFMEea5pdrFDq-m2g">
            <body>Enteral formula components</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-x6osFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-x6o8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4-Y5EMFMEea5pdrFDq-m2g" name="OralDiet">
          <generalization xmi:id="_4-Y5EcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4-ZgKcFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-aHNcFMEea5pdrFDq-m2g">
              <body>The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-aHM8FMEea5pdrFDq-m2g">
              <body>Type of oral diet or diet restrictions that describe what can be consumed orally</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-ZgKsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-ZgK8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-auQMFMEea5pdrFDq-m2g" name="schedule" type="_4lVf6MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-auRsFMEea5pdrFDq-m2g">
              <body>The time period and frequency at which the diet should be given.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-auRMFMEea5pdrFDq-m2g">
              <body>Scheduled frequency of diet</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-auQcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-auQsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-bVUcFMEea5pdrFDq-m2g" name="nutrient" type="_4-auSMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4-bVVcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4-b8YMFMEea5pdrFDq-m2g">
              <body>Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-bVWcFMEea5pdrFDq-m2g">
              <body>Required  nutrient modifications</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-bVUsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-bVU8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-eYocFMEea5pdrFDq-m2g" name="texture" type="_4-dxkMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4-eYpcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4-eYq8FMEea5pdrFDq-m2g">
              <body>Class that describes any texture modifications required for the patient to safely consume various types of solid foods.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-eYqcFMEea5pdrFDq-m2g">
              <body>Required  texture modifications</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-eYosFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-eYo8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-lGVsFMEea5pdrFDq-m2g" name="fluidConsistencyType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-m7gsFMEea5pdrFDq-m2g">
              <body>The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-m7gMFMEea5pdrFDq-m2g">
              <body>The required consistency of fluids and liquids provided to the patient</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-ltYMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-ltYcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-m7hMFMEea5pdrFDq-m2g" name="instruction" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-nikMFMEea5pdrFDq-m2g">
              <body>Free text or additional instructions or information pertaining to the oral diet.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-m7iMFMEea5pdrFDq-m2g">
              <body>Instructions or additional information about the oral diet</body>
            </ownedComment>
            <ownedComment xmi:id="_4-niksFMEea5pdrFDq-m2g">
              <body>Free text dosage instructions can be used for cases where the instructions are too complex to code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-m7hcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-m7hsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4-auSMFMEea5pdrFDq-m2g" name="Nutrient">
            <generalization xmi:id="_4-auScFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4-b8YsFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4-dKgsFMEea5pdrFDq-m2g">
                <body>The nutrient that is being modified such as carbohydrate or sodium.</body>
              </ownedComment>
              <ownedComment xmi:id="_4-dKgMFMEea5pdrFDq-m2g">
                <body>Type of nutrient that is being modified</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-b8Y8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-b8ZMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4-dKhMFMEea5pdrFDq-m2g" name="amount" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4-dKisFMEea5pdrFDq-m2g">
                <body>The quantity of the specified nutrient to include in diet.</body>
              </ownedComment>
              <ownedComment xmi:id="_4-dKiMFMEea5pdrFDq-m2g">
                <body>Quantity of the specified nutrient</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-dKhcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-dKhsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4-dxkMFMEea5pdrFDq-m2g" name="Texture">
            <generalization xmi:id="_4-dxkcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4-eYrcFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4-hb9MFMEea5pdrFDq-m2g">
                <body>Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.</body>
              </ownedComment>
              <ownedComment xmi:id="_4-hb8sFMEea5pdrFDq-m2g">
                <body>Code to indicate how to alter the texture of the foods, e.g. pureed</body>
              </ownedComment>
              <ownedComment xmi:id="_4-hb9sFMEea5pdrFDq-m2g">
                <body>Coupled with the foodType (Meat).</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-eYrsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-eYr8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4-iDAMFMEea5pdrFDq-m2g" name="foodType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4-lGUsFMEea5pdrFDq-m2g">
                <body>The food type(s) (e.g. meats, all foods)  that the texture modification applies to.  This could be all foods types.</body>
              </ownedComment>
              <ownedComment xmi:id="_4-lGUMFMEea5pdrFDq-m2g">
                <body>Concepts that are used to identify an entity that is ingested for nutritional purposes</body>
              </ownedComment>
              <ownedComment xmi:id="_4-lGVMFMEea5pdrFDq-m2g">
                <body>Coupled with the textureModifier; could be (All Foods).</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-iDAcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-iDAsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4-nilMFMEea5pdrFDq-m2g" name="Supplement">
          <generalization xmi:id="_4-nilcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4-oJrcFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-veZsFMEea5pdrFDq-m2g">
              <body>The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-veZMFMEea5pdrFDq-m2g">
              <body>Type of supplement product requested</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-oJrsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-oJr8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-wFcMFMEea5pdrFDq-m2g" name="productName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-wFdsFMEea5pdrFDq-m2g">
              <body>The product or brand name of the nutritional supplement such as &quot;Acme Protein Shake&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-wFdMFMEea5pdrFDq-m2g">
              <body>Product or brand name of the nutritional supplement</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-wFccFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-wFcsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-wFeMFMEea5pdrFDq-m2g" name="schedule" type="_4lVf6MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-wsgMFMEea5pdrFDq-m2g">
              <body>The time period and frequency at which the supplement(s) should be given.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-wFfMFMEea5pdrFDq-m2g">
              <body>Scheduled frequency of supplement</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-wFecFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-wFesFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-wsgsFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-wsiMFMEea5pdrFDq-m2g">
              <body>The amount of the nutritional supplement to be given.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-wshsFMEea5pdrFDq-m2g">
              <body>Amount of the nutritional supplement</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-wsg8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-wshMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-wsisFMEea5pdrFDq-m2g" name="instruction" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-xTk8FMEea5pdrFDq-m2g">
              <body>Free text or additional instructions or information pertaining to the oral supplement.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-xTkcFMEea5pdrFDq-m2g">
              <body>Instructions or additional information about the oral supplement</body>
            </ownedComment>
            <ownedComment xmi:id="_4-xTlcFMEea5pdrFDq-m2g">
              <body>Free text dosage instructions can be used for cases where the instructions are too complex to code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-wsi8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-wsjMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4-xTl8FMEea5pdrFDq-m2g" name="EnteralFormula">
          <generalization xmi:id="_4-xTmMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4-yhssFMEea5pdrFDq-m2g" name="baseFormulaType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-4BQsFMEea5pdrFDq-m2g">
              <body>The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-4BQMFMEea5pdrFDq-m2g">
              <body>Type of enteral or infant formula</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-yhs8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-yhtMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-4BRMFMEea5pdrFDq-m2g" name="baseFormulaProductName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-4oUMFMEea5pdrFDq-m2g">
              <body>The product or brand name of the enteral or infant formula product such as &quot;ACME Adult Standard Formula&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-4BSMFMEea5pdrFDq-m2g">
              <body>Product or brand name of the enteral or infant formula</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-4BRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-4BRsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-4oUsFMEea5pdrFDq-m2g" name="additiveType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-5PYsFMEea5pdrFDq-m2g">
              <body>Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-5PYMFMEea5pdrFDq-m2g">
              <body>Type of modular component to add to the feeding</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-4oU8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-4oVMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-5PZMFMEea5pdrFDq-m2g" name="additiveProductName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-5PasFMEea5pdrFDq-m2g">
              <body>The product or brand name of the type of modular component to be added to the formula.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-5PaMFMEea5pdrFDq-m2g">
              <body>Product or brand name of the modular additive</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-5PZcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-5PZsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-52ccFMEea5pdrFDq-m2g" name="caloricDensity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-52d8FMEea5pdrFDq-m2g">
              <body>The amount of energy (Calories) that the formula should provide per specified volume, typically per mL or fluid oz.  For example, an infant may require a formula that provides 24 Calories per fluid ounce or an adult may require an enteral formula that provides 1.5 Calorie/mL.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-52dcFMEea5pdrFDq-m2g">
              <body>Amount of energy per specified volume that is required</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-52csFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-52c8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-52ecFMEea5pdrFDq-m2g" name="routeofAdministration" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4-7rpsFMEea5pdrFDq-m2g">
              <body>The route or physiological path of administration into the patient's gastrointestinal  tract for purposes of providing the formula feeding, e.g. nasogastric tube.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-7rpMFMEea5pdrFDq-m2g">
              <body>How the formula should enter the patient's gastrointestinal tract</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-52esFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-52e8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-8Ss8FMEea5pdrFDq-m2g" name="administration" type="_4-8SsMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4-85wMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4-85xsFMEea5pdrFDq-m2g">
              <body>Formula administration instructions as structured data.  This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding.  An example of this would be an instruction to increase the rate of continuous feeding every 2 hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_4-85xMFMEea5pdrFDq-m2g">
              <body>Formula feeding instruction as structured data</body>
            </ownedComment>
            <ownedComment xmi:id="_4-85yMFMEea5pdrFDq-m2g">
              <body>See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-8StMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-8StcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4--H58FMEea5pdrFDq-m2g" name="maxVolumeToDeliver" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4--u8MFMEea5pdrFDq-m2g">
              <body>The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_4--H68FMEea5pdrFDq-m2g">
              <body>Upper limit on formula volume per unit of time</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4--H6MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4--H6cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4--u8sFMEea5pdrFDq-m2g" name="administrationInstruction" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4--u-MFMEea5pdrFDq-m2g">
              <body>Free text formula administration, feeding instructions or additional instructions or information.</body>
            </ownedComment>
            <ownedComment xmi:id="_4--u9sFMEea5pdrFDq-m2g">
              <body>Formula feeding instructions expressed as text</body>
            </ownedComment>
            <ownedComment xmi:id="_4--u-sFMEea5pdrFDq-m2g">
              <body>Free text dosage instructions can be used for cases where the instructions are too complex to code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4--u88FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4--u9MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_4-8SsMFMEea5pdrFDq-m2g" name="Administration">
            <generalization xmi:id="_4-8SscFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_4-85ysFMEea5pdrFDq-m2g" name="schedule" type="_4lVf6MFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4-9g0MFMEea5pdrFDq-m2g">
                <body>The time period and frequency at which the enteral formula should be delivered to the patient.</body>
              </ownedComment>
              <ownedComment xmi:id="_4-85zsFMEea5pdrFDq-m2g">
                <body>Scheduled frequency of enteral feeding</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-85y8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-85zMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4-9g0sFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4-9g2MFMEea5pdrFDq-m2g">
                <body>The volume of formula to provide to the patient per the specified administration schedule.</body>
              </ownedComment>
              <ownedComment xmi:id="_4-9g1sFMEea5pdrFDq-m2g">
                <body>The volume of formula to provide</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-9g08FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-9g1MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_4-9g2sFMEea5pdrFDq-m2g" name="rate[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_4--H4sFMEea5pdrFDq-m2g">
                <body>The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.</body>
              </ownedComment>
              <ownedComment xmi:id="_4--H4MFMEea5pdrFDq-m2g">
                <body>Speed with which the formula is provided per period of time</body>
              </ownedComment>
              <ownedComment xmi:id="_4--H5MFMEea5pdrFDq-m2g">
                <body>Ratio is used when the quantity value in the denominator is not &quot;1&quot;, otherwise use Quantity. For example, the Ratio datatype is used for &quot;200 mL/4 hrs&quot; versus the Quantity datatype for &quot;50 mL/hr&quot;.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-9g28FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-9g3MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-UnpsFMEea5pdrFDq-m2g" memberEnd="_4-Unp8FMEea5pdrFDq-m2g _4-UnosFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-Unp8FMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-UnpsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-UnqMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-UnqcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-VOs8FMEea5pdrFDq-m2g" memberEnd="_4-VOtMFMEea5pdrFDq-m2g _4-UnrsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-VOtMFMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-VOs8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-VOtcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-VOtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-V1xsFMEea5pdrFDq-m2g" memberEnd="_4-V1x8FMEea5pdrFDq-m2g _4-V1wsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-V1x8FMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-V1xsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-V1yMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-V1ycFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-Wc1MFMEea5pdrFDq-m2g" memberEnd="_4-Wc1cFMEea5pdrFDq-m2g _4-Wc0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-Wc1cFMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-Wc1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-Wc1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-Wc18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-ZgIcFMEea5pdrFDq-m2g" memberEnd="_4-ZgIsFMEea5pdrFDq-m2g _4-Y5E8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-ZgIsFMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-ZgIcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-ZgI8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-ZgJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-bVVcFMEea5pdrFDq-m2g" memberEnd="_4-bVVsFMEea5pdrFDq-m2g _4-bVUcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-bVVsFMEea5pdrFDq-m2g" type="_4-Y5EMFMEea5pdrFDq-m2g" association="_4-bVVcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-bVV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-bVWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-eYpcFMEea5pdrFDq-m2g" memberEnd="_4-eYpsFMEea5pdrFDq-m2g _4-eYocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-eYpsFMEea5pdrFDq-m2g" type="_4-Y5EMFMEea5pdrFDq-m2g" association="_4-eYpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-eYp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-eYqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-oJpcFMEea5pdrFDq-m2g" memberEnd="_4-oJpsFMEea5pdrFDq-m2g _4-oJocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-oJpsFMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-oJpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-oJp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-oJqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-x6pcFMEea5pdrFDq-m2g" memberEnd="_4-x6psFMEea5pdrFDq-m2g _4-x6ocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-x6psFMEea5pdrFDq-m2g" type="_4-RkWMFMEea5pdrFDq-m2g" association="_4-x6pcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-x6p8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-x6qMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4-85wMFMEea5pdrFDq-m2g" memberEnd="_4-85wcFMEea5pdrFDq-m2g _4-8Ss8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4-85wcFMEea5pdrFDq-m2g" type="_4-xTl8FMEea5pdrFDq-m2g" association="_4-85wMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-85wsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-85w8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4--u_MFMEea5pdrFDq-m2g" name="RiskAssessment">
        <ownedComment xmi:id="_4_AkJ8FMEea5pdrFDq-m2g">
          <body>An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.</body>
        </ownedComment>
        <ownedComment xmi:id="_4_AkIsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for RiskAssessment Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4_AkJcFMEea5pdrFDq-m2g">
          <body>Potential outcomes for a subject with likelihood</body>
        </ownedComment>
        <ownedRule xmi:id="_4-_WAMFMEea5pdrFDq-m2g" name="ras-2" constrainedElement="_4_HR0cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4-_WAcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:probabilityDecimal) or f:probabilityDecimal/@value &lt;= 100</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4-_WA8FMEea5pdrFDq-m2g" name="ras-1" constrainedElement="_4_H46cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4-_WBMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(not(f:low) or f:low[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']) and (not(f:high) or f:high[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org'])</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4_AkJMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4_AkKcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_BLMcFMEea5pdrFDq-m2g">
            <body>Business identifier assigned to the risk assessment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_AkLcFMEea5pdrFDq-m2g">
            <body>Unique identifier for the assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_AkKsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_AkK8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_BLM8FMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_BLN8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_BLPcFMEea5pdrFDq-m2g">
            <body>A reference to the request that is fulfilled by this risk assessment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_BLO8FMEea5pdrFDq-m2g">
            <body>Request fulfilled by this assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_BLNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_BLNcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_BLP8FMEea5pdrFDq-m2g" name="parent" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_ByQsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_BySMFMEea5pdrFDq-m2g">
            <body>A reference to a resource that this risk assessment is part of, such as a Procedure.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ByRsFMEea5pdrFDq-m2g">
            <body>Part of this occurrence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_BLQMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ByQMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_BySsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_CZU8FMEea5pdrFDq-m2g">
            <body>The status of the RiskAssessment, using the same statuses as an Observation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_CZUcFMEea5pdrFDq-m2g">
            <body>registered | preliminary | final | amended +</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ByS8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ByTMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_CZVcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_DAYMFMEea5pdrFDq-m2g">
            <body>The type of the risk assessment performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_CZWcFMEea5pdrFDq-m2g">
            <body>Type of assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_CZVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_CZV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_DAYsFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_DAZsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_DAbMFMEea5pdrFDq-m2g">
            <body>The patient or group the risk assessment applies to.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_DAasFMEea5pdrFDq-m2g">
            <body>Who/what does assessment apply to?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_DAY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_DAZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_DncMFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_DndMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_DnesFMEea5pdrFDq-m2g">
            <body>The encounter where the assessment was performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_DneMFMEea5pdrFDq-m2g">
            <body>Where was assessment performed?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_DnccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_DncsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_DnfcFMEea5pdrFDq-m2g" name="occurrence[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_EOg8FMEea5pdrFDq-m2g">
            <body>The date (and possibly time) the risk assessment was performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_EOgcFMEea5pdrFDq-m2g">
            <body>When was assessment made?</body>
          </ownedComment>
          <ownedComment xmi:id="_4_EOhcFMEea5pdrFDq-m2g">
            <body>The assessment results lose validity the more time elapses from when they are first made.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_DnfsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_Dnf8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_EOiMFMEea5pdrFDq-m2g" name="condition" type="_463D9sFMEea5pdrFDq-m2g" isOrdered="true" association="_4_EOjMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_E1lMFMEea5pdrFDq-m2g">
            <body>For assessments or prognosis specific to a particular condition, indicates the condition being assessed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_E1ksFMEea5pdrFDq-m2g">
            <body>Condition assessed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_EOicFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_EOisFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_E1lsFMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_E1msFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_E1oMFMEea5pdrFDq-m2g">
            <body>The provider or software application that performed the assessment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_E1nsFMEea5pdrFDq-m2g">
            <body>Who did assessment?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_E1l8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_E1mMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_FcocFMEea5pdrFDq-m2g" name="reason[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_Fcp8FMEea5pdrFDq-m2g">
            <body>The reason the risk assessment was performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_FcpcFMEea5pdrFDq-m2g">
            <body>Why the assessment was necessary?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_FcosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_Fco8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_FcqsFMEea5pdrFDq-m2g" name="method" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_GDtMFMEea5pdrFDq-m2g">
            <body>The algorithm, process or mechanism used to evaluate the risk.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_GDssFMEea5pdrFDq-m2g">
            <body>Evaluation mechanism</body>
          </ownedComment>
          <ownedComment xmi:id="_4_GDtsFMEea5pdrFDq-m2g">
            <body>The method can influence the results of the assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_Fcq8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_FcrMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_GDuMFMEea5pdrFDq-m2g" name="basis" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_GqwcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_Gqx8FMEea5pdrFDq-m2g">
            <body>Indicates the source data considered as part of the assessment (FamilyHistory, Observations, Procedures, Conditions, etc.).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_GqxcFMEea5pdrFDq-m2g">
            <body>Information used in assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_GDucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_GDusFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_HR0cFMEea5pdrFDq-m2g" name="prediction" type="_4_GqycFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4_HR1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_HR28FMEea5pdrFDq-m2g">
            <body>Describes the expected outcome for the subject.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_HR2cFMEea5pdrFDq-m2g">
            <body>Outcome predicted</body>
          </ownedComment>
          <ownedComment xmi:id="_4_HR3cFMEea5pdrFDq-m2g">
            <body>Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_HR0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_HR08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_KVKsFMEea5pdrFDq-m2g" name="mitigation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_K8M8FMEea5pdrFDq-m2g">
            <body>A description of the steps that might be taken to reduce the identified risk(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_K8McFMEea5pdrFDq-m2g">
            <body>How to reduce risk</body>
          </ownedComment>
          <ownedComment xmi:id="_4_K8NcFMEea5pdrFDq-m2g">
            <body>One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_KVK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_KVLMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_K8N8FMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_K8PcFMEea5pdrFDq-m2g">
            <body>Additional comments about the risk assessment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_K8O8FMEea5pdrFDq-m2g">
            <body>Comments on the risk assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_K8OMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_K8OcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4_GqycFMEea5pdrFDq-m2g" name="Prediction">
          <generalization xmi:id="_4_GqysFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4_H44MFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_H458FMEea5pdrFDq-m2g">
              <body>One of the potential outcomes for the patient (e.g. remission, death,  a particular condition).</body>
            </ownedComment>
            <ownedComment xmi:id="_4_H45cFMEea5pdrFDq-m2g">
              <body>Possible outcome for the subject</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_H44cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_H44sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_H46cFMEea5pdrFDq-m2g" name="probability[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_JHAMFMEea5pdrFDq-m2g">
              <body>How likely is the outcome (in the specified timeframe).</body>
            </ownedComment>
            <ownedComment xmi:id="_4_If9cFMEea5pdrFDq-m2g">
              <body>Likelihood of specified outcome</body>
            </ownedComment>
            <ownedComment xmi:id="_4_JHAsFMEea5pdrFDq-m2g">
              <body>If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60%  Decimal values are expressed as percentages as well (max = 100).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_H46sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_If8MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_JHBcFMEea5pdrFDq-m2g" name="relativeRisk" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_JuEsFMEea5pdrFDq-m2g">
              <body>Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general.  (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.).</body>
            </ownedComment>
            <ownedComment xmi:id="_4_JuEMFMEea5pdrFDq-m2g">
              <body>Relative likelihood</body>
            </ownedComment>
            <ownedComment xmi:id="_4_JuFMFMEea5pdrFDq-m2g">
              <body>Absolute risk is less meaningful than relative risk.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_JHBsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_JHB8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_JuFsFMEea5pdrFDq-m2g" name="when[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_JuHMFMEea5pdrFDq-m2g">
              <body>Indicates the period of time or age range of the subject to which the specified probability applies.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_JuGsFMEea5pdrFDq-m2g">
              <body>Timeframe or age range</body>
            </ownedComment>
            <ownedComment xmi:id="_4_JuHsFMEea5pdrFDq-m2g">
              <body>If not specified, the risk applies &quot;over the subject's lifespan&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_JuF8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_JuGMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_KVIsFMEea5pdrFDq-m2g" name="rationale" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_KVKMFMEea5pdrFDq-m2g">
              <body>Additional information explaining the basis for the prediction.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_KVJsFMEea5pdrFDq-m2g">
              <body>Explanation of prediction</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_KVI8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_KVJMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_BLN8FMEea5pdrFDq-m2g" memberEnd="_4_BLOMFMEea5pdrFDq-m2g _4_BLM8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_BLOMFMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_BLN8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_BLOcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_BLOsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_ByQsFMEea5pdrFDq-m2g" memberEnd="_4_ByQ8FMEea5pdrFDq-m2g _4_BLP8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_ByQ8FMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_ByQsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ByRMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ByRcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_DAZsFMEea5pdrFDq-m2g" memberEnd="_4_DAZ8FMEea5pdrFDq-m2g _4_DAYsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_DAZ8FMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_DAZsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_DAaMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_DAacFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_DndMFMEea5pdrFDq-m2g" memberEnd="_4_DndcFMEea5pdrFDq-m2g _4_DncMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_DndcFMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_DndMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_DndsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_Dnd8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_EOjMFMEea5pdrFDq-m2g" memberEnd="_4_EOjcFMEea5pdrFDq-m2g _4_EOiMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_EOjcFMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_EOjMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_E1kMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_E1kcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_E1msFMEea5pdrFDq-m2g" memberEnd="_4_E1m8FMEea5pdrFDq-m2g _4_E1lsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_E1m8FMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_E1msFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_E1nMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_E1ncFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_GqwcFMEea5pdrFDq-m2g" memberEnd="_4_GqwsFMEea5pdrFDq-m2g _4_GDuMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_GqwsFMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_GqwcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_Gqw8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_GqxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_HR1cFMEea5pdrFDq-m2g" memberEnd="_4_HR1sFMEea5pdrFDq-m2g _4_HR0cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_HR1sFMEea5pdrFDq-m2g" type="_4--u_MFMEea5pdrFDq-m2g" association="_4_HR1cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_HR18FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_HR2MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_LjRcFMEea5pdrFDq-m2g" memberEnd="_4_LjRsFMEea5pdrFDq-m2g _4_LjQcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_LjRsFMEea5pdrFDq-m2g" type="_49-CXMFMEea5pdrFDq-m2g" association="_4_LjRcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_LjR8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_LjSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_NYcMFMEea5pdrFDq-m2g" memberEnd="_4_NYccFMEea5pdrFDq-m2g _4_MxY8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_NYccFMEea5pdrFDq-m2g" type="_49-CXMFMEea5pdrFDq-m2g" association="_4_NYcMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_NYcsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_NYc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_OmkcFMEea5pdrFDq-m2g" memberEnd="_4_OmksFMEea5pdrFDq-m2g _4_N_hsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_OmksFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_4_OmkcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_Omk8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_OmlMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_PNpcFMEea5pdrFDq-m2g" memberEnd="_4_PNpsFMEea5pdrFDq-m2g _4_PNocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_PNpsFMEea5pdrFDq-m2g" type="_49SF2cFMEea5pdrFDq-m2g" association="_4_PNpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_PNp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_PNqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_P0uMFMEea5pdrFDq-m2g" memberEnd="_4_P0ucFMEea5pdrFDq-m2g _4_P0tMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_P0ucFMEea5pdrFDq-m2g" type="_4_OmncFMEea5pdrFDq-m2g" association="_4_P0uMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_P0usFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_P0u8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4_RC3MFMEea5pdrFDq-m2g" name="Appointment">
        <ownedComment xmi:id="_4_TfFMFMEea5pdrFDq-m2g">
          <body>A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).</body>
        </ownedComment>
        <ownedComment xmi:id="_4_S4A8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Appointment Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4_TfEsFMEea5pdrFDq-m2g">
          <body>A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)</body>
        </ownedComment>
        <ownedRule xmi:id="_4_Rp4MFMEea5pdrFDq-m2g" name="app-3" constrainedElement="_4_RC3MFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4_Rp4cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled'))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4_Rp48FMEea5pdrFDq-m2g" name="app-2" constrainedElement="_4_RC3MFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4_Rp5MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_4_SQ8cFMEea5pdrFDq-m2g" name="app-1" constrainedElement="_4_hhg8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_4_SQ8sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(exists(f:type) or exists(f:actor))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_4_TfEcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4_TfFsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_TfHMFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_TfGsFMEea5pdrFDq-m2g">
            <body>External Ids for this item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_TfF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_TfGMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_UGIMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_UtMcFMEea5pdrFDq-m2g">
            <body>The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_UGJ8FMEea5pdrFDq-m2g">
            <body>proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_4_UtM8FMEea5pdrFDq-m2g">
            <body>If the Appointment's status is &quot;cancelled&quot; then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_UGIcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_UGIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_UtNcFMEea5pdrFDq-m2g" name="serviceCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_VUQsFMEea5pdrFDq-m2g">
            <body>A broad categorisation of the service that is to be performed during this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_VUQMFMEea5pdrFDq-m2g">
            <body>A broad categorisation of the service that is to be performed during this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_UtNsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_UtN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_VURMFMEea5pdrFDq-m2g" name="serviceType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_V7UsFMEea5pdrFDq-m2g">
            <body>The specific service that is to be performed during this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_V7UMFMEea5pdrFDq-m2g">
            <body>The specific service that is to be performed during this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_VURcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_VURsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_V7VMFMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_WiYcFMEea5pdrFDq-m2g">
            <body>The specialty of a practitioner that would be required to perform the service requested in this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_V7WcFMEea5pdrFDq-m2g">
            <body>The specialty of a practitioner that would be required to perform the service requested in this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_V7VcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_V7VsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_WiY8FMEea5pdrFDq-m2g" name="appointmentType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_XJdMFMEea5pdrFDq-m2g">
            <body>The style of appointment or patient that has been booked in the slot (not service type).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_XJcsFMEea5pdrFDq-m2g">
            <body>The style of appointment or patient that has been booked in the slot (not service type)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_WiZMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_WiZcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_XJdsFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_XwhcFMEea5pdrFDq-m2g">
            <body>The reason that this appointment is being scheduled. This is more clinical than administrative.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_Xwg8FMEea5pdrFDq-m2g">
            <body>Reason this appointment is scheduled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_XJd8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_XJeMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_YXkMFMEea5pdrFDq-m2g" name="priority" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_YXlsFMEea5pdrFDq-m2g">
            <body>The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_YXlMFMEea5pdrFDq-m2g">
            <body>Used to make informed decisions if needing to re-prioritize</body>
          </ownedComment>
          <ownedComment xmi:id="_4_YXmMFMEea5pdrFDq-m2g">
            <body>Seeking implementer feedback on this property and how interoperable it is.  Using an extension to record a codeableconcept for named values may be tested at a future connectathon.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_YXkcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_YXksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_YXmsFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_Y-oMFMEea5pdrFDq-m2g">
            <body>The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_YXnsFMEea5pdrFDq-m2g">
            <body>Shown on a subject line in a meeting request, or appointment list</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_YXm8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_YXnMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_Y-osFMEea5pdrFDq-m2g" name="start" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_Y-qMFMEea5pdrFDq-m2g">
            <body>Date/Time that the appointment is to take place.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_Y-psFMEea5pdrFDq-m2g">
            <body>When appointment is to take place</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_Y-o8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_Y-pMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_Y-qsFMEea5pdrFDq-m2g" name="end" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_ZlssFMEea5pdrFDq-m2g">
            <body>Date/Time that the appointment is to conclude.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ZlsMFMEea5pdrFDq-m2g">
            <body>When appointment is to conclude</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_Y-q8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_Y-rMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_ZltMFMEea5pdrFDq-m2g" name="minutesDuration" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_ZlusFMEea5pdrFDq-m2g">
            <body>Number of minutes that the appointment is to take. This can be less than the duration between the start and end times (where actual time of appointment is only an estimate or is a planned appointment request).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ZluMFMEea5pdrFDq-m2g">
            <body>Can be less than start/end (e.g. estimate)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ZltcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ZltsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_fsWMFMEea5pdrFDq-m2g" name="slot" type="_4_ZlvMFMEea5pdrFDq-m2g" isOrdered="true" association="_4_fsXMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_gTYMFMEea5pdrFDq-m2g">
            <body>The slot that this appointment is filling. If provided then the schedule will not be provided as slots are not recursive, and the start/end values MUST be the same as from the slot.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_fsYMFMEea5pdrFDq-m2g">
            <body>If provided, then no schedule and start/end values MUST match slot</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_fsWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_fsWsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_gTYsFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_gTaMFMEea5pdrFDq-m2g">
            <body>The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_gTZsFMEea5pdrFDq-m2g">
            <body>The date that this appointment was initially created</body>
          </ownedComment>
          <ownedComment xmi:id="_4_gTasFMEea5pdrFDq-m2g">
            <body>This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_gTY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_gTZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_g6cMFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_g6dsFMEea5pdrFDq-m2g">
            <body>Additional comments about the appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_g6dMFMEea5pdrFDq-m2g">
            <body>Additional comments</body>
          </ownedComment>
          <ownedComment xmi:id="_4_g6eMFMEea5pdrFDq-m2g">
            <body>Additional text to aid in facilitating the appointment. For instance, a comment might be, &quot;patient should proceed immediately to infusion room upon arrival&quot;  Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_g6ccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_g6csFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_hhg8FMEea5pdrFDq-m2g" name="participant" type="_4_hhgMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4_iIkMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_iIlsFMEea5pdrFDq-m2g">
            <body>List of participants involved in the appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_iIlMFMEea5pdrFDq-m2g">
            <body>Participants involved in appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_hhhMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_hhhcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_ly9MFMEea5pdrFDq-m2g" name="requestedPeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_ly-sFMEea5pdrFDq-m2g">
            <body>A set of date ranges (potentially including times) that the appointment is preferred to be scheduled. When using these values, the minutes duration should be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ly-MFMEea5pdrFDq-m2g">
            <body>Potential date/time interval(s) requested to allocate the appointment during</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ly_MFMEea5pdrFDq-m2g">
            <body>This does not introduce a capacity for recurring appointments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ly9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ly9sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4_hhgMFMEea5pdrFDq-m2g" name="Participant">
          <generalization xmi:id="_4_hhgcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4_iImMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_jWtMFMEea5pdrFDq-m2g">
              <body>Role of participant in the appointment.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_jWssFMEea5pdrFDq-m2g">
              <body>Role of participant in the appointment</body>
            </ownedComment>
            <ownedComment xmi:id="_4_jWtsFMEea5pdrFDq-m2g">
              <body>The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.  If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.  This value MUST be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_iImcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_iImsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_j9wMFMEea5pdrFDq-m2g" name="actor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_j9xMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_4_j9ysFMEea5pdrFDq-m2g">
              <body>A Person, Location/HealthcareService or Device that is participating in the appointment.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_j9yMFMEea5pdrFDq-m2g">
              <body>Person, Location/HealthcareService or Device</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_j9wcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_j9wsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_j9zcFMEea5pdrFDq-m2g" name="required" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_kk1sFMEea5pdrFDq-m2g">
              <body>Is this participant required to be present at the meeting. This covers a use-case where 2 doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_kk1MFMEea5pdrFDq-m2g">
              <body>required | optional | information-only</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_j9zsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_j9z8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4_lL4cFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_ly8sFMEea5pdrFDq-m2g">
              <body>Participation status of the Patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_4_ly8MFMEea5pdrFDq-m2g">
              <body>accepted | declined | tentative | needs-action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_lL4sFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_lL48FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4_ZlvMFMEea5pdrFDq-m2g" name="Slot">
        <ownedComment xmi:id="_4_az0MFMEea5pdrFDq-m2g">
          <body>A slot of time on a schedule that may be available for booking appointments.</body>
        </ownedComment>
        <ownedComment xmi:id="_4_aMwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Slot Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4_aMxcFMEea5pdrFDq-m2g">
          <body>A slot of time on a schedule that may be available for booking appointments</body>
        </ownedComment>
        <generalization xmi:id="_4_aMxMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4_az0sFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_az2MFMEea5pdrFDq-m2g">
            <body>External Ids for this item.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_az1sFMEea5pdrFDq-m2g">
            <body>External Ids for this item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_az08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_az1MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_az2sFMEea5pdrFDq-m2g" name="serviceCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_ba48FMEea5pdrFDq-m2g">
            <body>A broad categorisation of the service that is to be performed during this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ba4cFMEea5pdrFDq-m2g">
            <body>A broad categorisation of the service that is to be performed during this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_az28FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_az3MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_ba5cFMEea5pdrFDq-m2g" name="serviceType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_cB8sFMEea5pdrFDq-m2g">
            <body>The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_cB8MFMEea5pdrFDq-m2g">
            <body>The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ba5sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ba58FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_cB9MFMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_cpAsFMEea5pdrFDq-m2g">
            <body>The specialty of a practitioner that would be required to perform the service requested in this appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_cpAMFMEea5pdrFDq-m2g">
            <body>The specialty of a practitioner that would be required to perform the service requested in this appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_cB9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_cB9sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_cpBMFMEea5pdrFDq-m2g" name="appointmentType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_dQEsFMEea5pdrFDq-m2g">
            <body>The style of appointment or patient that has been booked in the slot (not service type).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_dQEMFMEea5pdrFDq-m2g">
            <body>The style of appointment or patient that has been booked in the slot (not service type)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_cpBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_cpBsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_dQFMFMEea5pdrFDq-m2g" name="schedule" type="_4oKKY8FMEea5pdrFDq-m2g" isOrdered="true" association="_4_dQGMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_dQHsFMEea5pdrFDq-m2g">
            <body>The schedule resource that this slot defines an interval of status information.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_dQHMFMEea5pdrFDq-m2g">
            <body>The schedule resource that this slot defines an interval of status information</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_dQFcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_dQFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_d3IcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_eeMsFMEea5pdrFDq-m2g">
            <body>busy | free | busy-unavailable | busy-tentative | entered-in-error.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_eeMMFMEea5pdrFDq-m2g">
            <body>busy | free | busy-unavailable | busy-tentative | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_d3IsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_d3I8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_eeNMFMEea5pdrFDq-m2g" name="start" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_eeOsFMEea5pdrFDq-m2g">
            <body>Date/Time that the slot is to begin.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_eeOMFMEea5pdrFDq-m2g">
            <body>Date/Time that the slot is to begin</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_eeNcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_eeNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_eePMFMEea5pdrFDq-m2g" name="end" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_fFRcFMEea5pdrFDq-m2g">
            <body>Date/Time that the slot is to conclude.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_fFQ8FMEea5pdrFDq-m2g">
            <body>Date/Time that the slot is to conclude</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_fFQMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_fFQcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_fFR8FMEea5pdrFDq-m2g" name="overbooked" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_fFTcFMEea5pdrFDq-m2g">
            <body>This slot has already been overbooked, appointments are unlikely to be accepted for this time.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_fFS8FMEea5pdrFDq-m2g">
            <body>This slot has already been overbooked, appointments are unlikely to be accepted for this time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_fFSMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_fFScFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_fsUMFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_fsVsFMEea5pdrFDq-m2g">
            <body>Comments on the slot to describe any extended information. Such as custom constraints on the slot.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_fsVMFMEea5pdrFDq-m2g">
            <body>Comments on the slot to describe any extended information. Such as custom constraints on the slot</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_fsUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_fsUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_dQGMFMEea5pdrFDq-m2g" memberEnd="_4_dQGcFMEea5pdrFDq-m2g _4_dQFMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_dQGcFMEea5pdrFDq-m2g" type="_4_ZlvMFMEea5pdrFDq-m2g" association="_4_dQGMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_dQGsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_dQG8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_fsXMFMEea5pdrFDq-m2g" memberEnd="_4_fsXcFMEea5pdrFDq-m2g _4_fsWMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_fsXcFMEea5pdrFDq-m2g" type="_4_RC3MFMEea5pdrFDq-m2g" association="_4_fsXMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_fsXsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_fsX8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_iIkMFMEea5pdrFDq-m2g" memberEnd="_4_iIkcFMEea5pdrFDq-m2g _4_hhg8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_iIkcFMEea5pdrFDq-m2g" type="_4_RC3MFMEea5pdrFDq-m2g" association="_4_iIkMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_iIksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_iIk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_j9xMFMEea5pdrFDq-m2g" memberEnd="_4_j9xcFMEea5pdrFDq-m2g _4_j9wMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_j9xcFMEea5pdrFDq-m2g" type="_4_hhgMFMEea5pdrFDq-m2g" association="_4_j9xMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_j9xsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_j9x8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4_maAMFMEea5pdrFDq-m2g" name="CommunicationRequest">
        <ownedComment xmi:id="_4_nBFsFMEea5pdrFDq-m2g">
          <body>A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition.</body>
        </ownedComment>
        <ownedComment xmi:id="_4_nBEcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CommunicationRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4_nBFMFMEea5pdrFDq-m2g">
          <body>A request for information to be sent to a receiver</body>
        </ownedComment>
        <generalization xmi:id="_4_nBE8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4_nBGMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_nBHsFMEea5pdrFDq-m2g">
            <body>A unique ID of this request for reference purposes. It must be provided if user wants it returned as part of any output, otherwise it will be autogenerated, if needed, by CDS system. Does not need to be the actual ID of the source system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_nBHMFMEea5pdrFDq-m2g">
            <body>Unique identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_nBGcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_nBGsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_noIMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_noJ8FMEea5pdrFDq-m2g">
            <body>The type of message to be sent such as alert, notification, reminder, instruction, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_noJcFMEea5pdrFDq-m2g">
            <body>Message category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_noIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_noIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_noKcFMEea5pdrFDq-m2g" name="sender" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_oPMcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_oPN8FMEea5pdrFDq-m2g">
            <body>The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_oPNcFMEea5pdrFDq-m2g">
            <body>Message sender</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_noKsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_noK8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_oPOsFMEea5pdrFDq-m2g" name="recipient" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_o2QcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_o2R8FMEea5pdrFDq-m2g">
            <body>The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_o2RcFMEea5pdrFDq-m2g">
            <body>Message recipient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_oPO8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_oPPMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_pdUcFMEea5pdrFDq-m2g" name="payload" type="_4_o2SsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_4_qEYcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_qEZ8FMEea5pdrFDq-m2g">
            <body>Text, attachment(s), or resource(s) to be communicated to the recipient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_qEZcFMEea5pdrFDq-m2g">
            <body>Message payload</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_pdUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_pdU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_qrcsFMEea5pdrFDq-m2g" name="medium" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_rSgsFMEea5pdrFDq-m2g">
            <body>A channel that was used for this communication (e.g. email, fax).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_rSgMFMEea5pdrFDq-m2g">
            <body>A channel of communication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_qrc8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_qrdMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_rShMFMEea5pdrFDq-m2g" name="requester" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_rSiMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_r5kcFMEea5pdrFDq-m2g">
            <body>The responsible person who authorizes this order, e.g. physician. This may be different than the author of the order statement, e.g. clerk, who may have entered the statement into the order entry application.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_rSjMFMEea5pdrFDq-m2g">
            <body>An individual who requested a communication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_rShcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_rShsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_r5lMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_sgpcFMEea5pdrFDq-m2g">
            <body>The status of the proposal or order.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_sgo8FMEea5pdrFDq-m2g">
            <body>proposed | planned | requested | received | accepted | in-progress | completed | suspended | rejected | failed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_r5lcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_r5lsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_tHsMFMEea5pdrFDq-m2g" name="topic" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_tHtMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_tHusFMEea5pdrFDq-m2g">
            <body>The resources which were related to producing this communication request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_tHuMFMEea5pdrFDq-m2g">
            <body>Focal resources</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_tHscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_tHssFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_tHvMFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_tuwcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_tux8FMEea5pdrFDq-m2g">
            <body>The encounter or episode of care within which the communication request was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_tuxcFMEea5pdrFDq-m2g">
            <body>Encounter or episode leading to message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_tHvcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_tHvsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_tuysFMEea5pdrFDq-m2g" name="scheduled[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_uV0MFMEea5pdrFDq-m2g">
            <body>The time when this communication is to occur.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_tuzsFMEea5pdrFDq-m2g">
            <body>When scheduled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_tuy8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_tuzMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_uV08FMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_u84sFMEea5pdrFDq-m2g">
            <body>The reason or justification for the communication request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_u84MFMEea5pdrFDq-m2g">
            <body>Indication for message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_uV1MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_uV1cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_u85MFMEea5pdrFDq-m2g" name="requestedOn" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_u86sFMEea5pdrFDq-m2g">
            <body>The time when the request was made.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_u86MFMEea5pdrFDq-m2g">
            <body>When ordered or proposed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_u85cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_u85sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_vj8cFMEea5pdrFDq-m2g" name="subject" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_4_vj9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_vj-8FMEea5pdrFDq-m2g">
            <body>The patient who is the focus of this communication request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_vj-cFMEea5pdrFDq-m2g">
            <body>Focus of message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_vj8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_vj88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_wLAMFMEea5pdrFDq-m2g" name="priority" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_wLB8FMEea5pdrFDq-m2g">
            <body>Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_wLBcFMEea5pdrFDq-m2g">
            <body>Message urgency</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_wLAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_wLAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_4_o2SsFMEea5pdrFDq-m2g" name="Payload">
          <generalization xmi:id="_4_o2S8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_4_qEacFMEea5pdrFDq-m2g" name="content[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_4_qEb8FMEea5pdrFDq-m2g">
              <body>The communicated content (or for multi-part communications, one portion of the communication).</body>
            </ownedComment>
            <ownedComment xmi:id="_4_qEbcFMEea5pdrFDq-m2g">
              <body>Message part content</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_qEasFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_qEa8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_oPMcFMEea5pdrFDq-m2g" memberEnd="_4_oPMsFMEea5pdrFDq-m2g _4_noKcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_oPMsFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_oPMcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_oPM8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_oPNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_o2QcFMEea5pdrFDq-m2g" memberEnd="_4_o2QsFMEea5pdrFDq-m2g _4_oPOsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_o2QsFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_o2QcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_o2Q8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_o2RMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_qEYcFMEea5pdrFDq-m2g" memberEnd="_4_qEYsFMEea5pdrFDq-m2g _4_pdUcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_qEYsFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_qEYcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_qEY8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_qEZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_rSiMFMEea5pdrFDq-m2g" memberEnd="_4_rSicFMEea5pdrFDq-m2g _4_rShMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_rSicFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_rSiMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_rSisFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_rSi8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_tHtMFMEea5pdrFDq-m2g" memberEnd="_4_tHtcFMEea5pdrFDq-m2g _4_tHsMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_tHtcFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_tHtMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_tHtsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_tHt8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_tuwcFMEea5pdrFDq-m2g" memberEnd="_4_tuwsFMEea5pdrFDq-m2g _4_tHvMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_tuwsFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_tuwcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_tuw8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_tuxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_vj9cFMEea5pdrFDq-m2g" memberEnd="_4_vj9sFMEea5pdrFDq-m2g _4_vj8cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_vj9sFMEea5pdrFDq-m2g" type="_4_maAMFMEea5pdrFDq-m2g" association="_4_vj9cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_vj98FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_vj-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4_wyEMFMEea5pdrFDq-m2g" name="DeviceUseRequest">
        <ownedComment xmi:id="_4_xZJsFMEea5pdrFDq-m2g">
          <body>Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.</body>
        </ownedComment>
        <ownedComment xmi:id="_4_xZIcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DeviceUseRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4_xZJMFMEea5pdrFDq-m2g">
          <body>Medical device request</body>
        </ownedComment>
        <generalization xmi:id="_4_xZI8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4_xZKMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_xZLsFMEea5pdrFDq-m2g">
            <body>Identifiers assigned to this order by the orderer or by the receiver.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_xZLMFMEea5pdrFDq-m2g">
            <body>Request identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_xZKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_xZKsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_yAMMFMEea5pdrFDq-m2g" name="definition" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_yANMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_yAOsFMEea5pdrFDq-m2g">
            <body>Protocol or definition followed by this request. For example: The proposed act must be performed if the indicated conditions occur, e.g.., shortness of breath, SpO2 less than x%.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_yAOMFMEea5pdrFDq-m2g">
            <body>Protocol or definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_yAMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_yAMsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_yAPMFMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_ynQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_ynRsFMEea5pdrFDq-m2g">
            <body>Plan/proposal/order fulfilled by this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_ynRMFMEea5pdrFDq-m2g">
            <body>What request fulfills</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_yAPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_yAPsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_ynSMFMEea5pdrFDq-m2g" name="replaces" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_ynTMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_zOUsFMEea5pdrFDq-m2g">
            <body>The request takes the place of the referenced completed or terminated request(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_zOUMFMEea5pdrFDq-m2g">
            <body>What request replaces</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ynScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ynSsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_zOVMFMEea5pdrFDq-m2g" name="requisition" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_zOWsFMEea5pdrFDq-m2g">
            <body>Composite request this is part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_zOWMFMEea5pdrFDq-m2g">
            <body>Identifier of composite request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_zOVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_zOVsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_z1YMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_z1Z8FMEea5pdrFDq-m2g">
            <body>The status of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_z1ZcFMEea5pdrFDq-m2g">
            <body>draft | active | suspended | completed | entered-in-error | cancelled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_z1YcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_z1YsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_0cccFMEea5pdrFDq-m2g" name="stage" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_1Dg8FMEea5pdrFDq-m2g">
            <body>Whether the request is a proposal, plan, an original order or a reflex order.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_1DgcFMEea5pdrFDq-m2g">
            <body>proposal | plan | original-order | encoded | reflex-order</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_0ccsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_0cc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_1DhcFMEea5pdrFDq-m2g" name="device[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_1qk8FMEea5pdrFDq-m2g">
            <body>The details of the device to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_1qkcFMEea5pdrFDq-m2g">
            <body>Device requested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_1DhsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_1Dh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_2RocFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_2RpcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_2Rq8FMEea5pdrFDq-m2g">
            <body>The patient who will use the device.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_2RqcFMEea5pdrFDq-m2g">
            <body>Focus of request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_2RosFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_2Ro8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_24scFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_24tcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_24u8FMEea5pdrFDq-m2g">
            <body>An encounter that provides additional context in which this request is made.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_24ucFMEea5pdrFDq-m2g">
            <body>Encounter or Episode motivating request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_24ssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_24s8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_3fwMFMEea5pdrFDq-m2g" name="occurrence[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_3fxsFMEea5pdrFDq-m2g">
            <body>The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. &quot;Every 8 hours&quot;; &quot;Three times a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;; &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_3fxMFMEea5pdrFDq-m2g">
            <body>Desired time or schedule for use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_3fwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_3fwsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_3fycFMEea5pdrFDq-m2g" name="authored" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_4G0MFMEea5pdrFDq-m2g">
            <body>When the request transitioned to being actionable.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_3fzcFMEea5pdrFDq-m2g">
            <body>When recorded</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_3fysFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_3fy8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_4G0sFMEea5pdrFDq-m2g" name="requester" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_4G1sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_4G3MFMEea5pdrFDq-m2g">
            <body>Who/what is requesting diagnostics.  The practitioner that holds legal responsibility for ordering the investigation.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_4G2sFMEea5pdrFDq-m2g">
            <body>Who/what is requesting diagnostics</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_4G08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_4G1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_4t4cFMEea5pdrFDq-m2g" name="performerType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_4t6MFMEea5pdrFDq-m2g">
            <body>Desired type of performer for doing the diagnostic testing.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_4t5sFMEea5pdrFDq-m2g">
            <body>Fille role</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_4t4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_4t48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_5U8MFMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_5U9MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_5U-sFMEea5pdrFDq-m2g">
            <body>The desired perfomer for doing the diagnostic testing.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_5U-MFMEea5pdrFDq-m2g">
            <body>Requested Filler</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_5U8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_5U8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_58AMFMEea5pdrFDq-m2g" name="reasonCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_58B8FMEea5pdrFDq-m2g">
            <body>Reason or justification for the use of this device.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_58BcFMEea5pdrFDq-m2g">
            <body>Coded Reason for request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_58AcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_58AsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_6jEMFMEea5pdrFDq-m2g" name="reasonReference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_6jFMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_6jGsFMEea5pdrFDq-m2g">
            <body>Reason or justification for the use of this device.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_6jGMFMEea5pdrFDq-m2g">
            <body>Linked Reason for request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_6jEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_6jEsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_6jHMFMEea5pdrFDq-m2g" name="supportingInfo" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_7KIMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_7KJsFMEea5pdrFDq-m2g">
            <body>Additional clinical information about the patient that may influence the request fulfilment.  For example, this may includes body where on the subject's the device will be used ( i.e. the target site).</body>
          </ownedComment>
          <ownedComment xmi:id="_4_7KJMFMEea5pdrFDq-m2g">
            <body>Additional clinical information</body>
          </ownedComment>
          <ownedComment xmi:id="_4_7KKMFMEea5pdrFDq-m2g">
            <body>Knowing where the device is targeted is important for tracking if multiple sites are possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_6jHcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_6jHsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_7KKsFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_7xMMFMEea5pdrFDq-m2g">
            <body>Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_7KLsFMEea5pdrFDq-m2g">
            <body>Notes or comments</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_7KK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_7KLMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_7xMsFMEea5pdrFDq-m2g" name="relevantHistory" type="_48ATcMFMEea5pdrFDq-m2g" isOrdered="true" association="_4_7xNsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_7xPMFMEea5pdrFDq-m2g">
            <body>Key events in the history of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_7xOsFMEea5pdrFDq-m2g">
            <body>Request provenance</body>
          </ownedComment>
          <ownedComment xmi:id="_4_7xPsFMEea5pdrFDq-m2g">
            <body>This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_7xM8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_7xNMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_yANMFMEea5pdrFDq-m2g" memberEnd="_4_yANcFMEea5pdrFDq-m2g _4_yAMMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_yANcFMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_yANMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_yANsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_yAN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_ynQMFMEea5pdrFDq-m2g" memberEnd="_4_ynQcFMEea5pdrFDq-m2g _4_yAPMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_ynQcFMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_ynQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ynQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ynQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_ynTMFMEea5pdrFDq-m2g" memberEnd="_4_ynTcFMEea5pdrFDq-m2g _4_ynSMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_ynTcFMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_ynTMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_ynTsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_ynT8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_2RpcFMEea5pdrFDq-m2g" memberEnd="_4_2RpsFMEea5pdrFDq-m2g _4_2RocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_2RpsFMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_2RpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_2Rp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_2RqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_24tcFMEea5pdrFDq-m2g" memberEnd="_4_24tsFMEea5pdrFDq-m2g _4_24scFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_24tsFMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_24tcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_24t8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_24uMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_4G1sFMEea5pdrFDq-m2g" memberEnd="_4_4G18FMEea5pdrFDq-m2g _4_4G0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_4G18FMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_4G1sFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_4G2cFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_5U9MFMEea5pdrFDq-m2g" memberEnd="_4_5U9cFMEea5pdrFDq-m2g _4_5U8MFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_5U98FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_6jFMFMEea5pdrFDq-m2g" memberEnd="_4_6jFcFMEea5pdrFDq-m2g _4_6jEMFMEea5pdrFDq-m2g">
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_6jFsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_6jF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_7KIMFMEea5pdrFDq-m2g" memberEnd="_4_7KIcFMEea5pdrFDq-m2g _4_6jHMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_7KI8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_7xNsFMEea5pdrFDq-m2g" memberEnd="_4_7xN8FMEea5pdrFDq-m2g _4_7xMsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_7xN8FMEea5pdrFDq-m2g" type="_4_wyEMFMEea5pdrFDq-m2g" association="_4_7xNsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_7xOMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_7xOcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4_8YQMFMEea5pdrFDq-m2g" name="MedicationRequest">
        <ownedComment xmi:id="_4_8_VsFMEea5pdrFDq-m2g">
          <body>An order for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called &quot;MedicationRequest&quot; rather than &quot;MedicationPrescription&quot; or &quot;MedicationOrder&quot; to generalize the use across inpatient and outpatient settings as well as for care plans, etc and to harmonize with workflow patterns.</body>
        </ownedComment>
        <ownedComment xmi:id="_4_8_UcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MedicationRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_4_8_VMFMEea5pdrFDq-m2g">
          <body>Prescription of medication to for patient</body>
        </ownedComment>
        <generalization xmi:id="_4_8_U8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_4_8_WMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_9mYMFMEea5pdrFDq-m2g">
            <body>External identifier - one that would be used by another non-FHIR system - for example a re-imbursement system might issue its own id for each prescription that is created.  This is particularly important where FHIR only provides part of an entire workflow process where records have to be tracked through an entire system.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_8_XMFMEea5pdrFDq-m2g">
            <body>External identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_8_WcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_8_WsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_9mYsFMEea5pdrFDq-m2g" name="definition" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_9mZsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_9mbMFMEea5pdrFDq-m2g">
            <body>Protocol or definition followed by this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_9masFMEea5pdrFDq-m2g">
            <body>Protocol or definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_9mY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_9mZMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_-NcMFMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_4_-NdMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_4_-NesFMEea5pdrFDq-m2g">
            <body>Plan/proposal/order fulfilled by this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_-NeMFMEea5pdrFDq-m2g">
            <body>What request fulfills</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_-NccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_-NcsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_-NfcFMEea5pdrFDq-m2g" name="requisition" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4_-0hcFMEea5pdrFDq-m2g">
            <body>Composite request this is part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_4_-0g8FMEea5pdrFDq-m2g">
            <body>Identifier of composite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_-0gMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_-0gcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_-0h8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_4__blMFMEea5pdrFDq-m2g">
            <body>A code specifying the state of the order.  Generally this will be active or completed state.</body>
          </ownedComment>
          <ownedComment xmi:id="_4__bksFMEea5pdrFDq-m2g">
            <body>active | on-hold | cancelled | completed | entered-in-error | stopped | draft</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_-0iMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_-0icFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4__blsFMEea5pdrFDq-m2g" name="stage" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AACpcFMEea5pdrFDq-m2g">
            <body>Whether the request is a proposal, plan, or an original order.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AACo8FMEea5pdrFDq-m2g">
            <body>proposal | plan | original-order</body>
          </ownedComment>
          <ownedComment xmi:id="_5AACp8FMEea5pdrFDq-m2g">
            <body>It is expected that the type of requester will be restricted for different stages of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons and Devices.  Original orders can be created by a Practitioner only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4__bl8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4__bmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AApsMFMEea5pdrFDq-m2g" name="medication[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ABQwMFMEea5pdrFDq-m2g">
            <body>Identifies the medication being administered. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AAptcFMEea5pdrFDq-m2g">
            <body>Medication to be taken</body>
          </ownedComment>
          <ownedComment xmi:id="_5ABQwsFMEea5pdrFDq-m2g">
            <body>If only a code is specified, then it needs to be a code for a specific product.  If more information is required, then the use of the medication resource is recommended.  Note: do not use Medication.name to describe the prescribed medication. When the only available information is a text description of the medication, Medication.code.text should be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AApscFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AApssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ABQxcFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5ABQycFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AB30sFMEea5pdrFDq-m2g">
            <body>A link to a resource representing the person to whom the medication will be given.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AB30MFMEea5pdrFDq-m2g">
            <body>Who prescription is for</body>
          </ownedComment>
          <ownedComment xmi:id="_5AB31MFMEea5pdrFDq-m2g">
            <body>The patient on a medicationRequest is mandatory.  For the secondary use case where the actual patient is not provided, there still must be an anonymyzed patient specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ABQxsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ABQx8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AB31sFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5AB32sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AB34MFMEea5pdrFDq-m2g">
            <body>A link to a resource that identifies the particular occurrence or set oc occurences of contact between patient and health care provider.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AB33sFMEea5pdrFDq-m2g">
            <body>Created during encounter/admission/stay</body>
          </ownedComment>
          <ownedComment xmi:id="_5ACe4cFMEea5pdrFDq-m2g">
            <body>SubstanceAdministration->component->EncounterEvent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AB318FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AB32MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ACe5MFMEea5pdrFDq-m2g" name="supportingInformation" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ACe6MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ACe7sFMEea5pdrFDq-m2g">
            <body>Include additional information (for example, patient height and weight) that supports the ordering of the medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ACe7MFMEea5pdrFDq-m2g">
            <body>Information to support ordering of the medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ACe5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ACe5sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ADF8cFMEea5pdrFDq-m2g" name="dateWritten" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ADF98FMEea5pdrFDq-m2g">
            <body>The date (and perhaps time) when the prescription was initially written.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ADF9cFMEea5pdrFDq-m2g">
            <body>When prescription was initially authorized</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ADF8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ADF88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ADF-cFMEea5pdrFDq-m2g" name="requester" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ADtAMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ADtBsFMEea5pdrFDq-m2g">
            <body>The healthcare professional responsible for authorizing the initial prescription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ADtBMFMEea5pdrFDq-m2g">
            <body>Who ordered the initial medication(s)</body>
          </ownedComment>
          <ownedComment xmi:id="_5ADtCMFMEea5pdrFDq-m2g">
            <body>It is expected that the type of requester will be restricted for different stages of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons and Devices.  Original orders can be created by a Practitioner only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ADF-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ADF-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ADtC8FMEea5pdrFDq-m2g" name="reasonCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AEUE8FMEea5pdrFDq-m2g">
            <body>Can be the reason or the indication for writing the prescription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AEUEcFMEea5pdrFDq-m2g">
            <body>Reason or indication for writing the prescription</body>
          </ownedComment>
          <ownedComment xmi:id="_5AEUFcFMEea5pdrFDq-m2g">
            <body>This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ADtDMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ADtDcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AE7IMFMEea5pdrFDq-m2g" name="reasonReference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5AE7JMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AE7KsFMEea5pdrFDq-m2g">
            <body>Condition or observation that supports why the prescription is being written.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AE7KMFMEea5pdrFDq-m2g">
            <body>Condition or Observation that supports why the prescription is being written</body>
          </ownedComment>
          <ownedComment xmi:id="_5AFiMcFMEea5pdrFDq-m2g">
            <body>This is a reference to a condition that is the reason for the medication order.  If only a code exists, use reasonCode.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AE7IcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AE7IsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AFiNMFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AGJQsFMEea5pdrFDq-m2g">
            <body>Extra information about the prescription that could not be conveyed by the other attributes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AGJQMFMEea5pdrFDq-m2g">
            <body>Information about the prescription</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AFiNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AFiNsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AGJRMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AGwVMFMEea5pdrFDq-m2g">
            <body>Indicates where type of medication order and where the medication is expected to be consumed or administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AGwUsFMEea5pdrFDq-m2g">
            <body>Type of medication usage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AGJRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AGJRsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AHXYcFMEea5pdrFDq-m2g" name="dosageInstruction" type="_4pFXeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AHXZ8FMEea5pdrFDq-m2g">
            <body>Indicates how the medication is to be used by the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AHXZcFMEea5pdrFDq-m2g">
            <body>How the medication should be taken</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AHXYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AHXY8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AIlgcFMEea5pdrFDq-m2g" name="dispenseRequest" type="_5AH-cMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5AIlhcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AIli8FMEea5pdrFDq-m2g">
            <body>Indicates the specific details for the dispense or medication supply part of a medication order (also known as a Medication Prescription).  Note that this information is NOT always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AIlicFMEea5pdrFDq-m2g">
            <body>Medication supply authorization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AIlgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AIlg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AM28cFMEea5pdrFDq-m2g" name="substitution" type="_5AMP4sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5AM29cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ANeAMFMEea5pdrFDq-m2g">
            <body>Indicates whether or not substitution can or should be part of the dispense. In some cases substitution must happen, in other cases substitution must not happen, and in others it does not matter. This block explains the prescriber's intent. If nothing is specified substitution may be done.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AM2-cFMEea5pdrFDq-m2g">
            <body>Any restrictions on medication substitution</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AM28sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AM288FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AOsJMFMEea5pdrFDq-m2g" name="priorPrescription" type="_4_8YQMFMEea5pdrFDq-m2g" isOrdered="true" association="_5APTMcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5APTN8FMEea5pdrFDq-m2g">
            <body>A link to a resource representing an earlier order related order or prescription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5APTNcFMEea5pdrFDq-m2g">
            <body>An order/prescription that this supersedes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AOsJcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AOsJsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5APTOcFMEea5pdrFDq-m2g" name="eventHistory" type="_48ATcMFMEea5pdrFDq-m2g" isOrdered="true" association="_5AP6QcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AP6R8FMEea5pdrFDq-m2g">
            <body>A summary of the events of interest that have occurred as the request is processed; e.g. when the order was verified or when it was completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AP6RcFMEea5pdrFDq-m2g">
            <body>A list of events of interest in the lifecycle</body>
          </ownedComment>
          <ownedComment xmi:id="_5AP6ScFMEea5pdrFDq-m2g">
            <body>See usage notes in Request pattern in request history.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5APTOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5APTO8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5AH-cMFMEea5pdrFDq-m2g" name="DispenseRequest">
          <generalization xmi:id="_5AH-ccFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5AJMkcFMEea5pdrFDq-m2g" name="validityPeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AJMl8FMEea5pdrFDq-m2g">
              <body>This indicates the validity period of a prescription (stale dating the Prescription).</body>
            </ownedComment>
            <ownedComment xmi:id="_5AJMlcFMEea5pdrFDq-m2g">
              <body>Time period supply is authorized for</body>
            </ownedComment>
            <ownedComment xmi:id="_5AJMmcFMEea5pdrFDq-m2g">
              <body>It reflects the prescriber perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AJzocFMEea5pdrFDq-m2g">
              <body>Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AJMksFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AJMk8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AJzo8FMEea5pdrFDq-m2g" name="numberOfRepeatsAllowed" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AJzqcFMEea5pdrFDq-m2g">
              <body>An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does NOT include the original order dispense. This means that if an order indicates dispense 30 tablets plus &quot;3 repeats&quot;, then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AJzp8FMEea5pdrFDq-m2g">
              <body>Number of refills authorized</body>
            </ownedComment>
            <ownedComment xmi:id="_5AKasMFMEea5pdrFDq-m2g">
              <body>If displaying &quot;number of authorized fills&quot;, add 1 to this number.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AJzpMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AJzpcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AKassFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AKauMFMEea5pdrFDq-m2g">
              <body>The amount that is to be dispensed for one fill.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AKatsFMEea5pdrFDq-m2g">
              <body>Amount of medication to supply per dispense</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AKas8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AKatMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ALBwMFMEea5pdrFDq-m2g" name="expectedSupplyDuration" type="_4k6pIMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5ALBxsFMEea5pdrFDq-m2g">
              <body>Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ALBxMFMEea5pdrFDq-m2g">
              <body>Number of days supply per dispense</body>
            </ownedComment>
            <ownedComment xmi:id="_5ALo0MFMEea5pdrFDq-m2g">
              <body>In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage) When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ALBwcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ALBwsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ALo0sFMEea5pdrFDq-m2g" name="performer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5ALo1sFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5AMP4MFMEea5pdrFDq-m2g">
              <body>Indicates the intended dispensing Organization specified by the prescriber.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ALo2sFMEea5pdrFDq-m2g">
              <body>Intended dispenser</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ALo08FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ALo1MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5AMP4sFMEea5pdrFDq-m2g" name="Substitution">
          <generalization xmi:id="_5AMP48FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5ANeAsFMEea5pdrFDq-m2g" name="allowed" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5ANeCMFMEea5pdrFDq-m2g">
              <body>True if the prescriber allows a different drug to be dispensed from what was prescribed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ANeBsFMEea5pdrFDq-m2g">
              <body>Whether substitution is allowed or not</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ANeA8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ANeBMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AOFEMFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AOsIsFMEea5pdrFDq-m2g">
              <body>Indicates the reason for the substitution, or why substitution must or must not be performed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AOsIMFMEea5pdrFDq-m2g">
              <body>Why should (not) substitution be made</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AOFEcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AOFEsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_9mZsFMEea5pdrFDq-m2g" memberEnd="_4_9mZ8FMEea5pdrFDq-m2g _4_9mYsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_9mZ8FMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_4_9mZsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_9maMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_9macFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4_-NdMFMEea5pdrFDq-m2g" memberEnd="_4_-NdcFMEea5pdrFDq-m2g _4_-NcMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_4_-NdcFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_4_-NdMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_-NdsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_-Nd8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ABQycFMEea5pdrFDq-m2g" memberEnd="_5ABQysFMEea5pdrFDq-m2g _5ABQxcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ABQysFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5ABQycFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ABQy8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ABQzMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AB32sFMEea5pdrFDq-m2g" memberEnd="_5AB328FMEea5pdrFDq-m2g _5AB31sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AB328FMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5AB32sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AB33MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AB33cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ACe6MFMEea5pdrFDq-m2g" memberEnd="_5ACe6cFMEea5pdrFDq-m2g _5ACe5MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ACe6cFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5ACe6MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ACe6sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ACe68FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ADtAMFMEea5pdrFDq-m2g" memberEnd="_5ADtAcFMEea5pdrFDq-m2g _5ADF-cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ADtAcFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5ADtAMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ADtAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ADtA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AE7JMFMEea5pdrFDq-m2g" memberEnd="_5AE7JcFMEea5pdrFDq-m2g _5AE7IMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AE7JcFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5AE7JMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AE7JsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AE7J8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AIlhcFMEea5pdrFDq-m2g" memberEnd="_5AIlhsFMEea5pdrFDq-m2g _5AIlgcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AIlhsFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5AIlhcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AIlh8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AIliMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ALo1sFMEea5pdrFDq-m2g" memberEnd="_5ALo18FMEea5pdrFDq-m2g _5ALo0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ALo18FMEea5pdrFDq-m2g" type="_5AH-cMFMEea5pdrFDq-m2g" association="_5ALo1sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ALo2MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ALo2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AM29cFMEea5pdrFDq-m2g" memberEnd="_5AM29sFMEea5pdrFDq-m2g _5AM28cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AM29sFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5AM29cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AM298FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AM2-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5APTMcFMEea5pdrFDq-m2g" memberEnd="_5APTMsFMEea5pdrFDq-m2g _5AOsJMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5APTMsFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5APTMcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5APTM8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5APTNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AP6QcFMEea5pdrFDq-m2g" memberEnd="_5AP6QsFMEea5pdrFDq-m2g _5APTOcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AP6QsFMEea5pdrFDq-m2g" type="_4_8YQMFMEea5pdrFDq-m2g" association="_5AP6QcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AP6Q8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AP6RMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5AQhUMFMEea5pdrFDq-m2g" name="ProcessRequest">
        <ownedComment xmi:id="_5ARIZ8FMEea5pdrFDq-m2g">
          <body>This resource provides the target, request and response, and action details for an action to be performed by the target on or about existing resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_5ARIYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ProcessRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5ARIZcFMEea5pdrFDq-m2g">
          <body>Process request</body>
        </ownedComment>
        <generalization xmi:id="_5ARIZMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5ARvcMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ARvdsFMEea5pdrFDq-m2g">
            <body>The ProcessRequest business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ARvdMFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ARvccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ARvcsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ARveMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AS9ksFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AS9kMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ARvecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ARvesFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AS9lMFMEea5pdrFDq-m2g" name="action" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ATkpMFMEea5pdrFDq-m2g">
            <body>The type of processing action being requested, for example Reversal, Readjudication, StatusRequest,PendedRequest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ATkosFMEea5pdrFDq-m2g">
            <body>cancel | poll | reprocess | status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AS9lcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AS9lsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AULscFMEea5pdrFDq-m2g" name="target" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5AULtcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AULu8FMEea5pdrFDq-m2g">
            <body>The organization which is the target of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AULucFMEea5pdrFDq-m2g">
            <body>Target of the request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AULssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AULs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AUywcFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AUyx8FMEea5pdrFDq-m2g">
            <body>The date when this resource was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AUyxcFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AUywsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AUyw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AVZ0MFMEea5pdrFDq-m2g" name="provider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5AVZ1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AVZ2sFMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the action specified in this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AVZ2MFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AVZ0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AVZ0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AWA4cFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5AWA5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AWA68FMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the action speccified in this request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AWA6cFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AWA4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AWA48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AWn8cFMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5AWn9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AWn-8FMEea5pdrFDq-m2g">
            <body>Reference of resource which is the target or subject of this action.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AWn-cFMEea5pdrFDq-m2g">
            <body>Request reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AWn8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AWn88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AXPAcFMEea5pdrFDq-m2g" name="response" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5AXPBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AXPC8FMEea5pdrFDq-m2g">
            <body>Reference of a prior response to resource which is the target or subject of this action.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AXPCcFMEea5pdrFDq-m2g">
            <body>Response reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AXPAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AXPA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AX2EcFMEea5pdrFDq-m2g" name="nullify" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AX2F8FMEea5pdrFDq-m2g">
            <body>If true remove all history excluding audit.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AX2FcFMEea5pdrFDq-m2g">
            <body>Nullify</body>
          </ownedComment>
          <ownedComment xmi:id="_5AX2GcFMEea5pdrFDq-m2g">
            <body>Some resources must not simply be reversed in a processing or accounting sense but rather must have all history removed, such as the accidental submission of sensitive and/or wrong information. If the receiver cannot comply with a Nullify request then they must reject the request.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AX2EsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AX2E8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AYdIMFMEea5pdrFDq-m2g" name="reference" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AYdJsFMEea5pdrFDq-m2g">
            <body>A reference to supply which authenticates the process.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AYdJMFMEea5pdrFDq-m2g">
            <body>Reference number/string</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AYdIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AYdIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AZEMcFMEea5pdrFDq-m2g" name="item" type="_5AYdKMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5AZrQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AZrRsFMEea5pdrFDq-m2g">
            <body>List of top level items to be re-adjudicated, if none specified then the entire submission is re-adjudicated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AZrRMFMEea5pdrFDq-m2g">
            <body>Items to re-adjudicate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AZEMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AZEM8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AaSVMFMEea5pdrFDq-m2g" name="include" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AaSWsFMEea5pdrFDq-m2g">
            <body>Names of resource types to include.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AaSWMFMEea5pdrFDq-m2g">
            <body>Resource type(s) to include</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AaSVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AaSVsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Aa5YcFMEea5pdrFDq-m2g" name="exclude" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Aa5Z8FMEea5pdrFDq-m2g">
            <body>Names of resource types to exclude.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Aa5ZcFMEea5pdrFDq-m2g">
            <body>Resource type(s) to exclude</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Aa5YsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Aa5Y8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AbgcMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AbgdsFMEea5pdrFDq-m2g">
            <body>A period of time during which the fulfilling resources would have been created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AbgdMFMEea5pdrFDq-m2g">
            <body>Period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AbgccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AbgcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5AYdKMFMEea5pdrFDq-m2g" name="Items">
          <generalization xmi:id="_5AYdKcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5AZrSMFMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AaSUsFMEea5pdrFDq-m2g">
              <body>A service line number.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AaSUMFMEea5pdrFDq-m2g">
              <body>Service instance</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AZrScFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AZrSsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AULtcFMEea5pdrFDq-m2g" memberEnd="_5AULtsFMEea5pdrFDq-m2g _5AULscFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AULtsFMEea5pdrFDq-m2g" type="_5AQhUMFMEea5pdrFDq-m2g" association="_5AULtcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AULt8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AULuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AVZ1MFMEea5pdrFDq-m2g" memberEnd="_5AVZ1cFMEea5pdrFDq-m2g _5AVZ0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AVZ1cFMEea5pdrFDq-m2g" type="_5AQhUMFMEea5pdrFDq-m2g" association="_5AVZ1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AVZ1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AVZ18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AWA5cFMEea5pdrFDq-m2g" memberEnd="_5AWA5sFMEea5pdrFDq-m2g _5AWA4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AWA5sFMEea5pdrFDq-m2g" type="_5AQhUMFMEea5pdrFDq-m2g" association="_5AWA5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AWA58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AWA6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AWn9cFMEea5pdrFDq-m2g" memberEnd="_5AWn9sFMEea5pdrFDq-m2g _5AWn8cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AWn9sFMEea5pdrFDq-m2g" type="_5AQhUMFMEea5pdrFDq-m2g" association="_5AWn9cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AWn98FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AWn-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AXPBcFMEea5pdrFDq-m2g" memberEnd="_5AXPBsFMEea5pdrFDq-m2g _5AXPAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AXPBsFMEea5pdrFDq-m2g" type="_5AQhUMFMEea5pdrFDq-m2g" association="_5AXPBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AXPB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AXPCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5AZrQMFMEea5pdrFDq-m2g" memberEnd="_5AZrQcFMEea5pdrFDq-m2g _5AZEMcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5AZrQcFMEea5pdrFDq-m2g" type="_5AQhUMFMEea5pdrFDq-m2g" association="_5AZrQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AZrQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AZrQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5AbgeMFMEea5pdrFDq-m2g" name="VisionPrescription">
        <ownedComment xmi:id="_5AculsFMEea5pdrFDq-m2g">
          <body>An authorization for the supply of glasses and/or contact lenses to a patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_5AcukcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for VisionPrescription Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5AculMFMEea5pdrFDq-m2g">
          <body>Prescription for vision correction products for a patient</body>
        </ownedComment>
        <generalization xmi:id="_5Acuk8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5AcumMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AdVo8FMEea5pdrFDq-m2g">
            <body>Business identifier which may be used by other parties to reference or identify the prescription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AdVocFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AcumcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AcumsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AdVpcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ad8s8FMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ad8scFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AdVpsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AdVp8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ad8tcFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Aejw8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AejycFMEea5pdrFDq-m2g">
            <body>A link to a resource representing the person to whom the vision products will be supplied.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Aejx8FMEea5pdrFDq-m2g">
            <body>Who prescription is for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AejwMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AejwcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Aejy8FMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5AfK0sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AfK2MFMEea5pdrFDq-m2g">
            <body>A link to a resource that identifies the particular occurrence of contact between patient and health care provider.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AfK1sFMEea5pdrFDq-m2g">
            <body>Created during encounter / admission / stay</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AejzMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AfK0MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Afx4MFMEea5pdrFDq-m2g" name="dateWritten" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Afx5sFMEea5pdrFDq-m2g">
            <body>The date (and perhaps time) when the prescription was written.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Afx5MFMEea5pdrFDq-m2g">
            <body>When prescription was authorized</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Afx4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Afx4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AgY8MFMEea5pdrFDq-m2g" name="prescriber" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5AgY9MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AgY-sFMEea5pdrFDq-m2g">
            <body>The healthcare professional responsible for authorizing the prescription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AgY-MFMEea5pdrFDq-m2g">
            <body>Who authorizes the vision product</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AgY8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AgY8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AhAAMFMEea5pdrFDq-m2g" name="reason[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5AhABsFMEea5pdrFDq-m2g">
            <body>Can be the reason or the indication for writing the prescription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AhABMFMEea5pdrFDq-m2g">
            <body>Reason or indication for writing the prescription</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AhAAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AhAAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5AiOIcFMEea5pdrFDq-m2g" name="dispense" type="_5AhnEMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5AiOJcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5AiOK8FMEea5pdrFDq-m2g">
            <body>Deals with details of the dispense part of the supply specification.</body>
          </ownedComment>
          <ownedComment xmi:id="_5AiOKcFMEea5pdrFDq-m2g">
            <body>Vision supply authorization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AiOIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AiOI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5AhnEMFMEea5pdrFDq-m2g" name="Dispense">
          <generalization xmi:id="_5AhnEcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Ai1MMFMEea5pdrFDq-m2g" name="product" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AjcQsFMEea5pdrFDq-m2g">
              <body>Identifies the type of vision correction product which is required for the patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AjcQMFMEea5pdrFDq-m2g">
              <body>Product to be supplied</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ai1McFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ai1MsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AjcRMFMEea5pdrFDq-m2g" name="eye" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AkqYsFMEea5pdrFDq-m2g">
              <body>The eye for which the lens applies.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AkqYMFMEea5pdrFDq-m2g">
              <body>right | left</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AjcRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AjcRsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AkqZMFMEea5pdrFDq-m2g" name="sphere" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AlRcMFMEea5pdrFDq-m2g">
              <body>Lens power measured in diopters (0.25 units).</body>
            </ownedComment>
            <ownedComment xmi:id="_5AkqaMFMEea5pdrFDq-m2g">
              <body>Lens sphere</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AkqZcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AkqZsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AlRcsFMEea5pdrFDq-m2g" name="cylinder" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AlReMFMEea5pdrFDq-m2g">
              <body>Power adjustment for astigmatism measured in diopters (0.25 units).</body>
            </ownedComment>
            <ownedComment xmi:id="_5AlRdsFMEea5pdrFDq-m2g">
              <body>Lens cylinder</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AlRc8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AlRdMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Al4gMFMEea5pdrFDq-m2g" name="axis" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Al4hsFMEea5pdrFDq-m2g">
              <body>Adjustment for astigmatism measured in integer degrees.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Al4hMFMEea5pdrFDq-m2g">
              <body>Lens axis</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Al4gcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Al4gsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Al4iMFMEea5pdrFDq-m2g" name="prism" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Amfk8FMEea5pdrFDq-m2g">
              <body>Amount of prism to compensate for eye alignment in fractional units.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AmfkcFMEea5pdrFDq-m2g">
              <body>Lens prism</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Al4icFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Al4isFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AmflcFMEea5pdrFDq-m2g" name="base" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AnGpcFMEea5pdrFDq-m2g">
              <body>The relative base, or reference lens edge, for the prism.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AnGo8FMEea5pdrFDq-m2g">
              <body>up | down | in | out</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AmflsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Amfl8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AntsMFMEea5pdrFDq-m2g" name="add" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AnttsFMEea5pdrFDq-m2g">
              <body>Power adjustment for multifocal lenses measured in diopters (0.25 units).</body>
            </ownedComment>
            <ownedComment xmi:id="_5AnttMFMEea5pdrFDq-m2g">
              <body>Lens add</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AntscFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AntssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AntuMFMEea5pdrFDq-m2g" name="power" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AntvsFMEea5pdrFDq-m2g">
              <body>Contact lens power measured in diopters (0.25 units).</body>
            </ownedComment>
            <ownedComment xmi:id="_5AntvMFMEea5pdrFDq-m2g">
              <body>Contact lens power</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AntucFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AntusFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AoUwcFMEea5pdrFDq-m2g" name="backCurve" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5AoUx8FMEea5pdrFDq-m2g">
              <body>Back curvature measured in millimeters.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AoUxcFMEea5pdrFDq-m2g">
              <body>Contact lens back curvature</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AoUwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AoUw8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5AoUycFMEea5pdrFDq-m2g" name="diameter" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ao70MFMEea5pdrFDq-m2g">
              <body>Contact lens diameter measured in millimeters.</body>
            </ownedComment>
            <ownedComment xmi:id="_5AoUzcFMEea5pdrFDq-m2g">
              <body>Contact lens diameter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5AoUysFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5AoUy8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ao70sFMEea5pdrFDq-m2g" name="duration" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ao72MFMEea5pdrFDq-m2g">
              <body>The recommended maximum wear period for the lens.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ao71sFMEea5pdrFDq-m2g">
              <body>Lens wear duration</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ao708FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ao71MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ao72sFMEea5pdrFDq-m2g" name="color" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Api4cFMEea5pdrFDq-m2g">
              <body>Special color or pattern.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ao73sFMEea5pdrFDq-m2g">
              <body>Color required</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ao728FMEea5pdrFDq-m2g"/>
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              <body>Brand recommendations or restrictions.</body>
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              <body>Notes for special requirements such as coatings and lens materials.</body>
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              <body>Notes for coatings</body>
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      <packagedElement xmi:type="uml:Class" xmi:id="_5BBWV8FMEea5pdrFDq-m2g" name="Procedure">
        <ownedComment xmi:id="_5BCkd8FMEea5pdrFDq-m2g">
          <body>An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.</body>
        </ownedComment>
        <ownedComment xmi:id="_5BCkcsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Procedure Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5BCkdcFMEea5pdrFDq-m2g">
          <body>An action that is being or was performed on a patient</body>
        </ownedComment>
        <ownedRule xmi:id="_5BBWWMFMEea5pdrFDq-m2g" name="pro-1" constrainedElement="_5BBWV8FMEea5pdrFDq-m2g _5BMVcMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5BBWWcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:reasonNotPerformed)) or f:notPerformed/@value=true()</body>
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        <generalization xmi:id="_5BCkdMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
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          <ownedComment xmi:id="_5BDLhcFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_5BDLg8FMEea5pdrFDq-m2g">
            <body>External Identifiers for this procedure</body>
          </ownedComment>
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            <body>Need to allow connection to a wider workflow.</body>
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            <body>A code specifying the state of the procedure. Generally this will be in-progress or completed state.</body>
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            <body>in-progress | aborted | completed | entered-in-error | unknown</body>
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            <body>The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.</body>
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            <body>A code that classifies the procedure for searching, sorting and display purposes (e.g. &quot;Surgical Procedure&quot;).</body>
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          <ownedComment xmi:id="_5BFnwcFMEea5pdrFDq-m2g">
            <body>Classification of the procedure</body>
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        <ownedAttribute xmi:id="_5BFnxcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. &quot;Laparoscopic Appendectomy&quot;).</body>
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          <ownedComment xmi:id="_5BGO0cFMEea5pdrFDq-m2g">
            <body>Identification of the procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BFnxsFMEea5pdrFDq-m2g" value="1"/>
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        </ownedAttribute>
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          <ownedComment xmi:id="_5BG14sFMEea5pdrFDq-m2g">
            <body>The person, animal or group on which the procedure was performed.</body>
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            <body>Who the procedure was performed on</body>
          </ownedComment>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_5BG15cFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5BG16cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BG178FMEea5pdrFDq-m2g">
            <body>The encounter during which the procedure was performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BG17cFMEea5pdrFDq-m2g">
            <body>The encounter associated with the procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BG15sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BG158FMEea5pdrFDq-m2g" value="1"/>
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            <body>The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.</body>
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          <ownedComment xmi:id="_5BHc9cFMEea5pdrFDq-m2g">
            <body>Date/Period the procedure was performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BHc8sFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_5BIEAcFMEea5pdrFDq-m2g" name="performer" type="_5BHc-sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5BIEBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BIrEcFMEea5pdrFDq-m2g">
            <body>Limited to 'real' people rather than equipment.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BIECcFMEea5pdrFDq-m2g">
            <body>The people who performed the procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BIEAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BIEA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BJ5NsFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5BKgQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BKgRsFMEea5pdrFDq-m2g">
            <body>The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BKgRMFMEea5pdrFDq-m2g">
            <body>Where the procedure happened</body>
          </ownedComment>
          <ownedComment xmi:id="_5BKgSMFMEea5pdrFDq-m2g">
            <body>Ties a procedure to where the records are likely kept.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BJ5N8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BJ5OMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BLHVcFMEea5pdrFDq-m2g" name="reasonCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BLuYsFMEea5pdrFDq-m2g">
            <body>The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BLuYMFMEea5pdrFDq-m2g">
            <body>Coded reason procedure performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BLHVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BLHV8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BLuZMFMEea5pdrFDq-m2g" name="notPerformed" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BLuasFMEea5pdrFDq-m2g">
            <body>Set this to true if the record is saying that the procedure was NOT performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BLuaMFMEea5pdrFDq-m2g">
            <body>True if procedure was not performed as scheduled</body>
          </ownedComment>
          <ownedComment xmi:id="_5BLubMFMEea5pdrFDq-m2g">
            <body>If true, it means the procedure did not occur as described.  Typically it would be accompanied by attributes describing the type of activity.  It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period).  Specifying additional information such as performer, outcome, etc. is generally inappropriate.  For example, it's not that useful to say &quot;There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome&quot; as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BLuZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BLuZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BMVcMFMEea5pdrFDq-m2g" name="reasonNotPerformed" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BM8gsFMEea5pdrFDq-m2g">
            <body>A code indicating why the procedure was not performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BM8gMFMEea5pdrFDq-m2g">
            <body>Reason procedure was not performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BMVccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BMVcsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BM8hMFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BNjkcFMEea5pdrFDq-m2g">
            <body>Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BM8icFMEea5pdrFDq-m2g">
            <body>Target body sites</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BM8hcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BM8hsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BNjk8FMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BOxscFMEea5pdrFDq-m2g">
            <body>The outcome of the procedure - did it resolve reasons for the procedure being performed?</body>
          </ownedComment>
          <ownedComment xmi:id="_5BOKpsFMEea5pdrFDq-m2g">
            <body>The result of procedure</body>
          </ownedComment>
          <ownedComment xmi:id="_5BOxs8FMEea5pdrFDq-m2g">
            <body>If outcome contains narrative text only, it can be captured using the CodeableConcept.text.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BNjlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BNjlcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CR6lMFMEea5pdrFDq-m2g" name="complication" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CShosFMEea5pdrFDq-m2g">
            <body>Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CShoMFMEea5pdrFDq-m2g">
            <body>Complication following the procedure</body>
          </ownedComment>
          <ownedComment xmi:id="_5CShpMFMEea5pdrFDq-m2g">
            <body>If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CR6lcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CR6lsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CShpsFMEea5pdrFDq-m2g" name="followUp" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CU94sFMEea5pdrFDq-m2g">
            <body>If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CU94MFMEea5pdrFDq-m2g">
            <body>Instructions for follow up</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CShp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CShqMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CU95MFMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CU96MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CVk8sFMEea5pdrFDq-m2g">
            <body>A reference to a resource that contains details of the request for this procedure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CVk8MFMEea5pdrFDq-m2g">
            <body>A request for this procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CU95cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CU95sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CVk9cFMEea5pdrFDq-m2g" name="notes" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CVk-8FMEea5pdrFDq-m2g">
            <body>Any other notes about the procedure.  E.g. the operative notes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CVk-cFMEea5pdrFDq-m2g">
            <body>Additional information about the procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CVk9sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CVk98FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CYoRsFMEea5pdrFDq-m2g" name="usedCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CZPUsFMEea5pdrFDq-m2g">
            <body>Identifies coded items that were used as part of the procedure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CZPUMFMEea5pdrFDq-m2g">
            <body>Coded items used during the procedure</body>
          </ownedComment>
          <ownedComment xmi:id="_5CZPVMFMEea5pdrFDq-m2g">
            <body>For devices actually implanted or removed, use Procedure.device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CYoR8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CYoSMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Cof6sFMEea5pdrFDq-m2g" name="component" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CpG8MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CpG9sFMEea5pdrFDq-m2g">
            <body>Identifies medication administrations, other procedures or observations that are related to this procedure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CpG9MFMEea5pdrFDq-m2g">
            <body>Events related to the procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cof68FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cof7MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5BHc-sFMEea5pdrFDq-m2g" name="Performer">
          <generalization xmi:id="_5BHc-8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5BIrE8FMEea5pdrFDq-m2g" name="actor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BIrF8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5BJSIcFMEea5pdrFDq-m2g">
              <body>The practitioner who was involved in the procedure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BIrG8FMEea5pdrFDq-m2g">
              <body>The reference to the practitioner</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BIrFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BIrFcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BJSJMFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BJ5NMFMEea5pdrFDq-m2g">
              <body>For example: surgeon, anaethetist, endoscopist.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BJ5MsFMEea5pdrFDq-m2g">
              <body>The role the actor was in</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BJSJcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BJSJsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5CWMAMFMEea5pdrFDq-m2g" name="FocalDevice">
          <generalization xmi:id="_5CWMAcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5CWzGMFMEea5pdrFDq-m2g" name="action" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5CXaI8FMEea5pdrFDq-m2g">
              <body>The kind of change that happened to the device during the procedure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CXaIcFMEea5pdrFDq-m2g">
              <body>Kind of change to device</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CWzGcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CWzGsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5CXaJcFMEea5pdrFDq-m2g" name="manipulated" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5CYBMMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5CYBNsFMEea5pdrFDq-m2g">
              <body>The device that was manipulated (changed) during the procedure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CYBNMFMEea5pdrFDq-m2g">
              <body>Device that was changed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CXaJsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CXaJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BGO2cFMEea5pdrFDq-m2g" memberEnd="_5BGO2sFMEea5pdrFDq-m2g _5BGO1cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BGO2sFMEea5pdrFDq-m2g" type="_5BBWV8FMEea5pdrFDq-m2g" association="_5BGO2cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BGO28FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BGO3MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BG16cFMEea5pdrFDq-m2g" memberEnd="_5BG16sFMEea5pdrFDq-m2g _5BG15cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BG16sFMEea5pdrFDq-m2g" type="_5BBWV8FMEea5pdrFDq-m2g" association="_5BG16cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BG168FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BG17MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BIEBcFMEea5pdrFDq-m2g" memberEnd="_5BIEBsFMEea5pdrFDq-m2g _5BIEAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BIEBsFMEea5pdrFDq-m2g" type="_5BBWV8FMEea5pdrFDq-m2g" association="_5BIEBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BIEB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BIECMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BIrF8FMEea5pdrFDq-m2g" memberEnd="_5BIrGMFMEea5pdrFDq-m2g _5BIrE8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BIrGMFMEea5pdrFDq-m2g" type="_5BHc-sFMEea5pdrFDq-m2g" association="_5BIrF8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BIrGcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BIrGsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BKgQMFMEea5pdrFDq-m2g" memberEnd="_5BKgQcFMEea5pdrFDq-m2g _5BJ5NsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BKgQcFMEea5pdrFDq-m2g" type="_5BBWV8FMEea5pdrFDq-m2g" association="_5BKgQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BKgQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BKgQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5BOxtcFMEea5pdrFDq-m2g" name="DiagnosticReport">
        <ownedComment xmi:id="_5BP_0cFMEea5pdrFDq-m2g">
          <body>The findings and interpretation of diagnostic  tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.</body>
        </ownedComment>
        <ownedComment xmi:id="_5BPYwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DiagnosticReport Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5BPYxMFMEea5pdrFDq-m2g">
          <body>To support reporting for any diagnostic report into a clinical data repository.</body>
        </ownedComment>
        <ownedComment xmi:id="_5BPYx8FMEea5pdrFDq-m2g">
          <body>A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports</body>
        </ownedComment>
        <ownedComment xmi:id="_5BP_08FMEea5pdrFDq-m2g">
          <body>This is intended to capture a single report, and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.</body>
        </ownedComment>
        <generalization xmi:id="_5BPYxsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5BP_1cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BP_28FMEea5pdrFDq-m2g">
            <body>The local ID assigned to the report by the order filler, usually by the Information System of the diagnostic service provider.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BP_2cFMEea5pdrFDq-m2g">
            <body>Id for external references to this report</body>
          </ownedComment>
          <ownedComment xmi:id="_5BP_3cFMEea5pdrFDq-m2g">
            <body>Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BP_1sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BP_18FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BQm4MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BRN8sFMEea5pdrFDq-m2g">
            <body>The status of the diagnostic report as a whole.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BRN8MFMEea5pdrFDq-m2g">
            <body>registered | partial | final | corrected | appended | cancelled | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_5BRN9MFMEea5pdrFDq-m2g">
            <body>This is labeled as &quot;Is Modifier&quot; because applications need to take appropriate action if a report is withdrawn.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BRN9sFMEea5pdrFDq-m2g">
            <body>Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BQm4cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BQm4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BRN-MFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BR1BMFMEea5pdrFDq-m2g">
            <body>A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BR1AsFMEea5pdrFDq-m2g">
            <body>Service category</body>
          </ownedComment>
          <ownedComment xmi:id="_5BR1BsFMEea5pdrFDq-m2g">
            <body>The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BRN-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BRN-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BScEMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BTDIsFMEea5pdrFDq-m2g">
            <body>A code or name that describes this diagnostic report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BTDIMFMEea5pdrFDq-m2g">
            <body>Name/Code for this diagnostic report</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BScEcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BScEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BTDJMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BTqMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BTqNsFMEea5pdrFDq-m2g">
            <body>The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BTqNMFMEea5pdrFDq-m2g">
            <body>The subject of the report, usually, but not always, the patient</body>
          </ownedComment>
          <ownedComment xmi:id="_5BTqOMFMEea5pdrFDq-m2g">
            <body>SHALL know the subject context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BTDJcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BTDJsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BTqO8FMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5BURQcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BURR8FMEea5pdrFDq-m2g">
            <body>The link to the health care event (encounter) when the order was made.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BURRcFMEea5pdrFDq-m2g">
            <body>Health care event when test ordered</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BTqPMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BTqPcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BURScFMEea5pdrFDq-m2g" name="effective[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BU4UsFMEea5pdrFDq-m2g">
            <body>The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BU4UMFMEea5pdrFDq-m2g">
            <body>Clinically Relevant time/time-period for report</body>
          </ownedComment>
          <ownedComment xmi:id="_5BU4VMFMEea5pdrFDq-m2g">
            <body>If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BU4VsFMEea5pdrFDq-m2g">
            <body>Need to know where in the patient history to file/present this report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BURSsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BURS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BU4WcFMEea5pdrFDq-m2g" name="issued" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BVfYsFMEea5pdrFDq-m2g">
            <body>The date and time that this version of the report was released from the source diagnostic service.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BVfYMFMEea5pdrFDq-m2g">
            <body>DateTime this version was released</body>
          </ownedComment>
          <ownedComment xmi:id="_5BVfZMFMEea5pdrFDq-m2g">
            <body>May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BVfZsFMEea5pdrFDq-m2g">
            <body>Clinicians need to be able to check the date that the report was released.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BU4WsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BU4W8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BVfaMFMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BVfbMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BWGccFMEea5pdrFDq-m2g">
            <body>The diagnostic service that is responsible for issuing the report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BVfcMFMEea5pdrFDq-m2g">
            <body>Responsible Diagnostic Service</body>
          </ownedComment>
          <ownedComment xmi:id="_5BWGc8FMEea5pdrFDq-m2g">
            <body>This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BWGdcFMEea5pdrFDq-m2g">
            <body>Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BVfacFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BVfasFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BWGeMFMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BWtgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BWthsFMEea5pdrFDq-m2g">
            <body>Details concerning a test or procedure requested.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BWthMFMEea5pdrFDq-m2g">
            <body>What was requested</body>
          </ownedComment>
          <ownedComment xmi:id="_5BWtiMFMEea5pdrFDq-m2g">
            <body>Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BWtisFMEea5pdrFDq-m2g">
            <body>Need to be able to track completion of requests based on reports issued and also to report what diagnostic tests were requested (not always the same as what is delivered).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BWGecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BWGesFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BWtjcFMEea5pdrFDq-m2g" name="specimen" type="_47umpMFMEea5pdrFDq-m2g" isOrdered="true" association="_5BXUksFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BXUmMFMEea5pdrFDq-m2g">
            <body>Details about the specimens on which this diagnostic report is based.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BXUlsFMEea5pdrFDq-m2g">
            <body>Specimens this report is based on</body>
          </ownedComment>
          <ownedComment xmi:id="_5BXUmsFMEea5pdrFDq-m2g">
            <body>If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per Observation or group.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BXUnMFMEea5pdrFDq-m2g">
            <body>Need to be able to report information about the collected specimens on which the report is based.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BWtjsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BXUkMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BXUnsFMEea5pdrFDq-m2g" name="result" type="_47eH8MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BX7o8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BX7qcFMEea5pdrFDq-m2g">
            <body>Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. &quot;atomic&quot; results), or they can be grouping observations that include references to other members of the group (e.g. &quot;panels&quot;).</body>
          </ownedComment>
          <ownedComment xmi:id="_5BX7p8FMEea5pdrFDq-m2g">
            <body>Observations - simple, or complex nested groups</body>
          </ownedComment>
          <ownedComment xmi:id="_5BX7q8FMEea5pdrFDq-m2g">
            <body>Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BX7oMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BX7ocFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CEfM8FMEea5pdrFDq-m2g" name="imagingStudy" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CEfN8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CEfPcFMEea5pdrFDq-m2g">
            <body>One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CEfO8FMEea5pdrFDq-m2g">
            <body>Reference to full details of imaging associated with the diagnostic report</body>
          </ownedComment>
          <ownedComment xmi:id="_5CFGQcFMEea5pdrFDq-m2g">
            <body>ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CEfNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CEfNcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CFtUcFMEea5pdrFDq-m2g" name="image" type="_5CFGRMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5CFtVcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CFtW8FMEea5pdrFDq-m2g">
            <body>A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).</body>
          </ownedComment>
          <ownedComment xmi:id="_5CFtWcFMEea5pdrFDq-m2g">
            <body>Key images associated with this report</body>
          </ownedComment>
          <ownedComment xmi:id="_5CFtXcFMEea5pdrFDq-m2g">
            <body>Many diagnostic services include images in the report as part of their service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CFtUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CFtU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CPeUsFMEea5pdrFDq-m2g" name="conclusion" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CPeWMFMEea5pdrFDq-m2g">
            <body>Concise and clinically contextualized impression / summary of the diagnostic report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CPeVsFMEea5pdrFDq-m2g">
            <body>Clinical Interpretation of test results</body>
          </ownedComment>
          <ownedComment xmi:id="_5CPeWsFMEea5pdrFDq-m2g">
            <body>Need to be able to provide a conclusion that is not lost among the basic result data.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CPeU8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CPeVMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CPeXMFMEea5pdrFDq-m2g" name="codedDiagnosis" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CQFZsFMEea5pdrFDq-m2g">
            <body>Codes for the conclusion.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CQFZMFMEea5pdrFDq-m2g">
            <body>Codes for the conclusion</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CPeXcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CPeXsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CQsccFMEea5pdrFDq-m2g" name="presentedForm" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CQsd8FMEea5pdrFDq-m2g">
            <body>Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CQsdcFMEea5pdrFDq-m2g">
            <body>Entire report as issued</body>
          </ownedComment>
          <ownedComment xmi:id="_5CQsecFMEea5pdrFDq-m2g">
            <body>&quot;application/pdf&quot; is recommended as the most reliable and interoperable in this context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CRTgcFMEea5pdrFDq-m2g">
            <body>Gives Laboratory the ability to provide its own fully formatted report for clinical fidelity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CQscsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CQsc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5CFGRMFMEea5pdrFDq-m2g" name="Image">
          <generalization xmi:id="_5CFGRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5CGUYMFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5CGUZsFMEea5pdrFDq-m2g">
              <body>A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CGUZMFMEea5pdrFDq-m2g">
              <body>Comment about the image (e.g. explanation)</body>
            </ownedComment>
            <ownedComment xmi:id="_5CGUaMFMEea5pdrFDq-m2g">
              <body>The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CGUasFMEea5pdrFDq-m2g">
              <body>The provider of the report should make a comment about each image included in the report.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CGUYcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CGUYsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5CO3R8FMEea5pdrFDq-m2g" name="link" type="_5CGUbMFMEea5pdrFDq-m2g" isOrdered="true" association="_5CO3S8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5CPeUMFMEea5pdrFDq-m2g">
              <body>Reference to the image source.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CO3T8FMEea5pdrFDq-m2g">
              <body>Reference to the image source</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CO3SMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CO3ScFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BTqMMFMEea5pdrFDq-m2g" memberEnd="_5BTqMcFMEea5pdrFDq-m2g _5BTDJMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BTqMcFMEea5pdrFDq-m2g" type="_5BOxtcFMEea5pdrFDq-m2g" association="_5BTqMMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BTqMsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BTqM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BURQcFMEea5pdrFDq-m2g" memberEnd="_5BURQsFMEea5pdrFDq-m2g _5BTqO8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BURQsFMEea5pdrFDq-m2g" type="_5BOxtcFMEea5pdrFDq-m2g" association="_5BURQcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BURQ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BURRMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BVfbMFMEea5pdrFDq-m2g" memberEnd="_5BVfbcFMEea5pdrFDq-m2g _5BVfaMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BVfbcFMEea5pdrFDq-m2g" type="_5BOxtcFMEea5pdrFDq-m2g" association="_5BVfbMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BVfbsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BVfb8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BWtgMFMEea5pdrFDq-m2g" memberEnd="_5BWtgcFMEea5pdrFDq-m2g _5BWGeMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BWtgcFMEea5pdrFDq-m2g" type="_5BOxtcFMEea5pdrFDq-m2g" association="_5BWtgMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BWtgsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BWtg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BXUksFMEea5pdrFDq-m2g" memberEnd="_5BXUk8FMEea5pdrFDq-m2g _5BWtjcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BXUk8FMEea5pdrFDq-m2g" type="_5BOxtcFMEea5pdrFDq-m2g" association="_5BXUksFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BXUlMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BXUlcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BX7o8FMEea5pdrFDq-m2g" memberEnd="_5BX7pMFMEea5pdrFDq-m2g _5BXUnsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BX7pMFMEea5pdrFDq-m2g" type="_5BOxtcFMEea5pdrFDq-m2g" association="_5BX7o8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BX7pcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BX7psFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5BX7rcFMEea5pdrFDq-m2g" name="ImagingStudy">
        <ownedComment xmi:id="_5BZJxcFMEea5pdrFDq-m2g">
          <body>Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.</body>
        </ownedComment>
        <ownedComment xmi:id="_5BZJwMFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ImagingStudy Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5BZJw8FMEea5pdrFDq-m2g">
          <body>A set of images produced in single study (one or more series of references images)</body>
        </ownedComment>
        <generalization xmi:id="_5BZJwsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5BZJx8FMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BZJzcFMEea5pdrFDq-m2g">
            <body>Formal identifier for the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BZJy8FMEea5pdrFDq-m2g">
            <body>Formal DICOM identifier for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BZJyMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BZJycFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BZw0MFMEea5pdrFDq-m2g" name="accession" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BZw1sFMEea5pdrFDq-m2g">
            <body>Accession Number is an identifier related to some aspect of imaging workflow and data management. Usage may vary across different institutions.  See for instance [IHE Radiology Technical Framework Volume 1 Appendix A](http://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_TF_Rev13.0_Vol1_FT_2014-07-30.pdf).</body>
          </ownedComment>
          <ownedComment xmi:id="_5BZw1MFMEea5pdrFDq-m2g">
            <body>Related workflow identifier (&quot;Accession Number&quot;)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BZw0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BZw0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BZw2MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BZw3sFMEea5pdrFDq-m2g">
            <body>Other identifiers for the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BZw3MFMEea5pdrFDq-m2g">
            <body>Other identifiers for the study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BZw2cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BZw2sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BaX4cFMEea5pdrFDq-m2g" name="availability" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BbmAsFMEea5pdrFDq-m2g">
            <body>Availability of study (online, offline or nearline).</body>
          </ownedComment>
          <ownedComment xmi:id="_5BbmAMFMEea5pdrFDq-m2g">
            <body>ONLINE | OFFLINE | NEARLINE | UNAVAILABLE</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BaX4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BaX48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BbmBMFMEea5pdrFDq-m2g" name="modalityList" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BhspMFMEea5pdrFDq-m2g">
            <body>A list of all the Series.ImageModality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).</body>
          </ownedComment>
          <ownedComment xmi:id="_5BhsosFMEea5pdrFDq-m2g">
            <body>All series modality if actual acquisition modalities</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BbmBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BbmBsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BhspsFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5BiTsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BiTtsFMEea5pdrFDq-m2g">
            <body>The patient imaged in the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BiTtMFMEea5pdrFDq-m2g">
            <body>Who the images are of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bhsp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BhsqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BiTuMFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5BiTvMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Bi6wcFMEea5pdrFDq-m2g">
            <body>The encounter at which the request is initiated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BiTwMFMEea5pdrFDq-m2g">
            <body>Originating context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BiTucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BiTusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Bi6xMFMEea5pdrFDq-m2g" name="started" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Bi6ysFMEea5pdrFDq-m2g">
            <body>Date and Time the study started.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Bi6yMFMEea5pdrFDq-m2g">
            <body>When the study was started</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bi6xcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bi6xsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Bjh0MFMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Bjh1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Bjh2sFMEea5pdrFDq-m2g">
            <body>A list of the diagnostic requests that resulted in this imaging study being performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Bjh2MFMEea5pdrFDq-m2g">
            <body>Request fulfilled</body>
          </ownedComment>
          <ownedComment xmi:id="_5Bjh3MFMEea5pdrFDq-m2g">
            <body>To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bjh0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bjh0sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BkI4cFMEea5pdrFDq-m2g" name="referrer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5BkI5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BkI68FMEea5pdrFDq-m2g">
            <body>The requesting/referring physician.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BkI6cFMEea5pdrFDq-m2g">
            <body>Referring physician</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BkI4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BkI48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BkI7cFMEea5pdrFDq-m2g" name="interpreter" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Bkv8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Bkv98FMEea5pdrFDq-m2g">
            <body>Who read the study and interpreted the images or other content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Bkv9cFMEea5pdrFDq-m2g">
            <body>Who interpreted images</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BkI7sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BkI78FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BlXAcFMEea5pdrFDq-m2g" name="baseLocation" type="_5Bkv-cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5BlXBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BlXC8FMEea5pdrFDq-m2g">
            <body>Methods of accessing  (e.g., retrieving, viewing) the study.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BlXCcFMEea5pdrFDq-m2g">
            <body>Study access service endpoint</body>
          </ownedComment>
          <ownedComment xmi:id="_5BlXDcFMEea5pdrFDq-m2g">
            <body>Access methods for viewing (e.g. IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BlXAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BlXA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BnMMMFMEea5pdrFDq-m2g" name="numberOfSeries" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BnMNsFMEea5pdrFDq-m2g">
            <body>Number of Series in Study.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BnMNMFMEea5pdrFDq-m2g">
            <body>Number of Study Related Series</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BnMMcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BnMMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BnMOMFMEea5pdrFDq-m2g" name="numberOfInstances" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BnMPsFMEea5pdrFDq-m2g">
            <body>Number of SOP Instances in Study.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BnMPMFMEea5pdrFDq-m2g">
            <body>Number of Study Related Instances</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BnMOcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BnMOsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BnzQMFMEea5pdrFDq-m2g" name="procedure" type="_5BBWV8FMEea5pdrFDq-m2g" isOrdered="true" association="_5BnzRMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5BnzSsFMEea5pdrFDq-m2g">
            <body>Type of procedure performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BnzSMFMEea5pdrFDq-m2g">
            <body>Type of procedure performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BnzQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BnzQsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BnzTMFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BoaU8FMEea5pdrFDq-m2g">
            <body>Description of clinical codition indicating why the ImagingStudy was requested.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BoaUcFMEea5pdrFDq-m2g">
            <body>Reason for study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BnzTcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BnzTsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BoaVcFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5BpBYsFMEea5pdrFDq-m2g">
            <body>Institution-generated description or classification of the Study performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BpBYMFMEea5pdrFDq-m2g">
            <body>Institution-generated description</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BoaVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BoaV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BpoccFMEea5pdrFDq-m2g" name="series" type="_5BpBZMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5BpodcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Bpoe8FMEea5pdrFDq-m2g">
            <body>Each study has one or more series of images or other content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5BpoecFMEea5pdrFDq-m2g">
            <body>Each study has one or more series of instances</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BpocsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bpoc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Bkv-cFMEea5pdrFDq-m2g" name="StudyBaseLocation">
          <generalization xmi:id="_5Bkv-sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Bl-EMFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BmlIsFMEea5pdrFDq-m2g">
              <body>The service type for accessing (e.g., retrieving, viewing) the DICOM instances.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BmlIMFMEea5pdrFDq-m2g">
              <body>WADO-RS | WADO-URI | IID</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bl-EcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bl-EsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BmlJMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BmlKsFMEea5pdrFDq-m2g">
              <body>The service URL for accessing the study. The interpretation of the URL depends on the type of the service specified in ImagingManifest.study.baseLocation.type.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BmlKMFMEea5pdrFDq-m2g">
              <body>Study access URL</body>
            </ownedComment>
            <ownedComment xmi:id="_5BmlLMFMEea5pdrFDq-m2g">
              <body>This URL is to a service endpoint for the particular service indicated by ImagingManifest.study.baseLocation.type. Depending on the type of service, it is may be used to construct a URL to view, retrieve, or otherwise access the study or the study’s series or instances. For example, this element may be a DICOMweb WADO-RS endpoint.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BmlJcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BmlJsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5BpBZMFMEea5pdrFDq-m2g" name="Series">
          <generalization xmi:id="_5BpBZcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5BpofcFMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BqPgsFMEea5pdrFDq-m2g">
              <body>Formal identifier for this series.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BqPgMFMEea5pdrFDq-m2g">
              <body>Formal DICOM identifier for this series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BpofsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bpof8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BqPhMFMEea5pdrFDq-m2g" name="number" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BqPisFMEea5pdrFDq-m2g">
              <body>The Numeric identifier of this series in the study.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BqPiMFMEea5pdrFDq-m2g">
              <body>Numeric identifier of this series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BqPhcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BqPhsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BqPjMFMEea5pdrFDq-m2g" name="modality" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Bq2lMFMEea5pdrFDq-m2g">
              <body>The modality of this series sequence.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Bq2ksFMEea5pdrFDq-m2g">
              <body>The modality of the instances in the series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BqPjcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BqPjsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Bq2lsFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BrdosFMEea5pdrFDq-m2g">
              <body>A description of the series.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BrdoMFMEea5pdrFDq-m2g">
              <body>A short human readable summary of the series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bq2l8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bq2mMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BrdpMFMEea5pdrFDq-m2g" name="numberOfInstances" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BrdqsFMEea5pdrFDq-m2g">
              <body>Number of SOP Instances in Series.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BrdqMFMEea5pdrFDq-m2g">
              <body>Number of Series Related Instances</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BrdpcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BrdpsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BrdrMFMEea5pdrFDq-m2g" name="availability" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BsEs8FMEea5pdrFDq-m2g">
              <body>Availability of series (online, offline or nearline).</body>
            </ownedComment>
            <ownedComment xmi:id="_5BsEscFMEea5pdrFDq-m2g">
              <body>ONLINE | OFFLINE | NEARLINE | UNAVAILABLE</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BrdrcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BrdrsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BsrwcFMEea5pdrFDq-m2g" name="baseLocation" type="_5BsEtcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5BsrxcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Bsry8FMEea5pdrFDq-m2g">
              <body>Methods of accessing (e.g. retrieving) the series.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BsrycFMEea5pdrFDq-m2g">
              <body>Series access endpoint</body>
            </ownedComment>
            <ownedComment xmi:id="_5BtS0cFMEea5pdrFDq-m2g">
              <body>Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BsrwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bsrw8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Bt57cFMEea5pdrFDq-m2g" name="bodySite" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Bug9cFMEea5pdrFDq-m2g">
              <body>Body part examined. See  DICOM Part 16 Annex L for the mapping from DICOM to Snomed CT.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Bug88FMEea5pdrFDq-m2g">
              <body>Body part examined</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bt57sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bug8MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Bug98FMEea5pdrFDq-m2g" name="laterality" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BvvFsFMEea5pdrFDq-m2g">
              <body>Laterality if body site is paired anatomic structure and laterality is not pre-coordinated in body site code.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BvvFMFMEea5pdrFDq-m2g">
              <body>Body part laterality</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BvIAMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BvIAcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5BwWIMFMEea5pdrFDq-m2g" name="started" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5BwWJsFMEea5pdrFDq-m2g">
              <body>The date and time the series was started.</body>
            </ownedComment>
            <ownedComment xmi:id="_5BwWJMFMEea5pdrFDq-m2g">
              <body>When the series started</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BwWIcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BwWIsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Bw9McFMEea5pdrFDq-m2g" name="instance" type="_5BwWKMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Bw9NcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Bw9O8FMEea5pdrFDq-m2g">
              <body>A single SOP Instance within the series, e.g. an image, or presentation state.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Bw9OcFMEea5pdrFDq-m2g">
              <body>A single SOP instance from the series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bw9MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bw9M8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5BsEtcFMEea5pdrFDq-m2g" name="SeriesBaseLocation">
            <generalization xmi:id="_5BsEtsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5BtS08FMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Bt54cFMEea5pdrFDq-m2g">
                <body>The service type for accessing (e.g., retrieving) the DICOM instances.</body>
              </ownedComment>
              <ownedComment xmi:id="_5BtS2MFMEea5pdrFDq-m2g">
                <body>WADO-RS | WADO-URI | IID</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BtS1MFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BtS1cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Bt548FMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Bt56cFMEea5pdrFDq-m2g">
                <body>The service URL for accessing the study. The interpretation of the URL depends on the type of the service specified in ImagingManifest.study.series.baseLocation.type.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Bt558FMEea5pdrFDq-m2g">
                <body>Series access URL</body>
              </ownedComment>
              <ownedComment xmi:id="_5Bt568FMEea5pdrFDq-m2g">
                <body>This URL is to a service endpoint for the particular service indicated by ImagingManifest.study.series.baseLocation.type. Depending on the type of service, it is may be used to construct a URL to retrieve, or otherwise access, the series or the series’ instances. For example, this element may be a DICOMweb WADO-RS endpoint.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bt55MFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bt55cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5BwWKMFMEea5pdrFDq-m2g" name="Instance">
            <generalization xmi:id="_5BwWKcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5BxkQMFMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5BxkRsFMEea5pdrFDq-m2g">
                <body>Formal identifier for this image or other content.</body>
              </ownedComment>
              <ownedComment xmi:id="_5BxkRMFMEea5pdrFDq-m2g">
                <body>Formal DICOM identifier for this instance</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BxkQcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BxkQsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5BxkSMFMEea5pdrFDq-m2g" name="number" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ByLUMFMEea5pdrFDq-m2g">
                <body>The number of instance in the series.</body>
              </ownedComment>
              <ownedComment xmi:id="_5BxkTMFMEea5pdrFDq-m2g">
                <body>The number of this instance in the series</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BxkScFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BxkSsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ByLUsFMEea5pdrFDq-m2g" name="sopClass" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ByLWMFMEea5pdrFDq-m2g">
                <body>DICOM instance  type.</body>
              </ownedComment>
              <ownedComment xmi:id="_5ByLVsFMEea5pdrFDq-m2g">
                <body>DICOM class type</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ByLU8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ByLVMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ByLWsFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ByyYsFMEea5pdrFDq-m2g">
                <body>The description of the instance.</body>
              </ownedComment>
              <ownedComment xmi:id="_5ByyYMFMEea5pdrFDq-m2g">
                <body>Description of instance</body>
              </ownedComment>
              <ownedComment xmi:id="_5ByyZMFMEea5pdrFDq-m2g">
                <body>Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ByLW8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ByLXMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BiTsMFMEea5pdrFDq-m2g" memberEnd="_5BiTscFMEea5pdrFDq-m2g _5BhspsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BiTscFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5BiTsMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BiTssFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BiTs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BiTvMFMEea5pdrFDq-m2g" memberEnd="_5BiTvcFMEea5pdrFDq-m2g _5BiTuMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BiTvcFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5BiTvMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BiTvsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BiTv8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Bjh1MFMEea5pdrFDq-m2g" memberEnd="_5Bjh1cFMEea5pdrFDq-m2g _5Bjh0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Bjh1cFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5Bjh1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bjh1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bjh18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BkI5cFMEea5pdrFDq-m2g" memberEnd="_5BkI5sFMEea5pdrFDq-m2g _5BkI4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BkI5sFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5BkI5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BkI58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BkI6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Bkv8cFMEea5pdrFDq-m2g" memberEnd="_5Bkv8sFMEea5pdrFDq-m2g _5BkI7cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Bkv8sFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5Bkv8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bkv88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bkv9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BlXBcFMEea5pdrFDq-m2g" memberEnd="_5BlXBsFMEea5pdrFDq-m2g _5BlXAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BlXBsFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5BlXBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BlXB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BlXCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BnzRMFMEea5pdrFDq-m2g" memberEnd="_5BnzRcFMEea5pdrFDq-m2g _5BnzQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BnzRcFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5BnzRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BnzRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BnzR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BpodcFMEea5pdrFDq-m2g" memberEnd="_5BpodsFMEea5pdrFDq-m2g _5BpoccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BpodsFMEea5pdrFDq-m2g" type="_5BX7rcFMEea5pdrFDq-m2g" association="_5BpodcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bpod8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BpoeMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5BsrxcFMEea5pdrFDq-m2g" memberEnd="_5BsrxsFMEea5pdrFDq-m2g _5BsrwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5BsrxsFMEea5pdrFDq-m2g" type="_5BpBZMFMEea5pdrFDq-m2g" association="_5BsrxcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bsrx8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BsryMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Bw9NcFMEea5pdrFDq-m2g" memberEnd="_5Bw9NsFMEea5pdrFDq-m2g _5Bw9McFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Bw9NsFMEea5pdrFDq-m2g" type="_5BpBZMFMEea5pdrFDq-m2g" association="_5Bw9NcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Bw9N8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Bw9OMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5ByyZsFMEea5pdrFDq-m2g" name="ImagingManifest">
        <ownedComment xmi:id="_5B0AgcFMEea5pdrFDq-m2g">
          <body>A manifest of a set of DICOM Service-Object Pair Instances (SOP Instances).  The referenced SOP Instances (images or other content) are for a single patient, and may be from one or more studies. The referenced SOP Instances may have been selected for a purpose, such as  conference, or consult.  Reflecting a range of sharing purposes, typical ImagingManifest resources may include all SOP Instances in a study (perhaps for sharing through a Health Information Exchange); key images from multiple studies (for reference by a referring or treating physician); both a multi-frame ultrasound instance (&quot;cine&quot; video clip) and a set of measurements taken from that instance (for inclusion in a teaching file); and so on.</body>
        </ownedComment>
        <ownedComment xmi:id="_5BzZcsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ImagingManifest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5BzZdMFMEea5pdrFDq-m2g">
          <body>A FHIR representation of DICOM Key Object Selection (KOS) SOP Instances enables access to a set of selected DICOM SOP Instances.</body>
        </ownedComment>
        <ownedComment xmi:id="_5BzZd8FMEea5pdrFDq-m2g">
          <body>Key Object Selection</body>
        </ownedComment>
        <generalization xmi:id="_5BzZdsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5B0Ag8FMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5B0AicFMEea5pdrFDq-m2g">
            <body>Unique identifier of the the DICOM Key Object Selection (KOS) that this resource represents.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B0Ah8FMEea5pdrFDq-m2g">
            <body>SOP Instance UID</body>
          </ownedComment>
          <ownedComment xmi:id="_5B0Ai8FMEea5pdrFDq-m2g">
            <body>DICOM SOP Instance is always assigned with a unique identifier (UID).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B0AhMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B0AhcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B0nkMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5B0nlMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5B0nmsFMEea5pdrFDq-m2g">
            <body>A patient resource reference which is the patient subject of all DICOM SOP Instances in this ImagingManifest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B0nmMFMEea5pdrFDq-m2g">
            <body>Patient of the selected objects</body>
          </ownedComment>
          <ownedComment xmi:id="_5B0nnMFMEea5pdrFDq-m2g">
            <body>SOP instances selected in the ImagingManifest can be from different studies, but must be of the same patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B0nnsFMEea5pdrFDq-m2g">
            <body>SOP Instances in ImagingManifest must be from the same patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B0nkcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B0nksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B1OoMFMEea5pdrFDq-m2g" name="authoringTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5B1OpsFMEea5pdrFDq-m2g">
            <body>Date and time when the selection of the referenced instances were made. It is (typically) different from the creation date of the selection resource, and from dates associated with the referenced instances (e.g. capture time of the referenced image).</body>
          </ownedComment>
          <ownedComment xmi:id="_5B1OpMFMEea5pdrFDq-m2g">
            <body>Time when the selection of instances was made</body>
          </ownedComment>
          <ownedComment xmi:id="_5B1OqMFMEea5pdrFDq-m2g">
            <body>Date and time when the selection was made can be important to understand the content of selection.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B1OocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B1OosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B1OqsFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5B1OrsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5B11tMFMEea5pdrFDq-m2g">
            <body>Author of ImagingManifest. It can be a human author or a device which made the decision of the SOP instances selected. For example, a radiologist selected a set of imaging SOP instances to attach in a diagnostic report, and a CAD application may author a selection to describe SOP instances it used to generate a detection conclusion.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B11ssFMEea5pdrFDq-m2g">
            <body>Author (human or machine)</body>
          </ownedComment>
          <ownedComment xmi:id="_5B11tsFMEea5pdrFDq-m2g">
            <body>Track the selection decision maker.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B1Oq8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B1OrMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B11ucFMEea5pdrFDq-m2g" name="title" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5B5gFsFMEea5pdrFDq-m2g">
            <body>The reason for, or significance of, the selection of objects referenced in the resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B5gFMFMEea5pdrFDq-m2g">
            <body>Reason for selection</body>
          </ownedComment>
          <ownedComment xmi:id="_5B5gGMFMEea5pdrFDq-m2g">
            <body>Value set is a subset of DICOM Standard Part 16, CID-7010.  Common values are 113013 (Best in Set), 113000 (Of Interest), 113032 (Complete Study Content). The title value chosen may suggest whether the ImagingManifest references full study content, or only highlights. A DICOM Key Object Selection has a wide range of uses, indicated by the KOS title. Certain titles indicate that the referenced images should be removed or not used; ImagingManifest is not intended to support those uses.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B6HIMFMEea5pdrFDq-m2g">
            <body>Need to represent the application purpose that the SOP instances in ImagingManifest are selected for.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B11usFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B11u8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B6HIsFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5B6HKMFMEea5pdrFDq-m2g">
            <body>Text description of the DICOM SOP instances selected in the ImagingManifest. This should be aligned with the content of the title element, and can provide further explanation of the SOP instances in the selection.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B6HJsFMEea5pdrFDq-m2g">
            <body>Description text</body>
          </ownedComment>
          <ownedComment xmi:id="_5B6HKsFMEea5pdrFDq-m2g">
            <body>Free text narrative description of the ImagingManifest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B6HLMFMEea5pdrFDq-m2g">
            <body>Need to provide a narrative description of the SOP instances in the selection.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B6HI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B6HJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B6uM8FMEea5pdrFDq-m2g" name="study" type="_5B6uMMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5B7VQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5B7VRsFMEea5pdrFDq-m2g">
            <body>Study identity and locating information of the DICOM SOP instances in the selection.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B7VRMFMEea5pdrFDq-m2g">
            <body>Study identity of the selected instances</body>
          </ownedComment>
          <ownedComment xmi:id="_5B7VSMFMEea5pdrFDq-m2g">
            <body>Study component represents the study level identity and locator information of the DICOM SOP instances in the selection. It is the top level identity of the hierachical identification of the instances.</body>
          </ownedComment>
          <ownedComment xmi:id="_5B7VSsFMEea5pdrFDq-m2g">
            <body>DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the study level provide a means of retrieving the entire study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B6uNMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B6uNcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5B6uMMFMEea5pdrFDq-m2g" name="Study">
          <generalization xmi:id="_5B6uMcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5B7VTMFMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5B78U8FMEea5pdrFDq-m2g">
              <body>Study instance UID of the SOP instances in the selection.</body>
            </ownedComment>
            <ownedComment xmi:id="_5B78UcFMEea5pdrFDq-m2g">
              <body>Study instance UID</body>
            </ownedComment>
            <ownedComment xmi:id="_5B78VcFMEea5pdrFDq-m2g">
              <body>Study instance UID is required to fully identify the DICOM SOP instances in the selection.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B7VTcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B7VTsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5B78V8FMEea5pdrFDq-m2g" name="imagingStudy" type="_5BX7rcFMEea5pdrFDq-m2g" isOrdered="true" association="_5B78W8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5B8jYsFMEea5pdrFDq-m2g">
              <body>Reference to the Imaging Study in FHIR form.</body>
            </ownedComment>
            <ownedComment xmi:id="_5B8jYMFMEea5pdrFDq-m2g">
              <body>Reference to ImagingStudy</body>
            </ownedComment>
            <ownedComment xmi:id="_5B8jZMFMEea5pdrFDq-m2g">
              <body>Used to retrieve the ImagingStudy that contain the images referenced in the Imaging ObjectSelection.study.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B78WMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B78WcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5B9KccFMEea5pdrFDq-m2g" name="baseLocation" type="_5B8jZsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5B9KdcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5B9Ke8FMEea5pdrFDq-m2g">
              <body>Methods of accessing  (e.g., retrieving, viewing) the study.</body>
            </ownedComment>
            <ownedComment xmi:id="_5B9KecFMEea5pdrFDq-m2g">
              <body>Study access service endpoint</body>
            </ownedComment>
            <ownedComment xmi:id="_5B9xgcFMEea5pdrFDq-m2g">
              <body>Access methods for viewing (e.g. IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B9KcsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B9Kc8FMEea5pdrFDq-m2g" value="*"/>
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          <ownedAttribute xmi:id="_5B-_o8FMEea5pdrFDq-m2g" name="series" type="_5B-_oMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5B_msMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5B_mtsFMEea5pdrFDq-m2g">
              <body>Series identity and locating information of the DICOM SOP instances in the selection.</body>
            </ownedComment>
            <ownedComment xmi:id="_5B_mtMFMEea5pdrFDq-m2g">
              <body>Series identity of the selected instances</body>
            </ownedComment>
            <ownedComment xmi:id="_5B_muMFMEea5pdrFDq-m2g">
              <body>Series component represents the series level identity and locator information of the DICOM SOP instances in the selection.</body>
            </ownedComment>
            <ownedComment xmi:id="_5B_musFMEea5pdrFDq-m2g">
              <body>DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the series level provide a means of retrieving the entire series.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B-_pMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B-_pcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5B8jZsFMEea5pdrFDq-m2g" name="StudyBaseLocation">
            <generalization xmi:id="_5B8jZ8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5B9xg8FMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5B-YksFMEea5pdrFDq-m2g">
                <body>The service type for accessing (e.g., retrieving, viewing) the DICOM instances.</body>
              </ownedComment>
              <ownedComment xmi:id="_5B-YkMFMEea5pdrFDq-m2g">
                <body>WADO-RS | WADO-URI | IID</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B9xhMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B9xhcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5B-YlMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5B-YmsFMEea5pdrFDq-m2g">
                <body>The service URL for accessing the study. The interpretation of the URL depends on the type of the service specified in ImagingManifest.study.baseLocation.type.</body>
              </ownedComment>
              <ownedComment xmi:id="_5B-YmMFMEea5pdrFDq-m2g">
                <body>Study access URL</body>
              </ownedComment>
              <ownedComment xmi:id="_5B-YnMFMEea5pdrFDq-m2g">
                <body>This URL is to a service endpoint for the particular service indicated by ImagingManifest.study.baseLocation.type. Depending on the type of service, it is may be used to construct a URL to view, retrieve, or otherwise access the study or the study’s series or instances. For example, this element may be a DICOMweb WADO-RS endpoint.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B-YlcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B-YlsFMEea5pdrFDq-m2g" value="1"/>
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          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5B-_oMFMEea5pdrFDq-m2g" name="Series">
            <generalization xmi:id="_5B-_ocFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5B_mvMFMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5CANwsFMEea5pdrFDq-m2g">
                <body>Series instance UID of the SOP instances in the selection.</body>
              </ownedComment>
              <ownedComment xmi:id="_5CANwMFMEea5pdrFDq-m2g">
                <body>Series instance UID</body>
              </ownedComment>
              <ownedComment xmi:id="_5CANxMFMEea5pdrFDq-m2g">
                <body>Series instance UID is required to fully identify the DICOM SOP instances in the selection.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B_mvcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B_mvsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5CA00cFMEea5pdrFDq-m2g" name="baseLocation" type="_5CANxsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5CA01cFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5CA028FMEea5pdrFDq-m2g">
                <body>Methods of accessing (e.g. retrieving) the series.</body>
              </ownedComment>
              <ownedComment xmi:id="_5CA02cFMEea5pdrFDq-m2g">
                <body>Series access endpoint</body>
              </ownedComment>
              <ownedComment xmi:id="_5CA03cFMEea5pdrFDq-m2g">
                <body>Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CA00sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CA008FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5CCqAcFMEea5pdrFDq-m2g" name="instance" type="_5CCC-sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5CCqBcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5CDREcFMEea5pdrFDq-m2g">
                <body>Identity and locating information of the selected DICOM SOP instances.</body>
              </ownedComment>
              <ownedComment xmi:id="_5CCqCcFMEea5pdrFDq-m2g">
                <body>The selected instance</body>
              </ownedComment>
              <ownedComment xmi:id="_5CDRE8FMEea5pdrFDq-m2g">
                <body>SOP Instance component identify the instance selected, along with the study and series identities to form the DICOM identity hierachy.</body>
              </ownedComment>
              <ownedComment xmi:id="_5CDRFcFMEea5pdrFDq-m2g">
                <body>DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. This is the instance level identity of the instance in the selection.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CCqAsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CCqA8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5CANxsFMEea5pdrFDq-m2g" name="SeriesBaseLocation">
              <generalization xmi:id="_5CANx8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5CBb4MFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5CBb58FMEea5pdrFDq-m2g">
                  <body>The service type for accessing (e.g., retrieving) the DICOM instances.</body>
                </ownedComment>
                <ownedComment xmi:id="_5CBb5cFMEea5pdrFDq-m2g">
                  <body>WADO-RS | WADO-URI | IID</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CBb4cFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CBb4sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5CCC8MFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5CCC9sFMEea5pdrFDq-m2g">
                  <body>The service URL for accessing the study. The interpretation of the URL depends on the type of the service specified in ImagingManifest.study.series.baseLocation.type.</body>
                </ownedComment>
                <ownedComment xmi:id="_5CCC9MFMEea5pdrFDq-m2g">
                  <body>Series access URL</body>
                </ownedComment>
                <ownedComment xmi:id="_5CCC-MFMEea5pdrFDq-m2g">
                  <body>This URL is to a service endpoint for the particular service indicated by ImagingManifest.study.series.baseLocation.type. Depending on the type of service, it is may be used to construct a URL to retrieve, or otherwise access, the series or the series’ instances. For example, this element may be a DICOMweb WADO-RS endpoint.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CCC8cFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CCC8sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5CCC-sFMEea5pdrFDq-m2g" name="Instance">
              <generalization xmi:id="_5CCC-8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5CDRF8FMEea5pdrFDq-m2g" name="sopClass" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5CDRHcFMEea5pdrFDq-m2g">
                  <body>SOP class UID of the selected instance.</body>
                </ownedComment>
                <ownedComment xmi:id="_5CDRG8FMEea5pdrFDq-m2g">
                  <body>SOP class UID of instance</body>
                </ownedComment>
                <ownedComment xmi:id="_5CD4IcFMEea5pdrFDq-m2g">
                  <body>SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.</body>
                </ownedComment>
                <ownedComment xmi:id="_5CD4I8FMEea5pdrFDq-m2g">
                  <body>DICOM SOP instances can be an image or other data object. The SOP class UID provide the accurate information about what type the instance is.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CDRGMFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CDRGcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5CD4JcFMEea5pdrFDq-m2g" name="uid" type="_4alBY8FMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5CD4K8FMEea5pdrFDq-m2g">
                  <body>SOP Instance UID of the selected instance.</body>
                </ownedComment>
                <ownedComment xmi:id="_5CD4KcFMEea5pdrFDq-m2g">
                  <body>Selected instance UID</body>
                </ownedComment>
                <ownedComment xmi:id="_5CD4LcFMEea5pdrFDq-m2g">
                  <body>SOP instance UID identifies the instance.</body>
                </ownedComment>
                <ownedComment xmi:id="_5CEfMcFMEea5pdrFDq-m2g">
                  <body>SOP instance UID is required to fully identify the DICOM SOP instance in the selection.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CD4JsFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CD4J8FMEea5pdrFDq-m2g" value="1"/>
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            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5B0nlMFMEea5pdrFDq-m2g" memberEnd="_5B0nlcFMEea5pdrFDq-m2g _5B0nkMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5B0nlcFMEea5pdrFDq-m2g" type="_5ByyZsFMEea5pdrFDq-m2g" association="_5B0nlMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B0nl8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5B1OrsFMEea5pdrFDq-m2g" memberEnd="_5B1Or8FMEea5pdrFDq-m2g _5B1OqsFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5B78W8FMEea5pdrFDq-m2g" memberEnd="_5B78XMFMEea5pdrFDq-m2g _5B78V8FMEea5pdrFDq-m2g">
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      </packagedElement>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5CEfN8FMEea5pdrFDq-m2g" memberEnd="_5CEfOMFMEea5pdrFDq-m2g _5CEfM8FMEea5pdrFDq-m2g">
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      <packagedElement xmi:type="uml:Class" xmi:id="_5CGUbMFMEea5pdrFDq-m2g" name="Media">
        <ownedComment xmi:id="_5CIwp8FMEea5pdrFDq-m2g">
          <body>A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.</body>
        </ownedComment>
        <ownedComment xmi:id="_5CIwosFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Media Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5CIwpcFMEea5pdrFDq-m2g">
          <body>A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference</body>
        </ownedComment>
        <ownedRule xmi:id="_5CG7cMFMEea5pdrFDq-m2g" name="mda-1" constrainedElement="_5CGUbMFMEea5pdrFDq-m2g _5CNCGsFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(f:type/@value='audio') or not(f:height)</body>
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        </ownedRule>
        <ownedRule xmi:id="_5CG7c8FMEea5pdrFDq-m2g" name="mda-2" constrainedElement="_5CGUbMFMEea5pdrFDq-m2g _5CNpI8FMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(f:type/@value='audio') or not(f:width)</body>
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        </ownedRule>
        <ownedRule xmi:id="_5CHigcFMEea5pdrFDq-m2g" name="mda-3" constrainedElement="_5CGUbMFMEea5pdrFDq-m2g _5CNpK8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5CHigsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:type/@value='photo') or not(f:frames)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5CHihMFMEea5pdrFDq-m2g" name="mda-4" constrainedElement="_5CGUbMFMEea5pdrFDq-m2g _5COQNMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5CHihcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:type/@value='photo') or not(f:duration)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5CIwpMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5CJXscFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CJXt8FMEea5pdrFDq-m2g">
            <body>Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CJXtcFMEea5pdrFDq-m2g">
            <body>Identifier(s) for the image</body>
          </ownedComment>
          <ownedComment xmi:id="_5CJXucFMEea5pdrFDq-m2g">
            <body>The identifier label and use can be used to determine what kind of identifier it is.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CJXssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CJXs8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CJXu8FMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CJ-xcFMEea5pdrFDq-m2g">
            <body>Whether the media is a photo (still image), an audio recording, or a video recording.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CJ-w8FMEea5pdrFDq-m2g">
            <body>photo | video | audio</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CJXvMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CJXvcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CKl0MFMEea5pdrFDq-m2g" name="subtype" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CLM4sFMEea5pdrFDq-m2g">
            <body>Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CLM4MFMEea5pdrFDq-m2g">
            <body>The type of acquisition equipment/process</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CKl0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CKl0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CLM5MFMEea5pdrFDq-m2g" name="view" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CLz8sFMEea5pdrFDq-m2g">
            <body>The name of the imaging view e.g. Lateral or Antero-posterior (AP).</body>
          </ownedComment>
          <ownedComment xmi:id="_5CLz8MFMEea5pdrFDq-m2g">
            <body>Imaging view, e.g. Lateral or Antero-posterior</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CLM5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CLM5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CLz9MFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CLz-MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CMbAsFMEea5pdrFDq-m2g">
            <body>Who/What this Media is a record of.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CMbAMFMEea5pdrFDq-m2g">
            <body>Who/What this Media is a record of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CLz9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CLz9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CMbBcFMEea5pdrFDq-m2g" name="operator" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5CMbCcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CNCEMFMEea5pdrFDq-m2g">
            <body>The person who administered the collection of the image.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CMbDcFMEea5pdrFDq-m2g">
            <body>The person who generated the image</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CMbBsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CMbB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CNCEsFMEea5pdrFDq-m2g" name="deviceName" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CNCGMFMEea5pdrFDq-m2g">
            <body>The name of the device / manufacturer of the device  that was used to make the recording.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CNCFsFMEea5pdrFDq-m2g">
            <body>Name of the device/manufacturer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CNCE8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CNCFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CNCGsFMEea5pdrFDq-m2g" name="height" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CNpIcFMEea5pdrFDq-m2g">
            <body>Height of the image in pixels (photo/video).</body>
          </ownedComment>
          <ownedComment xmi:id="_5CNCHsFMEea5pdrFDq-m2g">
            <body>Height of the image in pixels (photo/video)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CNCG8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CNCHMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CNpI8FMEea5pdrFDq-m2g" name="width" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CNpKcFMEea5pdrFDq-m2g">
            <body>Width of the image in pixels (photo/video).</body>
          </ownedComment>
          <ownedComment xmi:id="_5CNpJ8FMEea5pdrFDq-m2g">
            <body>Width of the image in pixels (photo/video)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CNpJMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CNpJcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CNpK8FMEea5pdrFDq-m2g" name="frames" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5COQMsFMEea5pdrFDq-m2g">
            <body>The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5COQMMFMEea5pdrFDq-m2g">
            <body>Number of frames if > 1 (photo)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CNpLMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CNpLcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5COQNMFMEea5pdrFDq-m2g" name="duration" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5COQOsFMEea5pdrFDq-m2g">
            <body>The duration of the recording in seconds - for audio and video.</body>
          </ownedComment>
          <ownedComment xmi:id="_5COQOMFMEea5pdrFDq-m2g">
            <body>Length in seconds (audio / video)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5COQNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5COQNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5COQPMFMEea5pdrFDq-m2g" name="content" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CO3Q8FMEea5pdrFDq-m2g">
            <body>The actual content of the media - inline or by direct reference to the media source file.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CO3QcFMEea5pdrFDq-m2g">
            <body>Actual Media - reference or data</body>
          </ownedComment>
          <ownedComment xmi:id="_5CO3RcFMEea5pdrFDq-m2g">
            <body>Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5COQPcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5COQPsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CLz-MFMEea5pdrFDq-m2g" memberEnd="_5CLz-cFMEea5pdrFDq-m2g _5CLz9MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CLz-cFMEea5pdrFDq-m2g" type="_5CGUbMFMEea5pdrFDq-m2g" association="_5CLz-MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CLz-sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CLz-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CMbCcFMEea5pdrFDq-m2g" memberEnd="_5CMbCsFMEea5pdrFDq-m2g _5CMbBcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CMbCsFMEea5pdrFDq-m2g" type="_5CGUbMFMEea5pdrFDq-m2g" association="_5CMbCcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CMbC8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CMbDMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CO3S8FMEea5pdrFDq-m2g" memberEnd="_5CO3TMFMEea5pdrFDq-m2g _5CO3R8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CO3TMFMEea5pdrFDq-m2g" type="_5CFGRMFMEea5pdrFDq-m2g" association="_5CO3S8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CO3TcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CO3TsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CU96MFMEea5pdrFDq-m2g" memberEnd="_5CU96cFMEea5pdrFDq-m2g _5CU95MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CU96cFMEea5pdrFDq-m2g" type="_5BBWV8FMEea5pdrFDq-m2g" association="_5CU96MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CU96sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CU968FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CYBMMFMEea5pdrFDq-m2g" memberEnd="_5CYBMcFMEea5pdrFDq-m2g _5CXaJcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CYBMcFMEea5pdrFDq-m2g" type="_5CWMAMFMEea5pdrFDq-m2g" association="_5CYBMMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CYBMsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CYBM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5CZPVsFMEea5pdrFDq-m2g" name="MedicationAdministration">
        <ownedComment xmi:id="_5CbEh8FMEea5pdrFDq-m2g">
          <body>Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.</body>
        </ownedComment>
        <ownedComment xmi:id="_5CbEgsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MedicationAdministration Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5CbEhcFMEea5pdrFDq-m2g">
          <body>Administration of medication to a patient</body>
        </ownedComment>
        <ownedComment xmi:id="_5CbEicFMEea5pdrFDq-m2g">
          <body>The WG will be updating the MedicationAdministration resource  to adjust each affected resource to align with the workflow pattern (see workflow.html).</body>
        </ownedComment>
        <ownedRule xmi:id="_5CZPV8FMEea5pdrFDq-m2g" name="mad-2" constrainedElement="_5CZPVsFMEea5pdrFDq-m2g _5ChLKsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5CZPWMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:reasonNotGiven) and f:notGiven/@value=false())</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5CZ2YcFMEea5pdrFDq-m2g" name="mad-3" constrainedElement="_5CZPVsFMEea5pdrFDq-m2g _5CiZQsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5CZ2YsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:reasonGiven) and f:notGiven/@value=true())</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5CadcMFMEea5pdrFDq-m2g" name="mad-1" constrainedElement="_5CkOccFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5CadccFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:dose) or exists(f:rateRatio) or exists(f:rateRange)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5CbEhMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5CbrkMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CbrlsFMEea5pdrFDq-m2g">
            <body>External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource.  The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated; an administration while the patient was off the ward might be made with a different system and entered after the event.  Particularly important if these records have to be updated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CbrlMFMEea5pdrFDq-m2g">
            <body>External identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CbrkcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CbrksFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CbrmMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CcSpMFMEea5pdrFDq-m2g">
            <body>Will generally be set to show that the administration has been completed.  For some long running administrations such as infusions it is possible for an administration to be started but not completed or it may be paused while some other process is under way.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CcSosFMEea5pdrFDq-m2g">
            <body>in-progress | on-hold | completed | entered-in-error | stopped</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CbrmcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CbrmsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CcSpsFMEea5pdrFDq-m2g" name="medication[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Cc5tMFMEea5pdrFDq-m2g">
            <body>Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cc5ssFMEea5pdrFDq-m2g">
            <body>What was administered</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cc5tsFMEea5pdrFDq-m2g">
            <body>If only a code is specified, then it needs to be a code for a specific product.  If more information is required, then the use of the medication resource is recommended.  Note: do not use Medication.name to describe the administered medication. When the only available information is a text description of the medication, Medication.code.text should be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CcSp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CcSqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CdgwsFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5CdgxsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CeH0MFMEea5pdrFDq-m2g">
            <body>The person or animal receiving the medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CdgysFMEea5pdrFDq-m2g">
            <body>Who received medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cdgw8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CdgxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CeH0sFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5CeH1sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CeH3MFMEea5pdrFDq-m2g">
            <body>The visit, admission or other contact between patient and health care provider the medication administration was performed as part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CeH2sFMEea5pdrFDq-m2g">
            <body>Encounter administered as part of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CeH08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CeH1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ceu4MFMEea5pdrFDq-m2g" name="supportingInformation" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Ceu5MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Ceu6sFMEea5pdrFDq-m2g">
            <body>Additional information (for example, patient height and weight) that supports the administration of the medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ceu6MFMEea5pdrFDq-m2g">
            <body>Additional information to support administration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ceu4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ceu4sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ceu7MFMEea5pdrFDq-m2g" name="effective[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CfV88FMEea5pdrFDq-m2g">
            <body>A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CfV8cFMEea5pdrFDq-m2g">
            <body>Start and end time of administration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ceu7cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ceu7sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CfV9sFMEea5pdrFDq-m2g" name="performer" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5CfV-sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Cf9AsFMEea5pdrFDq-m2g">
            <body>The individual who was responsible for giving the medication to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cf9AMFMEea5pdrFDq-m2g">
            <body>Who administered substance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CfV98FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CfV-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Cf9BcFMEea5pdrFDq-m2g" name="reasonReference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Cf9CcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CgkEMFMEea5pdrFDq-m2g">
            <body>Condition or observation that supports why the medication was administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cf9DcFMEea5pdrFDq-m2g">
            <body>Condition or Observation that supports why the medication was administered</body>
          </ownedComment>
          <ownedComment xmi:id="_5CgkEsFMEea5pdrFDq-m2g">
            <body>This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cf9BsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cf9B8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CgkFcFMEea5pdrFDq-m2g" name="prescription" type="_4_8YQMFMEea5pdrFDq-m2g" isOrdered="true" association="_5CgkGcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ChLIMFMEea5pdrFDq-m2g">
            <body>The original request, instruction or authority to perform the administration.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CgkHcFMEea5pdrFDq-m2g">
            <body>Request administration performed against</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CgkFsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CgkF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ChLIsFMEea5pdrFDq-m2g" name="notGiven" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ChLKMFMEea5pdrFDq-m2g">
            <body>Set this to true if the record is saying that the medication was NOT administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ChLJsFMEea5pdrFDq-m2g">
            <body>True if medication not administered</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ChLI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ChLJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ChLKsFMEea5pdrFDq-m2g" name="reasonNotGiven" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CiZQMFMEea5pdrFDq-m2g">
            <body>A code indicating why the administration was not performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ChyNMFMEea5pdrFDq-m2g">
            <body>Reason administration not performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ChLK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ChLLMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CiZQsFMEea5pdrFDq-m2g" name="reasonGiven" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CjAUsFMEea5pdrFDq-m2g">
            <body>A code indicating why the medication was given.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CjAUMFMEea5pdrFDq-m2g">
            <body>Reason administration performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CiZQ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CiZRMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CjAVMFMEea5pdrFDq-m2g" name="device" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5CjAWMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CjnYMFMEea5pdrFDq-m2g">
            <body>The device used in administering the medication to the patient.  For example, a particular infusion pump.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CjAXMFMEea5pdrFDq-m2g">
            <body>Device used to administer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CjAVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CjAVsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CjnYsFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5CjnaMFMEea5pdrFDq-m2g">
            <body>Extra information about the medication administration that is not conveyed by the other attributes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CjnZsFMEea5pdrFDq-m2g">
            <body>Information about the administration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CjnY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CjnZMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CkOccFMEea5pdrFDq-m2g" name="dosage" type="_5CjnasFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5CkOdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5CkOe8FMEea5pdrFDq-m2g">
            <body>Describes the medication dosage information details e.g. dose, rate, site, route, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5CkOecFMEea5pdrFDq-m2g">
            <body>Details of how medication was taken</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CkOcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CkOc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Cn42MFMEea5pdrFDq-m2g" name="eventHistory" type="_48ATcMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Cof4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Cof5sFMEea5pdrFDq-m2g">
            <body>A summary of the events of interest that have occurred, such as when the administration was verified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cof5MFMEea5pdrFDq-m2g">
            <body>A list of events of interest in the lifecycle</body>
          </ownedComment>
          <ownedComment xmi:id="_5Cof6MFMEea5pdrFDq-m2g">
            <body>See usage notes in Request pattern in request history.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cn42cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cn42sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5CjnasFMEea5pdrFDq-m2g" name="Dosage">
          <generalization xmi:id="_5Cjna8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Ck1gcFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ck1h8FMEea5pdrFDq-m2g">
              <body>Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.  The dosage instructions should reflect the dosage of the medication that was administered.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ck1hcFMEea5pdrFDq-m2g">
              <body>Free text dosage instructions e.g. SIG</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ck1gsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ck1g8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ck1icFMEea5pdrFDq-m2g" name="site" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Clck8FMEea5pdrFDq-m2g">
              <body>A coded specification of the anatomic site where the medication first entered the body.  For example, &quot;left arm&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ClckcFMEea5pdrFDq-m2g">
              <body>Body site administered to</body>
            </ownedComment>
            <ownedComment xmi:id="_5ClclcFMEea5pdrFDq-m2g">
              <body>If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](extension-body-site-instance.html).  May be a summary code, or a reference to a very precise definition of the location, or both.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ck1isFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ck1i8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Clcl8FMEea5pdrFDq-m2g" name="route" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5CmDo8FMEea5pdrFDq-m2g">
              <body>A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CmDocFMEea5pdrFDq-m2g">
              <body>Path of substance into body</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ClcmMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ClcmcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5CmDpcFMEea5pdrFDq-m2g" name="method" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Cmqs8FMEea5pdrFDq-m2g">
              <body>A coded value indicating the method by which the medication is intended to be or was introduced into or on the body.  This attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CmqscFMEea5pdrFDq-m2g">
              <body>How drug was administered</body>
            </ownedComment>
            <ownedComment xmi:id="_5CmqtcFMEea5pdrFDq-m2g">
              <body>One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CmDpsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CmDp8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Cmqt8FMEea5pdrFDq-m2g" name="dose" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5CnRw8FMEea5pdrFDq-m2g">
              <body>The amount of the medication given at one administration event.   Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.</body>
            </ownedComment>
            <ownedComment xmi:id="_5CnRwcFMEea5pdrFDq-m2g">
              <body>Amount of medication per dose</body>
            </ownedComment>
            <ownedComment xmi:id="_5CnRxcFMEea5pdrFDq-m2g">
              <body>If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CmquMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CmqucFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5CnRx8FMEea5pdrFDq-m2g" name="rate[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Cn408FMEea5pdrFDq-m2g">
              <body>Identifies the speed with which the medication was or will be introduced into the patient.  Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Cn40cFMEea5pdrFDq-m2g">
              <body>Dose quantity per unit of time</body>
            </ownedComment>
            <ownedComment xmi:id="_5Cn41cFMEea5pdrFDq-m2g">
              <body>If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CnRyMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CnRycFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CdgxsFMEea5pdrFDq-m2g" memberEnd="_5Cdgx8FMEea5pdrFDq-m2g _5CdgwsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Cdgx8FMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5CdgxsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CdgyMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CdgycFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CeH1sFMEea5pdrFDq-m2g" memberEnd="_5CeH18FMEea5pdrFDq-m2g _5CeH0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CeH18FMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5CeH1sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CeH2MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CeH2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Ceu5MFMEea5pdrFDq-m2g" memberEnd="_5Ceu5cFMEea5pdrFDq-m2g _5Ceu4MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Ceu5cFMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5Ceu5MFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ceu58FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CfV-sFMEea5pdrFDq-m2g" memberEnd="_5CfV-8FMEea5pdrFDq-m2g _5CfV9sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CfV-8FMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5CfV-sFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CfV_cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Cf9CcFMEea5pdrFDq-m2g" memberEnd="_5Cf9CsFMEea5pdrFDq-m2g _5Cf9BcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Cf9CsFMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5Cf9CcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cf9DMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CgkGcFMEea5pdrFDq-m2g" memberEnd="_5CgkGsFMEea5pdrFDq-m2g _5CgkFcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CgkGsFMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5CgkGcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CgkHMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CjAWMFMEea5pdrFDq-m2g" memberEnd="_5CjAWcFMEea5pdrFDq-m2g _5CjAVMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CjAWcFMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5CjAWMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CjAW8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CkOdcFMEea5pdrFDq-m2g" memberEnd="_5CkOdsFMEea5pdrFDq-m2g _5CkOccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5CkOdsFMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5CkOdcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CkOeMFMEea5pdrFDq-m2g" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5Cof4MFMEea5pdrFDq-m2g" memberEnd="_5Cof4cFMEea5pdrFDq-m2g _5Cn42MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Cof4cFMEea5pdrFDq-m2g" type="_5CZPVsFMEea5pdrFDq-m2g" association="_5Cof4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Cof4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Cof48FMEea5pdrFDq-m2g" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5CpG8MFMEea5pdrFDq-m2g" memberEnd="_5CpG8cFMEea5pdrFDq-m2g _5Cof6sFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CpG88FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CpG_cFMEea5pdrFDq-m2g" memberEnd="_5CpG_sFMEea5pdrFDq-m2g _5CpG-cFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CpHAMFMEea5pdrFDq-m2g" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5CpuC8FMEea5pdrFDq-m2g" memberEnd="_5CpuDMFMEea5pdrFDq-m2g _5CpuB8FMEea5pdrFDq-m2g">
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      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5C0tIcFMEea5pdrFDq-m2g" name="Sequence">
        <ownedComment xmi:id="_5C3JZsFMEea5pdrFDq-m2g">
          <body>Raw data describing a biological sequence.</body>
        </ownedComment>
        <ownedComment xmi:id="_5C3JYcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Sequence Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5C3JZMFMEea5pdrFDq-m2g">
          <body>Information about a biological sequence</body>
        </ownedComment>
        <ownedRule xmi:id="_5C0tIsFMEea5pdrFDq-m2g" name="seq-3" constrainedElement="_5C0tIcFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>count(f:coordinateSystem[@value=0 and @value=1]) = 1</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5C1UMMFMEea5pdrFDq-m2g" name="seq-4" constrainedElement="_5C7a0cFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(exists(f:strand)) or count(f:strand[@value=-1 and @value=1]) = 1</body>
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        </ownedRule>
        <ownedRule xmi:id="_5C1UM8FMEea5pdrFDq-m2g" name="seq-5" constrainedElement="_5C7a0cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5C1UNMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(exists(f:chromosome) and exists(f:genomeBuild)) or (not(exists(f:chromosome)) and not(exists(f:genomeBuild)))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5C17QcFMEea5pdrFDq-m2g" name="seq-6" constrainedElement="_5C7a0cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5C17QsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:genomeBuild)+count(f:referenceSeqId)+count(f:referenceSeqPointer)+count(f:referenceSeqString)=1</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5C3JY8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5C3JaMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5C3JbsFMEea5pdrFDq-m2g">
            <body>A unique identifier for this particular sequence instance. This is a FHIR-defined id.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C3JbMFMEea5pdrFDq-m2g">
            <body>Unique ID for this particular sequence. This is a FHIR-defined id</body>
          </ownedComment>
          <ownedComment xmi:id="_5C3wcMFMEea5pdrFDq-m2g">
            <body>Allows sequences to be distinguished and referenced.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C3JacFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C3JasFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C3wcsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5C4XgsFMEea5pdrFDq-m2g">
            <body>Amino Acid Sequence/ DNA Sequence / RNA Sequence.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C4XgMFMEea5pdrFDq-m2g">
            <body>AA | DNA | RNA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C3wc8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C3wdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C4XhMFMEea5pdrFDq-m2g" name="coordinateSystem" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5C4-kcFMEea5pdrFDq-m2g">
            <body>Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).</body>
          </ownedComment>
          <ownedComment xmi:id="_5C4XiMFMEea5pdrFDq-m2g">
            <body>Base number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C4XhcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C4XhsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C4-k8FMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5C4-l8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5C4-ncFMEea5pdrFDq-m2g">
            <body>The patient whose sequencing results are described by this resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C4-m8FMEea5pdrFDq-m2g">
            <body>Who and/or what this is about</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C4-lMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C4-lcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C5loMFMEea5pdrFDq-m2g" name="specimen" type="_47umpMFMEea5pdrFDq-m2g" isOrdered="true" association="_5C5lpMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5C5lqsFMEea5pdrFDq-m2g">
            <body>Specimen used for sequencing.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C5lqMFMEea5pdrFDq-m2g">
            <body>Specimen used for sequencing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C5locFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C5losFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C5lrMFMEea5pdrFDq-m2g" name="device" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5C6MsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5C6MtsFMEea5pdrFDq-m2g">
            <body>The method for sequencing, for example, chip information.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C6MtMFMEea5pdrFDq-m2g">
            <body>The method for sequencing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C5lrcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C5lrsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C6MuMFMEea5pdrFDq-m2g" name="performer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5C6MvMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5C6zxcFMEea5pdrFDq-m2g">
            <body>The organization or lab that should be responsible for this result.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C6zw8FMEea5pdrFDq-m2g">
            <body>Who should be responsible for test result</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C6MucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C6MusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C6zx8FMEea5pdrFDq-m2g" name="quantity" type="_4a1gFMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5C6zzcFMEea5pdrFDq-m2g">
            <body>The number of copies of the seqeunce of interest. (RNASeq).</body>
          </ownedComment>
          <ownedComment xmi:id="_5C6zy8FMEea5pdrFDq-m2g">
            <body>The number of copies of the seqeunce of interest.  (RNASeq)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C6zyMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C6zycFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5C7a0cFMEea5pdrFDq-m2g" name="referenceSeq" type="_5C6zz8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5C7a1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5C8B4sFMEea5pdrFDq-m2g">
            <body>A sequence that is used as a reference to describe variants that are present in a sequence analyzed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5C8B4MFMEea5pdrFDq-m2g">
            <body>Reference sequence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C7a0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C7a08FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DATVcFMEea5pdrFDq-m2g" name="variant" type="_5DATUsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DA6YcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DA6Z8FMEea5pdrFDq-m2g">
            <body>The definition of variant here originates from Sequence ontology ([variant_of](http://www.sequenceontology.org/browser/current_svn/term/variant_of)). This element can represent amino acid or nucleic sequence change(including insertion,deletion,SNP,etc.)  It can represent some complex mutation or segment variation with the assist of CIGAR string.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DA6ZcFMEea5pdrFDq-m2g">
            <body>Sequence variant</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DATVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DATV8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DDWoMFMEea5pdrFDq-m2g" name="observedSeq" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DDWpsFMEea5pdrFDq-m2g">
            <body>Sequence that was observed. It is the result marked by referenceSeq along with variant records on referenceSeq. This shall starts from referenceSeq.windowStart and end by referenceSeq.windowEnd.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DDWpMFMEea5pdrFDq-m2g">
            <body>Observed sequence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DDWocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DDWosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DD9scFMEea5pdrFDq-m2g" name="quality" type="_5DDWqMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DD9tcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DD9u8FMEea5pdrFDq-m2g">
            <body>An experimental feature attribute that defines the quality of the feature in a quantitative way, such as a phred quality score ([SO:0001686](http://www.sequenceontology.org/browser/current_svn/term/SO:0001686)).</body>
          </ownedComment>
          <ownedComment xmi:id="_5DD9ucFMEea5pdrFDq-m2g">
            <body>Sequence quality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DD9ssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DD9s8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DJdScFMEea5pdrFDq-m2g" name="readCoverage" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DKEUsFMEea5pdrFDq-m2g">
            <body>Coverage (read depth or depth) is the average number of reads representing a given nucleotide in the reconstructed sequence.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DKEUMFMEea5pdrFDq-m2g">
            <body>Average number of reads representing a given nucleotide in the reconstructed sequence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DJdSsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DJdS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DKrYcFMEea5pdrFDq-m2g" name="repository" type="_5DKEVMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DKrZcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DKra8FMEea5pdrFDq-m2g">
            <body>Configurations of the external repository. The repository shall store target's observedSeq or records related with target's observedSeq.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DKracFMEea5pdrFDq-m2g">
            <body>External repository which contains detailed report related with observedSeq in this resource</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DKrYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DKrY8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DNHrMFMEea5pdrFDq-m2g" name="pointer" type="_5C0tIcFMEea5pdrFDq-m2g" isOrdered="true" association="_5DNussFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DNuuMFMEea5pdrFDq-m2g">
            <body>Pointer to next atomic sequence which at most contains one variant.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DNutsFMEea5pdrFDq-m2g">
            <body>Pointer to next atomic sequence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DNHrcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DNusMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DOVwcFMEea5pdrFDq-m2g" name="structureVariant" type="_5DNuusFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DOVxcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DOVy8FMEea5pdrFDq-m2g">
            <body>Structural variant.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DOVycFMEea5pdrFDq-m2g">
            <body>Structural variant</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DOVwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DOVw8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5C6zz8FMEea5pdrFDq-m2g" name="ReferenceSeq">
          <generalization xmi:id="_5C6z0MFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5C8B5MFMEea5pdrFDq-m2g" name="chromosome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5C8o88FMEea5pdrFDq-m2g">
              <body>Structural unit composed of a nucleic acid molecule which controls its own replication through the interaction of specific proteins at one or more origins of replication ([SO:0000340](http://www.sequenceontology.org/browser/current_svn/term/SO:0000340)).</body>
            </ownedComment>
            <ownedComment xmi:id="_5C8o8cFMEea5pdrFDq-m2g">
              <body>Chromosome containing genetic finding</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C8B5cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C8B5sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C9QAMFMEea5pdrFDq-m2g" name="genomeBuild" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5C9QBsFMEea5pdrFDq-m2g">
              <body>The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'.  Version number must be included if a versioned release of a primary build was used.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C9QBMFMEea5pdrFDq-m2g">
              <body>The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C9QAcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C9QAsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C9QCMFMEea5pdrFDq-m2g" name="referenceSeqId" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5C93FMFMEea5pdrFDq-m2g">
              <body>Reference identifier of reference sequence submitted to NCBI. It must match the type in the Sequence.type field. For example, the prefix, “NG_” identifies reference sequence for genes, “NM_” for messenger RNA transcripts, and “NP_” for amino acid sequences.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C93EsFMEea5pdrFDq-m2g">
              <body>Reference identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C9QCcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C9QCsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C-eIMFMEea5pdrFDq-m2g" name="referenceSeqPointer" type="_5C0tIcFMEea5pdrFDq-m2g" isOrdered="true" association="_5C-eJMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5C-eKsFMEea5pdrFDq-m2g">
              <body>A Pointer to another Sequence entity as reference sequence.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C-eKMFMEea5pdrFDq-m2g">
              <body>A Pointer to another Sequence entity as reference sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C-eIcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C-eIsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C-eLMFMEea5pdrFDq-m2g" name="referenceSeqString" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5C_FM8FMEea5pdrFDq-m2g">
              <body>A Reference Sequence string.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C_FMcFMEea5pdrFDq-m2g">
              <body>A Reference Sequence string</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C-eLcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C-eLsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C_FNcFMEea5pdrFDq-m2g" name="strand" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5C_FO8FMEea5pdrFDq-m2g">
              <body>Directionality of DNA sequence. Available values are &quot;1&quot; for the plus strand (5' to 3')/Watson/Sense/positive  and &quot;-1&quot; for the minus strand(3' to 5')/Crick/Antisense/negative.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C_FOcFMEea5pdrFDq-m2g">
              <body>Directionality of DNA ( +1/-1)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C_FNsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C_FN8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C_sQMFMEea5pdrFDq-m2g" name="windowStart" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5C_sRsFMEea5pdrFDq-m2g">
              <body>Start position of the window on the reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C_sRMFMEea5pdrFDq-m2g">
              <body>Start position of the window on the  reference sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C_sQcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C_sQsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5C_sSMFMEea5pdrFDq-m2g" name="windowEnd" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DATUMFMEea5pdrFDq-m2g">
              <body>End position of the window on the reference sequence. If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.</body>
            </ownedComment>
            <ownedComment xmi:id="_5C_sTMFMEea5pdrFDq-m2g">
              <body>End position of the window on the reference sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5C_sScFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5C_sSsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5DATUsFMEea5pdrFDq-m2g" name="Variant">
          <generalization xmi:id="_5DATU8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5DA6acFMEea5pdrFDq-m2g" name="start" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DA6b8FMEea5pdrFDq-m2g">
              <body>Start position of the variant on the  reference sequence.If the coordinate system is either 0-based or 1-based, then start position is inclusive.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DA6bcFMEea5pdrFDq-m2g">
              <body>Start position of the variant on the  reference sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DA6asFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DA6a8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DBhccFMEea5pdrFDq-m2g" name="end" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DBhd8FMEea5pdrFDq-m2g">
              <body>End position of the variant on the reference sequence.If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DBhdcFMEea5pdrFDq-m2g">
              <body>End position of the variant on the reference sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DBhcsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DBhc8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DBhecFMEea5pdrFDq-m2g" name="observedAllele" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DCIgcFMEea5pdrFDq-m2g">
              <body>An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)).  Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the observed  sequence. When the sequence  type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DBhfcFMEea5pdrFDq-m2g">
              <body>Allele that was observed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DBhesFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DBhe8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DCIg8FMEea5pdrFDq-m2g" name="referenceAllele" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DCIicFMEea5pdrFDq-m2g">
              <body>An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the reference sequence. When the sequence  type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DCIh8FMEea5pdrFDq-m2g">
              <body>Allele of reference sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DCIhMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DCIhcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DCIi8FMEea5pdrFDq-m2g" name="cigar" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DCvksFMEea5pdrFDq-m2g">
              <body>Extended CIGAR string for aligning the sequence with reference bases. See detailed documentation [here](http://support.illumina.com/help/SequencingAnalysisWorkflow/Content/Vault/Informatics/Sequencing_Analysis/CASAVA/swSEQ_mCA_ExtendedCIGARFormat.htm).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DCvkMFMEea5pdrFDq-m2g">
              <body>Extended CIGAR string for aligning the sequence with reference bases</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DCIjMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DCIjcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DCvlMFMEea5pdrFDq-m2g" name="variantPointer" type="_47eH8MFMEea5pdrFDq-m2g" isOrdered="true" association="_5DCvmMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5DCvnsFMEea5pdrFDq-m2g">
              <body>A pointer to an Observation containing variant information.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DCvnMFMEea5pdrFDq-m2g">
              <body>Pointer to observed variant information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DCvlcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DCvlsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5DDWqMFMEea5pdrFDq-m2g" name="Quality">
          <generalization xmi:id="_5DDWqcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5DEkwMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DFL0cFMEea5pdrFDq-m2g">
              <body>INDEL / SNP / Undefined variant.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DEkx8FMEea5pdrFDq-m2g">
              <body>INDEL | SNP | UNKNOWN</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DEkwcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DEkwsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DFL08FMEea5pdrFDq-m2g" name="standardSequence" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DFL2cFMEea5pdrFDq-m2g">
              <body>Gold standard sequence used for comparing against.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DFL18FMEea5pdrFDq-m2g">
              <body>Standard sequence for comparison</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DFL1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DFL1cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DFL28FMEea5pdrFDq-m2g" name="start" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DFy4sFMEea5pdrFDq-m2g">
              <body>Start position of the sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DFy4MFMEea5pdrFDq-m2g">
              <body>Start position of the sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DFL3MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DFL3cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DFy5MFMEea5pdrFDq-m2g" name="end" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DFy6sFMEea5pdrFDq-m2g">
              <body>End position of the sequence.If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DFy6MFMEea5pdrFDq-m2g">
              <body>End position of the sequence</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DFy5cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DFy5sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DFy7MFMEea5pdrFDq-m2g" name="score" type="_4a1gFMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DGZ88FMEea5pdrFDq-m2g">
              <body>The score of an experimentally derived feature such as a p-value ([SO:0001685](http://www.sequenceontology.org/browser/current_svn/term/SO:0001685)).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DGZ8cFMEea5pdrFDq-m2g">
              <body>Quality score</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DFy7cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DFy7sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DGZ9cFMEea5pdrFDq-m2g" name="method" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DGZ-8FMEea5pdrFDq-m2g">
              <body>Method for quality.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DGZ-cFMEea5pdrFDq-m2g">
              <body>Method for quality</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DGZ9sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DGZ98FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DHBAMFMEea5pdrFDq-m2g" name="truthTP" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DHBBsFMEea5pdrFDq-m2g">
              <body>True positives, from the perspective of the truth data, i.e. the number of sites in the Truth Call Set for which there are paths through the Query Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DHBBMFMEea5pdrFDq-m2g">
              <body>True positives from the perspective of the truth data</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DHBAcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DHBAsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DHBCMFMEea5pdrFDq-m2g" name="queryTP" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DHoEsFMEea5pdrFDq-m2g">
              <body>True positives, from the perspective of the query data, i.e. the number of sites in the Query Call Set for which there are paths through the Truth Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DHoEMFMEea5pdrFDq-m2g">
              <body>True positives from the perspective of the query data</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DHBCcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DHBCsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DHoFMFMEea5pdrFDq-m2g" name="truthFN" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DHoGsFMEea5pdrFDq-m2g">
              <body>False negatives, i.e. the number of sites in the Truth Call Set for which there is no path through the Query Call Set that is consistent with all of the alleles at this site, or sites for which there is an inaccurate genotype call for the event. Sites with correct variant but incorrect genotype are counted here.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DHoGMFMEea5pdrFDq-m2g">
              <body>False negatives</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DHoFcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DHoFsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DHoHMFMEea5pdrFDq-m2g" name="queryFP" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DIPJMFMEea5pdrFDq-m2g">
              <body>False positives, i.e. the number of sites in the Query Call Set for which there is no path through the Truth Call Set that is consistent with this site. Sites with correct variant but incorrect genotype are counted here.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DIPIsFMEea5pdrFDq-m2g">
              <body>False positives</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DHoHcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DIPIMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DIPJsFMEea5pdrFDq-m2g" name="gtFP" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DIPLMFMEea5pdrFDq-m2g">
              <body>The number of false positives where the non-REF alleles in the Truth and Query Call Sets match (i.e. cases where the truth is 1/1 and the query is 0/1 or similar).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DIPKsFMEea5pdrFDq-m2g">
              <body>False positives where the non-REF alleles in the Truth and Query Call Sets match</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DIPJ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DIPKMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DI2MMFMEea5pdrFDq-m2g" name="precision" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DI2NsFMEea5pdrFDq-m2g">
              <body>QUERY.TP / (QUERY.TP + QUERY.FP).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DI2NMFMEea5pdrFDq-m2g">
              <body>Precision</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DI2McFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DI2MsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DI2OMFMEea5pdrFDq-m2g" name="recall" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DI2PsFMEea5pdrFDq-m2g">
              <body>TRUTH.TP / (TRUTH.TP + TRUTH.FN).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DI2PMFMEea5pdrFDq-m2g">
              <body>Recall</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DI2OcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DI2OsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DJdQcFMEea5pdrFDq-m2g" name="fScore" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DJdR8FMEea5pdrFDq-m2g">
              <body>Harmonic mean of Recall and Precision, computed as: 2 * precision * recall / (precision + recall).</body>
            </ownedComment>
            <ownedComment xmi:id="_5DJdRcFMEea5pdrFDq-m2g">
              <body>F-score</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DJdQsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DJdQ8FMEea5pdrFDq-m2g" value="1"/>
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              <body>Click and see / RESTful API / Need login to see / RESTful API with authentication / Other ways to see resource.</body>
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              <body>directlink | openapi | login | oauth | other</body>
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              <body>URI of an external repository which contains further details about the genetics data.</body>
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            <ownedComment xmi:id="_5DL5hMFMEea5pdrFDq-m2g">
              <body>URI of the repository</body>
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              <body>URI of an external repository which contains further details about the genetics data.</body>
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              <body>Name of the repository</body>
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              <body>Id of the variant in this external repository. The server will understand how to use this id to call for more info about datasets in external repository.</body>
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            <ownedComment xmi:id="_5DMgl8FMEea5pdrFDq-m2g">
              <body>Id of the dataset that used to call for dataset in repository</body>
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              <body>Id of the variantset in this external repository. The server will understand how to use this id to call for more info about variantsets in external repository.</body>
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              <body>Id of the variantset that used to call for variantset in repository</body>
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              <body>Id of the read in this external repository.</body>
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              <body>Id of the read</body>
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              <body>Precision of boundaries.</body>
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              <body>Precision of boundaries</body>
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              <body>Structural Variant reported aCGH ratio.</body>
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              <body>Structural Variant reported aCGH ratio</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DO82sFMEea5pdrFDq-m2g"/>
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              <body>Structural Variant Length.</body>
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            <ownedComment xmi:id="_5DPj5sFMEea5pdrFDq-m2g">
              <body>Structural Variant Length</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DPj48FMEea5pdrFDq-m2g"/>
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              <body>Structural variant outer.</body>
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            <ownedComment xmi:id="_5DQK-cFMEea5pdrFDq-m2g">
              <body>Structural variant outer</body>
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              <body>Structural variant inner.</body>
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            <ownedComment xmi:id="_5DSAKcFMEea5pdrFDq-m2g">
              <body>Structural variant inner</body>
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                <body>Structural Variant Outer Start.If the coordinate system is either 0-based or 1-based, then start position is inclusive.</body>
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              <ownedComment xmi:id="_5DQyBsFMEea5pdrFDq-m2g">
                <body>Structural Variant Outer Start</body>
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                <body>Structural Variant Outer End. If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.</body>
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              <ownedComment xmi:id="_5DRZEMFMEea5pdrFDq-m2g">
                <body>Structural Variant Outer End</body>
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                <body>Structural Variant Inner Start.If the coordinate system is either 0-based or 1-based, then start position is inclusive.</body>
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              <ownedComment xmi:id="_5DSnNMFMEea5pdrFDq-m2g">
                <body>Structural Variant Inner Start</body>
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                <body>Structural Variant Inner End. If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.</body>
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              <ownedComment xmi:id="_5DSnPMFMEea5pdrFDq-m2g">
                <body>Structural Variant Inner End</body>
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              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DSnOsFMEea5pdrFDq-m2g" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5DTORMFMEea5pdrFDq-m2g" memberEnd="_5DTORcFMEea5pdrFDq-m2g _5DTOQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5DTORcFMEea5pdrFDq-m2g" type="_49MmRMFMEea5pdrFDq-m2g" association="_5DTORMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DTORsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DTOR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5DUcYMFMEea5pdrFDq-m2g" memberEnd="_5DUcYcFMEea5pdrFDq-m2g _5DT1U8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5DUcYcFMEea5pdrFDq-m2g" type="_47eH8MFMEea5pdrFDq-m2g" association="_5DUcYMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DUcYsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DUcY8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5DXfucFMEea5pdrFDq-m2g" memberEnd="_5DXfusFMEea5pdrFDq-m2g _5DXftcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5DXfusFMEea5pdrFDq-m2g" type="_5DT1UMFMEea5pdrFDq-m2g" association="_5DXfucFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DXfu8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DXfvMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5DYGx8FMEea5pdrFDq-m2g" name="FamilyMemberHistory">
        <ownedComment xmi:id="_5DZ788FMEea5pdrFDq-m2g">
          <body>Significant health events and conditions for a person related to the patient relevant in the context of care for the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_5DZU4sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for FamilyMemberHistory Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5DZ78cFMEea5pdrFDq-m2g">
          <body>Information about patient's relatives, relevant for patient</body>
        </ownedComment>
        <ownedRule xmi:id="_5DYGyMFMEea5pdrFDq-m2g" name="fhs-2" constrainedElement="_5DYGx8FMEea5pdrFDq-m2g _5DfbgcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5DYGycFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5DYt0cFMEea5pdrFDq-m2g" name="fhs-1" constrainedElement="_5DYGx8FMEea5pdrFDq-m2g _5DeNZsFMEea5pdrFDq-m2g _5De0csFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5DYt0sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5DZ78MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5DZ79cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DZ7-8FMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this family member history record that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_5DZ7-cFMEea5pdrFDq-m2g">
            <body>External Id(s) for this record</body>
          </ownedComment>
          <ownedComment xmi:id="_5DZ7_cFMEea5pdrFDq-m2g">
            <body>Need to allow connection to a wider workflow.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DZ79sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DZ798FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DajAMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5DajBMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DajCsFMEea5pdrFDq-m2g">
            <body>The person who this history concerns.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DajCMFMEea5pdrFDq-m2g">
            <body>Patient history is about</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DajAcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DajAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DajDMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DbKFMFMEea5pdrFDq-m2g">
            <body>The date (and possibly time) when the family member history was taken.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DbKEsFMEea5pdrFDq-m2g">
            <body>When history was captured/updated</body>
          </ownedComment>
          <ownedComment xmi:id="_5DbKFsFMEea5pdrFDq-m2g">
            <body>This should be captured even if the same as the date on the List aggregating the full family history.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DbKGMFMEea5pdrFDq-m2g">
            <body>Allows determination of how current the summary is.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DajDcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DbKEMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DbKGsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DcYMcFMEea5pdrFDq-m2g">
            <body>A code specifying the status of the record of the family history of a specific family member.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DbxI8FMEea5pdrFDq-m2g">
            <body>partial | completed | entered-in-error | health-unknown</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DbKG8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DbKHMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DcYM8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DcYOcFMEea5pdrFDq-m2g">
            <body>This will either be a name or a description; e.g. &quot;Aunt Susan&quot;, &quot;my cousin with the red hair&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DcYN8FMEea5pdrFDq-m2g">
            <body>The family member described</body>
          </ownedComment>
          <ownedComment xmi:id="_5DcYO8FMEea5pdrFDq-m2g">
            <body>Allows greater ease in ensuring the same person is being talked about.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DcYNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DcYNcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DcYPcFMEea5pdrFDq-m2g" name="relationship" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DdmUMFMEea5pdrFDq-m2g">
            <body>The type of relationship this person has to the patient (father, mother, brother etc.).</body>
          </ownedComment>
          <ownedComment xmi:id="_5Dc_RsFMEea5pdrFDq-m2g">
            <body>Relationship to the subject</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Dc_QMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Dc_QcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DdmUsFMEea5pdrFDq-m2g" name="gender" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DeNYsFMEea5pdrFDq-m2g">
            <body>Administrative Gender - the gender that the relative is considered to have for administration and record keeping purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DeNYMFMEea5pdrFDq-m2g">
            <body>male | female | other | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_5DeNZMFMEea5pdrFDq-m2g">
            <body>Not all relationship codes imply gender and the relative's gender can be relevant for risk assessments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DdmU8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DdmVMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DeNZsFMEea5pdrFDq-m2g" name="born[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DeNbMFMEea5pdrFDq-m2g">
            <body>The actual or approximate date of birth of the relative.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DeNasFMEea5pdrFDq-m2g">
            <body>(approximate) date of birth</body>
          </ownedComment>
          <ownedComment xmi:id="_5DeNbsFMEea5pdrFDq-m2g">
            <body>Allows calculation of the relative's age.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DeNZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DeNaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5De0csFMEea5pdrFDq-m2g" name="age[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5De0eMFMEea5pdrFDq-m2g">
            <body>The age of the relative at the time the family member history is recorded.</body>
          </ownedComment>
          <ownedComment xmi:id="_5De0dsFMEea5pdrFDq-m2g">
            <body>(approximate) age</body>
          </ownedComment>
          <ownedComment xmi:id="_5De0esFMEea5pdrFDq-m2g">
            <body>use estimatedAge to indicate whether the age is actual or not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5De0fMFMEea5pdrFDq-m2g">
            <body>While age can be calculated from date of birth, sometimes recording age directly is more natureal for clinicians.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5De0c8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5De0dMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DfbgcFMEea5pdrFDq-m2g" name="estimatedAge" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Dfbh8FMEea5pdrFDq-m2g">
            <body>If true, indicates that the age value specified is an estimated value.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DfbhcFMEea5pdrFDq-m2g">
            <body>Age is estimated?</body>
          </ownedComment>
          <ownedComment xmi:id="_5DfbicFMEea5pdrFDq-m2g">
            <body>Clinicians often prefer to specify an estimaged age rather than an age range.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DfbgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Dfbg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DgCkMFMEea5pdrFDq-m2g" name="deceased[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DgClsFMEea5pdrFDq-m2g">
            <body>Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DgClMFMEea5pdrFDq-m2g">
            <body>Dead? How old/when?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DgCkcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DgCksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DgCmcFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5DgpocFMEea5pdrFDq-m2g">
            <body>This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possible.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DgCncFMEea5pdrFDq-m2g">
            <body>General note about related person</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DgCmsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DgCm8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5DgppsFMEea5pdrFDq-m2g" name="condition" type="_5Dgpo8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5DhQs8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5DhQucFMEea5pdrFDq-m2g">
            <body>The significant Conditions (or condition) that the family member had. This is a repeating section to allow a system to represent more than one condition per resource, though there is nothing stopping multiple resources - one per condition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5DhQt8FMEea5pdrFDq-m2g">
            <body>Condition that the related person had</body>
          </ownedComment>
          <ownedComment xmi:id="_5DhQu8FMEea5pdrFDq-m2g">
            <body>If none of the conditions listed have an outcome of &quot;death&quot; specified, that indicates that none of the specified conditions are known to have been the primary cause of death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DhQsMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DhQscFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Dgpo8FMEea5pdrFDq-m2g" name="Condition">
          <generalization xmi:id="_5DgppMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5DhQvcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Dh3xMFMEea5pdrFDq-m2g">
              <body>The actual condition specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Dh3wsFMEea5pdrFDq-m2g">
              <body>Condition suffered by relation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DhQvsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DhQv8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Dh3xsFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Die1cFMEea5pdrFDq-m2g">
              <body>Indicates what happened as a result of this condition.  If the condition resulted in death, deceased date is captured on the relation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Die08FMEea5pdrFDq-m2g">
              <body>deceased | permanent disability | etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Dh3x8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Dh3yMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DjF4MFMEea5pdrFDq-m2g" name="onset[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5DjF5sFMEea5pdrFDq-m2g">
              <body>Either the age of onset, range of approximate age or descriptive string can be recorded.  For conditions with multiple occurrences, this describes the first known occurrence.</body>
            </ownedComment>
            <ownedComment xmi:id="_5DjF5MFMEea5pdrFDq-m2g">
              <body>When condition first manifested</body>
            </ownedComment>
            <ownedComment xmi:id="_5DjF6MFMEea5pdrFDq-m2g">
              <body>Age of onset of a condition in relatives is predictive of risk for the patient.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DjF4cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DjF4sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5DjF68FMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Djs88FMEea5pdrFDq-m2g">
              <body>An area where general notes can be placed about this specific condition.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Djs8cFMEea5pdrFDq-m2g">
              <body>Extra information about condition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DjF7MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DjF7cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5DajBMFMEea5pdrFDq-m2g" memberEnd="_5DajBcFMEea5pdrFDq-m2g _5DajAMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5DajBcFMEea5pdrFDq-m2g" type="_5DYGx8FMEea5pdrFDq-m2g" association="_5DajBMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DajBsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DajB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5DhQs8FMEea5pdrFDq-m2g" memberEnd="_5DhQtMFMEea5pdrFDq-m2g _5DgppsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5DhQtMFMEea5pdrFDq-m2g" type="_5DYGx8FMEea5pdrFDq-m2g" association="_5DhQs8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DhQtcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DhQtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Djs-cFMEea5pdrFDq-m2g" memberEnd="_5Djs-sFMEea5pdrFDq-m2g _5Djs9cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Djs-sFMEea5pdrFDq-m2g" type="_47brt8FMEea5pdrFDq-m2g" association="_5Djs-cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Djs-8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Djs_MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5DliJcFMEea5pdrFDq-m2g" memberEnd="_5DliJsFMEea5pdrFDq-m2g _5DliIcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5DliJsFMEea5pdrFDq-m2g" type="_47D4RsFMEea5pdrFDq-m2g" association="_5DliJcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5DliJ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5DliKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EA_8MFMEea5pdrFDq-m2g" memberEnd="_5EA_8cFMEea5pdrFDq-m2g _5EAY4sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EA_8cFMEea5pdrFDq-m2g" type="_47D4RsFMEea5pdrFDq-m2g" association="_5EA_8MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EA_8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EA_88FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EBnBMFMEea5pdrFDq-m2g" memberEnd="_5EBnBcFMEea5pdrFDq-m2g _5EBnAMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EBnBcFMEea5pdrFDq-m2g" type="_47D4RsFMEea5pdrFDq-m2g" association="_5EBnBMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EBnBsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EBnB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EC1KsFMEea5pdrFDq-m2g" memberEnd="_5EC1K8FMEea5pdrFDq-m2g _5EC1JsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EC1K8FMEea5pdrFDq-m2g" type="_47CqIsFMEea5pdrFDq-m2g" association="_5EC1KsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EC1LMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EC1LcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EEDRcFMEea5pdrFDq-m2g" memberEnd="_5EEDRsFMEea5pdrFDq-m2g _5EEDQcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EEDRsFMEea5pdrFDq-m2g" type="_463D9sFMEea5pdrFDq-m2g" association="_5EEDRcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EEDR8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EEDSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EFRaMFMEea5pdrFDq-m2g" memberEnd="_5EFRacFMEea5pdrFDq-m2g _5EFRZMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EFRacFMEea5pdrFDq-m2g" type="_5EDcM8FMEea5pdrFDq-m2g" association="_5EFRaMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EFRasFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EFRa8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EGfgcFMEea5pdrFDq-m2g" memberEnd="_5EGfgsFMEea5pdrFDq-m2g _5EF4fMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EGfgsFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_5EGfgcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EGfg8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EGfhMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EGfjcFMEea5pdrFDq-m2g" memberEnd="_5EGfjsFMEea5pdrFDq-m2g _5EGficFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EGfjsFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_5EGfjcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EGfj8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EHGkMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EHGmcFMEea5pdrFDq-m2g" memberEnd="_5EHGmsFMEea5pdrFDq-m2g _5EHGlcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EHGmsFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_5EHGmcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EHGm8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EHGnMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EHtrMFMEea5pdrFDq-m2g" memberEnd="_5EHtrcFMEea5pdrFDq-m2g _5EHtqMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EHtrcFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_5EHtrMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EHtrsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EHtr8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EIUuMFMEea5pdrFDq-m2g" memberEnd="_5EIUucFMEea5pdrFDq-m2g _5EIUtMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EIUucFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_5EIUuMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EIUusFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EIUu8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EI7xMFMEea5pdrFDq-m2g" memberEnd="_5EI7xcFMEea5pdrFDq-m2g _5EI7wMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EI7xcFMEea5pdrFDq-m2g" type="_46yyi8FMEea5pdrFDq-m2g" association="_5EI7xMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EI7xsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EI7x8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5EI7zMFMEea5pdrFDq-m2g" name="Account">
        <ownedComment xmi:id="_5EKJ4cFMEea5pdrFDq-m2g">
          <body>A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_5EJi0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Account Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5EJi1cFMEea5pdrFDq-m2g">
          <body>Tracks balance, charges, for patient or cost center</body>
        </ownedComment>
        <generalization xmi:id="_5EJi1MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5EKJ48FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EKJ6cFMEea5pdrFDq-m2g">
            <body>Unique identifier used to reference the account.  May or may not be intended for human use (e.g. credit card number).</body>
          </ownedComment>
          <ownedComment xmi:id="_5EKJ58FMEea5pdrFDq-m2g">
            <body>Account number</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EKJ5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EKJ5cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EKJ68FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EKw8cFMEea5pdrFDq-m2g">
            <body>Name used for the account when displaying it to humans in reports, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EKJ78FMEea5pdrFDq-m2g">
            <body>Human-readable label</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EKJ7MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EKJ7cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EKw88FMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EKw-sFMEea5pdrFDq-m2g">
            <body>Categorizes the account for reporting and searching purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EKw-MFMEea5pdrFDq-m2g">
            <body>E.g. patient, expense, depreciation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EKw9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EKw9cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ELYAMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EL_EsFMEea5pdrFDq-m2g">
            <body>Indicates whether the account is presently used/useable or not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EL_EMFMEea5pdrFDq-m2g">
            <body>active | inactive | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ELYAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ELYAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EL_FMFMEea5pdrFDq-m2g" name="active" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EL_GsFMEea5pdrFDq-m2g">
            <body>Indicates the period of time over which the account is allowed to have transactions posted to it. This period may be different to the coveragePeriod which is the duration of time that services may occur.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EL_GMFMEea5pdrFDq-m2g">
            <body>Time window that transactions may be posted to this account</body>
          </ownedComment>
          <ownedComment xmi:id="_5EL_HMFMEea5pdrFDq-m2g">
            <body>Accounts are able to be active only during a specific period, and the dates to which charges should be able to be applied.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EL_FcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EL_FsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EL_HsFMEea5pdrFDq-m2g" name="currency" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EMmJsFMEea5pdrFDq-m2g">
            <body>Identifies the currency to which transactions must be converted when crediting or debiting the account.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EMmJMFMEea5pdrFDq-m2g">
            <body>Base currency in which balance is tracked</body>
          </ownedComment>
          <ownedComment xmi:id="_5EMmKMFMEea5pdrFDq-m2g">
            <body>Tracked separately from balance because currency might be known when balance is not.  In some cases, balance might be expressed in a currency other than the base currency for the account.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EMmIMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EMmIcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EMmKsFMEea5pdrFDq-m2g" name="balance" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ENNMsFMEea5pdrFDq-m2g">
            <body>Represents the sum of all credits less all debits associated with the account.  Might be positive, zero or negative.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ENNMMFMEea5pdrFDq-m2g">
            <body>How much is in account?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EMmK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EMmLMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Fqlw8FMEea5pdrFDq-m2g" name="coverage" type="_5ENNNMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Fqlx8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FqlzcFMEea5pdrFDq-m2g">
            <body>The party(s) that are responsible for payment (or part of) of charges applied to this account (including self-pay).  A coverage may only be resposible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Fqly8FMEea5pdrFDq-m2g">
            <body>The party(s) that are responsible for covering the payment of this account</body>
          </ownedComment>
          <ownedComment xmi:id="_5FrM0MFMEea5pdrFDq-m2g">
            <body>Typically this may be some form of insurance, internal charges, or self-pay.  Local or jurisdicational business rules may determine which coverage covers which types of billable items charged to the account, and in which order. Where the order is important, a local/jurisdicational extension may be defined to specify the order for the type of charge.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FqlxMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FqlxcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FrM0sFMEea5pdrFDq-m2g" name="coveragePeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FrM2MFMEea5pdrFDq-m2g">
            <body>Identifies the period of time the account applies to; e.g. accounts created per fiscal year, quarter, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FrM1sFMEea5pdrFDq-m2g">
            <body>Transaction window</body>
          </ownedComment>
          <ownedComment xmi:id="_5FrM2sFMEea5pdrFDq-m2g">
            <body>It is possible for transactions relevant to a coverage period to be posted to the account before or after the coverage period, however the services that are being charged for must be within this period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FrM08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FrM1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Frz4MFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Frz5MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Frz6sFMEea5pdrFDq-m2g">
            <body>Identifies the patient, device, practitioner, location or other object the account is associated with.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Frz6MFMEea5pdrFDq-m2g">
            <body>What is account tied to?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Frz4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Frz4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Fsa8cFMEea5pdrFDq-m2g" name="owner" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Fsa9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Fsa-8FMEea5pdrFDq-m2g">
            <body>Indicates the organization, department, etc. with responsibility for the account.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Fsa-cFMEea5pdrFDq-m2g">
            <body>Who is responsible?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fsa8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fsa88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FtCAMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FtCBsFMEea5pdrFDq-m2g">
            <body>Provides additional information about what the account tracks and how it is used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FtCBMFMEea5pdrFDq-m2g">
            <body>Explanation of purpose/use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FtCAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FtCAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FtpEcFMEea5pdrFDq-m2g" name="guarantor" type="_5FtCCMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FtpFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FuQIcFMEea5pdrFDq-m2g">
            <body>Parties financially responsible for the account.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FtpGcFMEea5pdrFDq-m2g">
            <body>Responsible for the account</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FtpEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FtpE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5FtCCMFMEea5pdrFDq-m2g" name="Guarantor">
          <generalization xmi:id="_5FtCCcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5FuQI8FMEea5pdrFDq-m2g" name="party" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FuQJ8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5FuQLcFMEea5pdrFDq-m2g">
              <body>The entity who is responsible.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FuQK8FMEea5pdrFDq-m2g">
              <body>Responsible entity</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FuQJMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FuQJcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Fu3McFMEea5pdrFDq-m2g" name="onHold" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Fu3N8FMEea5pdrFDq-m2g">
              <body>A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Fu3NcFMEea5pdrFDq-m2g">
              <body>Credit or other hold applied</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fu3MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fu3M8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Fu3OcFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FveQsFMEea5pdrFDq-m2g">
              <body>The timeframe during which the guarantor accepts responsibility for the account.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FveQMFMEea5pdrFDq-m2g">
              <body>Guarrantee account during</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fu3OsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fu3O8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5ENNNMFMEea5pdrFDq-m2g" name="Coverage">
        <ownedComment xmi:id="_5EN0ScFMEea5pdrFDq-m2g">
          <body>Financial instrument which may be used to pay for or reimburse health care products and services.</body>
        </ownedComment>
        <ownedComment xmi:id="_5EN0QsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Coverage Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5EN0RMFMEea5pdrFDq-m2g">
          <body>Health care programs and insurers are significant payors of health service costs.</body>
        </ownedComment>
        <ownedComment xmi:id="_5EN0R8FMEea5pdrFDq-m2g">
          <body>Insurance or medical plan or a payment agreement</body>
        </ownedComment>
        <generalization xmi:id="_5EN0RsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5EObUMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EObVsFMEea5pdrFDq-m2g">
            <body>The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatination of the Coverage.SubscriberID and the Coverage.dependant.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EObVMFMEea5pdrFDq-m2g">
            <body>The primary coverage ID</body>
          </ownedComment>
          <ownedComment xmi:id="_5EObWMFMEea5pdrFDq-m2g">
            <body>This value may uniquely identify the coverage or it may be used in conjunction with the additional identifiers below.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EObUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EObUsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EObWsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EPCYsFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EPCYMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EObW8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EObXMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EPCZMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EPpdMFMEea5pdrFDq-m2g">
            <body>The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EPpcsFMEea5pdrFDq-m2g">
            <body>Type of coverage</body>
          </ownedComment>
          <ownedComment xmi:id="_5EPpdsFMEea5pdrFDq-m2g">
            <body>The order of application of coverages is dependent on the types of coverage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EPCZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EPCZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EQQgMFMEea5pdrFDq-m2g" name="policyHolder" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EQQhMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EQQisFMEea5pdrFDq-m2g">
            <body>The party who 'owns' the insurance policy,  may be an individual, corporation or the subscriber's employer.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EQQiMFMEea5pdrFDq-m2g">
            <body>Owner of the policy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EQQgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EQQgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EQ3kMFMEea5pdrFDq-m2g" name="subscriber" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EQ3lMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EQ3msFMEea5pdrFDq-m2g">
            <body>The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EQ3mMFMEea5pdrFDq-m2g">
            <body>Subscriber to the policy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EQ3kcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EQ3ksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EQ3ncFMEea5pdrFDq-m2g" name="subscriberId" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EReo8FMEea5pdrFDq-m2g">
            <body>The insurer assigned ID for the Subscriber.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EReocFMEea5pdrFDq-m2g">
            <body>ID assigned to the Subscriber</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EQ3nsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EQ3n8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ERepcFMEea5pdrFDq-m2g" name="beneficiary" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5EReqcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ERer8FMEea5pdrFDq-m2g">
            <body>The party who benefits from the insurance coverage., the patient when services are provided.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ERercFMEea5pdrFDq-m2g">
            <body>Plan Beneficiary</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ERepsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ERep8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ESFscFMEea5pdrFDq-m2g" name="relationship" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ESswsFMEea5pdrFDq-m2g">
            <body>The relationship of beneficiary (patient) to the subscriber.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ESswMFMEea5pdrFDq-m2g">
            <body>Beneficiary relationship to the Subscriber</body>
          </ownedComment>
          <ownedComment xmi:id="_5ESsxMFMEea5pdrFDq-m2g">
            <body>To determine relationship between the patient and the subscriber.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ESFssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ESFs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ESsxsFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ESszMFMEea5pdrFDq-m2g">
            <body>Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ESsysFMEea5pdrFDq-m2g">
            <body>Coverage start and end dates</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ESsx8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ESsyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ETT0MFMEea5pdrFDq-m2g" name="payor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ETT1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ETT2sFMEea5pdrFDq-m2g">
            <body>The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).</body>
          </ownedComment>
          <ownedComment xmi:id="_5ETT2MFMEea5pdrFDq-m2g">
            <body>Identifier for the plan or agreement issuer</body>
          </ownedComment>
          <ownedComment xmi:id="_5ETT3MFMEea5pdrFDq-m2g">
            <body>Need to identify the issuer to target for processing and for coordination of benefit processing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ETT0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ETT0sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ET648FMEea5pdrFDq-m2g" name="group" type="_5ET64MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5EUh8MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EUh9sFMEea5pdrFDq-m2g">
            <body>A suite of underwrite specific classifiers, for example may be used to identify a class of coverage or employer group, Policy, Plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EUh9MFMEea5pdrFDq-m2g">
            <body>Additional coverage classifications</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ET65MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ET65cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EYMW8FMEea5pdrFDq-m2g" name="dependent" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EYzY8FMEea5pdrFDq-m2g">
            <body>A unique identifier for a dependent under the coverage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EYzYcFMEea5pdrFDq-m2g">
            <body>Dependent number</body>
          </ownedComment>
          <ownedComment xmi:id="_5EYzZcFMEea5pdrFDq-m2g">
            <body>For some coverage a single identifier is issued to the Subscriber and a dependent number issued to each beneficiary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EYMXMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EYMXcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EYzZ8FMEea5pdrFDq-m2g" name="sequence" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EYzbcFMEea5pdrFDq-m2g">
            <body>An optional counter for a particular instance of the identified coverage which increments upon each renewal.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EYza8FMEea5pdrFDq-m2g">
            <body>The plan instance or sequence counter</body>
          </ownedComment>
          <ownedComment xmi:id="_5EYzb8FMEea5pdrFDq-m2g">
            <body>Some coverage, for example social plans, may be offered in short time increments, for example for a week or a month at a time, so while the rest of the plan details and identifiers may remain constant over time, the instance is incremented with each renewal and provided to the covered party on their 'card'.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EYzaMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EYzacFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EZaccFMEea5pdrFDq-m2g" name="order" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EZad8FMEea5pdrFDq-m2g">
            <body>The order of applicability of this coverage relative to other coverages which are currently inforce. Note, there may be gaps in the numbering and this does not imply primary, secondard etc. as the specific positioning of coverages depends upon the episode of care.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EZadcFMEea5pdrFDq-m2g">
            <body>Relative order of the coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EZacsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EZac8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EZaecFMEea5pdrFDq-m2g" name="network" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EaBgMFMEea5pdrFDq-m2g">
            <body>The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EZafcFMEea5pdrFDq-m2g">
            <body>Insurer network</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EZaesFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EZae8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Fp-s8FMEea5pdrFDq-m2g" name="contract" type="_5EaBgsFMEea5pdrFDq-m2g" isOrdered="true" association="_5Fp-t8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FqlwcFMEea5pdrFDq-m2g">
            <body>The policy(s) which constitute this insurance coverage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Fp-u8FMEea5pdrFDq-m2g">
            <body>Contract details</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fp-tMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fp-tcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5ET64MFMEea5pdrFDq-m2g" name="Group">
          <generalization xmi:id="_5ET64cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5EUh-MFMEea5pdrFDq-m2g" name="group" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EUh_sFMEea5pdrFDq-m2g">
              <body>Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify an employer group. May also be referred to as a Policy or Group ID.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EUh_MFMEea5pdrFDq-m2g">
              <body>An identifier for the group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EUh-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EUh-sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EUiAMFMEea5pdrFDq-m2g" name="groupDisplay" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EVJBcFMEea5pdrFDq-m2g">
              <body>A short description for the group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EVJA8FMEea5pdrFDq-m2g">
              <body>Display text for an identifier for the group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EVJAMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EVJAcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EVJB8FMEea5pdrFDq-m2g" name="subGroup" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EVJDcFMEea5pdrFDq-m2g">
              <body>Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a subset of an employer group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EVJC8FMEea5pdrFDq-m2g">
              <body>An identifier for the subsection of the group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EVJCMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EVJCcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EVwEMFMEea5pdrFDq-m2g" name="subGroupDisplay" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EVwFsFMEea5pdrFDq-m2g">
              <body>A short description for the subgroup.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EVwFMFMEea5pdrFDq-m2g">
              <body>Display text for the subsection of the group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EVwEcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EVwEsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EVwGMFMEea5pdrFDq-m2g" name="plan" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EVwHsFMEea5pdrFDq-m2g">
              <body>Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a collection of benefits provided to employees. May be referred to as a Section or Division ID.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EVwHMFMEea5pdrFDq-m2g">
              <body>An identifier for the plan</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EVwGcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EVwGsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EWXIMFMEea5pdrFDq-m2g" name="planDisplay" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EWXJsFMEea5pdrFDq-m2g">
              <body>A short description for the plan.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EWXJMFMEea5pdrFDq-m2g">
              <body>Display text for the plan</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EWXIcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EWXIsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EWXKMFMEea5pdrFDq-m2g" name="subPlan" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EWXLsFMEea5pdrFDq-m2g">
              <body>Identifies a sub-style or sub-collective of coverage issued by the underwriter, for example may be used to identify a subset of a collection of benefits provided to employees.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EWXLMFMEea5pdrFDq-m2g">
              <body>An identifier for the subsection of the plan</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EWXKcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EWXKsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EW-McFMEea5pdrFDq-m2g" name="subPlanDisplay" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EW-N8FMEea5pdrFDq-m2g">
              <body>A short description for the subplan.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EW-NcFMEea5pdrFDq-m2g">
              <body>Display text for the subsection of the plan</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EW-MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EW-M8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EW-OcFMEea5pdrFDq-m2g" name="class" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EXlQMFMEea5pdrFDq-m2g">
              <body>Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EW-PcFMEea5pdrFDq-m2g">
              <body>An identifier for the class</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EW-OsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EW-O8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EXlQsFMEea5pdrFDq-m2g" name="classDisplay" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EXlSMFMEea5pdrFDq-m2g">
              <body>A short description for the class.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EXlRsFMEea5pdrFDq-m2g">
              <body>Display text for the class</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EXlQ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EXlRMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EXlSsFMEea5pdrFDq-m2g" name="subClass" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EYMUcFMEea5pdrFDq-m2g">
              <body>Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a subclass of coverage or employer group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EXlTsFMEea5pdrFDq-m2g">
              <body>An identifier for the subsection of the class</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EXlS8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EXlTMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EYMU8FMEea5pdrFDq-m2g" name="subClassDisplay" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EYMWcFMEea5pdrFDq-m2g">
              <body>A short description for the subclass.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EYMV8FMEea5pdrFDq-m2g">
              <body>Display text for the subsection of the subclass</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EYMVMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EYMVcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EQQhMFMEea5pdrFDq-m2g" memberEnd="_5EQQhcFMEea5pdrFDq-m2g _5EQQgMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EQQhcFMEea5pdrFDq-m2g" type="_5ENNNMFMEea5pdrFDq-m2g" association="_5EQQhMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EQQhsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EQQh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EQ3lMFMEea5pdrFDq-m2g" memberEnd="_5EQ3lcFMEea5pdrFDq-m2g _5EQ3kMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EQ3lcFMEea5pdrFDq-m2g" type="_5ENNNMFMEea5pdrFDq-m2g" association="_5EQ3lMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EQ3lsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EQ3l8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EReqcFMEea5pdrFDq-m2g" memberEnd="_5EReqsFMEea5pdrFDq-m2g _5ERepcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EReqsFMEea5pdrFDq-m2g" type="_5ENNNMFMEea5pdrFDq-m2g" association="_5EReqcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EReq8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ERerMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ETT1MFMEea5pdrFDq-m2g" memberEnd="_5ETT1cFMEea5pdrFDq-m2g _5ETT0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ETT1cFMEea5pdrFDq-m2g" type="_5ENNNMFMEea5pdrFDq-m2g" association="_5ETT1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ETT1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ETT18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EUh8MFMEea5pdrFDq-m2g" memberEnd="_5EUh8cFMEea5pdrFDq-m2g _5ET648FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EUh8cFMEea5pdrFDq-m2g" type="_5ENNNMFMEea5pdrFDq-m2g" association="_5EUh8MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EUh8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EUh88FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5EaBgsFMEea5pdrFDq-m2g" name="Contract">
        <ownedComment xmi:id="_5EbPocFMEea5pdrFDq-m2g">
          <body>A formal agreement between parties regarding the conduct of business, exchange of information or other matters.</body>
        </ownedComment>
        <ownedComment xmi:id="_5EaoksFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Contract Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5EaolcFMEea5pdrFDq-m2g">
          <body>Contract</body>
        </ownedComment>
        <generalization xmi:id="_5EaolMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5EbPo8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EbPqcFMEea5pdrFDq-m2g">
            <body>Unique identifier for this Contract.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EbPp8FMEea5pdrFDq-m2g">
            <body>Contract identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EbPpMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EbPpcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EbPq8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Eb2s8FMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Eb2scFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EbPrMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EbPrcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Eb2tcFMEea5pdrFDq-m2g" name="issued" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EcdwsFMEea5pdrFDq-m2g">
            <body>When this  Contract was issued.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EcdwMFMEea5pdrFDq-m2g">
            <body>When this Contract was issued</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Eb2tsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Eb2t8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EcdxMFMEea5pdrFDq-m2g" name="applies" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EdE0MFMEea5pdrFDq-m2g">
            <body>Relevant time or time-period when this Contract is applicable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EcdyMFMEea5pdrFDq-m2g">
            <body>Effective time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EcdxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EcdxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EdE0sFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EdE1sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Edr4cFMEea5pdrFDq-m2g">
            <body>The target entity impacted by or of interest to parties to the agreement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EdE2sFMEea5pdrFDq-m2g">
            <body>Contract Target Entity</body>
          </ownedComment>
          <ownedComment xmi:id="_5Edr48FMEea5pdrFDq-m2g">
            <body>The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason.  In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Edr5cFMEea5pdrFDq-m2g">
            <body>The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason.  In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EdE08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EdE1MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Edr58FMEea5pdrFDq-m2g" name="topic" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EeS8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EeS98FMEea5pdrFDq-m2g">
            <body>The matter of concern in the context of this agreement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EeS9cFMEea5pdrFDq-m2g">
            <body>Context of the Contract</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ee6AMFMEea5pdrFDq-m2g">
            <body>The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee.  The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form.  For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse.  However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values.  In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire.  If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource. If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy.  Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ee6AsFMEea5pdrFDq-m2g">
            <body>In the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract.  Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype.  The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts.  One way to determine the Contract.topic is to answer the question: “What is the object of negotiation?” Answer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any) Contract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit.  Contract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason.  AContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Edr6MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Edr6cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ee6BMFMEea5pdrFDq-m2g" name="authority" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Ee6CMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EfhFcFMEea5pdrFDq-m2g">
            <body>A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EfhE8FMEea5pdrFDq-m2g">
            <body>Authority under which this Contract has standing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ee6BcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ee6BsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EfhF8FMEea5pdrFDq-m2g" name="domain" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5EgIIMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EgIJsFMEea5pdrFDq-m2g">
            <body>Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EgIJMFMEea5pdrFDq-m2g">
            <body>Domain in which this Contract applies</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EfhGMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EfhGcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EgIKMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EhWQsFMEea5pdrFDq-m2g">
            <body>Type of Contract such as an insurance policy, real estate contract, a will, power of attorny, Privacy or Security policy , trust framework agreement, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EhWQMFMEea5pdrFDq-m2g">
            <body>Contract Type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EgIKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EgIKsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EhWRMFMEea5pdrFDq-m2g" name="subType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EikYMFMEea5pdrFDq-m2g">
            <body>More specific type or specialization of an overarching or more general contract such as auto insurance, home owner  insurance, prenupial agreement, Advanced-Directive, or privacy consent.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Eh9UsFMEea5pdrFDq-m2g">
            <body>Contract Subtype</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EhWRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EhWRsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EikYsFMEea5pdrFDq-m2g" name="action" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EjLdMFMEea5pdrFDq-m2g">
            <body>Action stipulated by this Contract.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EjLcsFMEea5pdrFDq-m2g">
            <body>Contract Action</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EikY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EikZMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EjygMFMEea5pdrFDq-m2g" name="actionReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5EkZksFMEea5pdrFDq-m2g">
            <body>Reason for action stipulated by this Contract.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EkZkMFMEea5pdrFDq-m2g">
            <body>Contract Action Reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EjygcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EjygsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ElnsMFMEea5pdrFDq-m2g" name="agent" type="_5EkZlMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5ElntMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ElnusFMEea5pdrFDq-m2g">
            <body>An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ElnuMFMEea5pdrFDq-m2g">
            <body>Contract Agent</body>
          </ownedComment>
          <ownedComment xmi:id="_5ElnvMFMEea5pdrFDq-m2g">
            <body>Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EmOwcFMEea5pdrFDq-m2g">
            <body>An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ElnscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ElnssFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EorAcFMEea5pdrFDq-m2g" name="signer" type="_5EoD9MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5EpSEMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EpSFsFMEea5pdrFDq-m2g">
            <body>Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EpSFMFMEea5pdrFDq-m2g">
            <body>Contract Signer</body>
          </ownedComment>
          <ownedComment xmi:id="_5EpSGMFMEea5pdrFDq-m2g">
            <body>Signers who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic. For example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EpSGsFMEea5pdrFDq-m2g">
            <body>The Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal &quot;source of truth&quot;. The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EorAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EorA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Es8ccFMEea5pdrFDq-m2g" name="valuedItem" type="_5EsVYMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Es8dcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Es8e8FMEea5pdrFDq-m2g">
            <body>Contract Valued Item List.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Es8ecFMEea5pdrFDq-m2g">
            <body>Contract Valued Item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Es8csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Es8c8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EycAcFMEea5pdrFDq-m2g" name="term" type="_5ExN6MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5EycBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5EycC8FMEea5pdrFDq-m2g">
            <body>One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.</body>
          </ownedComment>
          <ownedComment xmi:id="_5EycCcFMEea5pdrFDq-m2g">
            <body>Contract Term List</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EycAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EycA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FltSsFMEea5pdrFDq-m2g" name="binding[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FltUMFMEea5pdrFDq-m2g">
            <body>Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the &quot;source of truth&quot; and which would be the basis for legal action related to enforcement of this Contract.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FltTsFMEea5pdrFDq-m2g">
            <body>Binding Contract</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FltS8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FltTMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FmUVcFMEea5pdrFDq-m2g" name="friendly" type="_5FmUUsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Fm7Y8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Fm7acFMEea5pdrFDq-m2g">
            <body>The &quot;patient friendly language&quot; versionof the Contract in whole or in parts. &quot;Patient friendly language&quot; means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Fm7Z8FMEea5pdrFDq-m2g">
            <body>Contract Friendly Language</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fm7YMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fm7YcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FnidsFMEea5pdrFDq-m2g" name="legal" type="_5Fnic8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FoJg8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FoJicFMEea5pdrFDq-m2g">
            <body>List of Legal expressions or representations of this Contract.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FoJh8FMEea5pdrFDq-m2g">
            <body>Contract Legal Language</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FoJgMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FoJgcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FpXoMFMEea5pdrFDq-m2g" name="rule" type="_5Fowk8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FpXpMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FpXqsFMEea5pdrFDq-m2g">
            <body>List of Computable Policy Rule Language Representations of this Contract.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FpXqMFMEea5pdrFDq-m2g">
            <body>Computable Contract Language</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FpXocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FpXosFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5EkZlMFMEea5pdrFDq-m2g" name="Agent">
          <generalization xmi:id="_5EkZlcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5EmOw8FMEea5pdrFDq-m2g" name="actor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5EmOx8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Em11cFMEea5pdrFDq-m2g">
              <body>Who or what parties are assigned roles in this Contract.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Em108FMEea5pdrFDq-m2g">
              <body>Contract Agent Type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EmOxMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EmOxcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Em12MFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EoD8sFMEea5pdrFDq-m2g">
              <body>Role type of agent assigned roles in this Contract.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EoD8MFMEea5pdrFDq-m2g">
              <body>Contract  Agent Role</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Em12cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Em12sFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5EoD9MFMEea5pdrFDq-m2g" name="Signatory">
          <generalization xmi:id="_5EoD9cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Ep5IcFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EqgM8FMEea5pdrFDq-m2g">
              <body>Role of this Contract signer, e.g. notary, grantee.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EqgMcFMEea5pdrFDq-m2g">
              <body>Contract Signer Type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ep5IsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ep5I8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ErHQMFMEea5pdrFDq-m2g" name="party" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ErHRMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5ErHSsFMEea5pdrFDq-m2g">
              <body>Party which is a signator to this Contract.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ErHSMFMEea5pdrFDq-m2g">
              <body>Contract Signatory Party</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ErHQcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ErHQsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EruUcFMEea5pdrFDq-m2g" name="signature" type="_4lJSoMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EruV8FMEea5pdrFDq-m2g">
              <body>Legally binding Contract DSIG signature contents in Base64.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EruVcFMEea5pdrFDq-m2g">
              <body>Contract Documentation Signature</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EruUsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EruU8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5EsVYMFMEea5pdrFDq-m2g" name="ValuedItem">
          <generalization xmi:id="_5EsVYcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5EtjgMFMEea5pdrFDq-m2g" name="entity[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EtjhsFMEea5pdrFDq-m2g">
              <body>Specific type of Contract Valued Item that may be priced.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EtjhMFMEea5pdrFDq-m2g">
              <body>Contract Valued Item Type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EtjgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EtjgsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EuKkcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EuKl8FMEea5pdrFDq-m2g">
              <body>Identifies a Contract Valued Item instance.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EuKlcFMEea5pdrFDq-m2g">
              <body>Contract Valued Item Identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EuKksFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EuKk8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EuxocFMEea5pdrFDq-m2g" name="effectiveTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Euxp8FMEea5pdrFDq-m2g">
              <body>Indicates the time during which this Contract ValuedItem information is effective.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EuxpcFMEea5pdrFDq-m2g">
              <body>Contract Valued Item Effective Tiem</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EuxosFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Euxo8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EvYsMFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EvYtsFMEea5pdrFDq-m2g">
              <body>Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EvYtMFMEea5pdrFDq-m2g">
              <body>Count of Contract Valued Items</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EvYscFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EvYssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EvYuMFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ev_wsFMEea5pdrFDq-m2g">
              <body>A Contract Valued Item unit valuation measure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ev_wMFMEea5pdrFDq-m2g">
              <body>Contract Valued Item fee, charge, or cost</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EvYucFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EvYusFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ev_xMFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ewm0MFMEea5pdrFDq-m2g">
              <body>A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ev_yMFMEea5pdrFDq-m2g">
              <body>Contract Valued Item Price Scaling Factor</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ev_xcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ev_xsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ewm0sFMEea5pdrFDq-m2g" name="points" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ewm2MFMEea5pdrFDq-m2g">
              <body>An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ewm1sFMEea5pdrFDq-m2g">
              <body>Contract Valued Item Difficulty Scaling Factor</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ewm08FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ewm1MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ExN4MFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5ExN5sFMEea5pdrFDq-m2g">
              <body>Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ExN5MFMEea5pdrFDq-m2g">
              <body>Total Contract Valued Item Value</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ExN4cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ExN4sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5ExN6MFMEea5pdrFDq-m2g" name="Term">
          <generalization xmi:id="_5ExN6cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5EzDEMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EzDFsFMEea5pdrFDq-m2g">
              <body>Unique identifier for this particular Contract Provision.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EzDFMFMEea5pdrFDq-m2g">
              <body>Contract Term identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EzDEcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EzDEsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EzqIMFMEea5pdrFDq-m2g" name="issued" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5EzqJsFMEea5pdrFDq-m2g">
              <body>When this Contract Provision was issued.</body>
            </ownedComment>
            <ownedComment xmi:id="_5EzqJMFMEea5pdrFDq-m2g">
              <body>Contract Term Issue Date Time</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EzqIcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EzqIsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5EzqKMFMEea5pdrFDq-m2g" name="applies" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5E0RNMFMEea5pdrFDq-m2g">
              <body>Relevant time or time-period when this Contract Provision is applicable.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E0RMsFMEea5pdrFDq-m2g">
              <body>Contract Term Effective Time</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EzqKcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E0RMMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E0RNsFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5E1fUsFMEea5pdrFDq-m2g">
              <body>Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E1fUMFMEea5pdrFDq-m2g">
              <body>Contract Term Type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E0RN8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E0ROMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E1fVMFMEea5pdrFDq-m2g" name="subType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5E2tccFMEea5pdrFDq-m2g">
              <body>Subtype of this Contract Provision, e.g. life time maximum payment for a contract term for specific valued item, e.g. disability payment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E2GY8FMEea5pdrFDq-m2g">
              <body>Contract Term Subtype</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E1fVcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E1fVsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E2tc8FMEea5pdrFDq-m2g" name="topic" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5E2td8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5E3UgsFMEea5pdrFDq-m2g">
              <body>The matter of concern in the context of this provision of the agrement.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E3UgMFMEea5pdrFDq-m2g">
              <body>Context of the Contract term</body>
            </ownedComment>
            <ownedComment xmi:id="_5E3UhMFMEea5pdrFDq-m2g">
              <body>The Contract.term.topic, as a Contract Resource subpart, is handled in the same manner as the Contract Resource as discussed above.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E3UhsFMEea5pdrFDq-m2g">
              <body>A contract term topic is typically about a portion of the contract topic which has additional or specialized rights, privileges, obligations, restrictions, and prohibitions that are binding on any grantor and grantee parties upon the execution of the contract.  Contract.term.topic may be described in more detail in the [0..*] Contract.term.valuedItem @[0..1] Contract.term.valuedItem [x] Definition: Specific type of Contract Provision Valued Item that may be priced. CodeableConcept|Reference(Any) [See Contract.topic Requirements for further elaboration on this requirement.].</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E2tdMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E2tdcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E3UiMFMEea5pdrFDq-m2g" name="action" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5E4ioMFMEea5pdrFDq-m2g">
              <body>Action stipulated by this Contract Provision.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E37k8FMEea5pdrFDq-m2g">
              <body>Contract Term Action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E3UicFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E37kMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E4iosFMEea5pdrFDq-m2g" name="actionReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5E5JssFMEea5pdrFDq-m2g">
              <body>Reason or purpose for the action stipulated by this Contract Provision.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E5JsMFMEea5pdrFDq-m2g">
              <body>Contract Term Action Reason</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E4io8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E4ipMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E5wwcFMEea5pdrFDq-m2g" name="agent" type="_5E5JtMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5E6X0sFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5E6X2MFMEea5pdrFDq-m2g">
              <body>An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E6X1sFMEea5pdrFDq-m2g">
              <body>Contract Term Agent List</body>
            </ownedComment>
            <ownedComment xmi:id="_5E6X2sFMEea5pdrFDq-m2g">
              <body>Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E6-4cFMEea5pdrFDq-m2g">
              <body>An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E5wwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E6X0MFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E80EcFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5E80F8FMEea5pdrFDq-m2g">
              <body>Human readable form of this Contract Provision.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E80FcFMEea5pdrFDq-m2g">
              <body>Human readable Contract term text</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E80EsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E80E8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5E-CMMFMEea5pdrFDq-m2g" name="valuedItem" type="_5E9bIMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5E-CNMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5E-COsFMEea5pdrFDq-m2g">
              <body>Contract Provision Valued Item List.</body>
            </ownedComment>
            <ownedComment xmi:id="_5E-COMFMEea5pdrFDq-m2g">
              <body>Contract Term Valued Item</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E-CMcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E-CMsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FCTocFMEea5pdrFDq-m2g" name="group" type="_5ExN6MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FCTpcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5FCTq8FMEea5pdrFDq-m2g">
              <body>Nested group of Contract Provisions.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FCTqcFMEea5pdrFDq-m2g">
              <body>Nested Contract Term Group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FCTosFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FCTo8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5E5JtMFMEea5pdrFDq-m2g" name="TermAgent">
            <generalization xmi:id="_5E5JtcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5E6-48FMEea5pdrFDq-m2g" name="actor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5E6-58FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5E7l9cFMEea5pdrFDq-m2g">
                <body>The agent assigned a role in this Contract Provision.</body>
              </ownedComment>
              <ownedComment xmi:id="_5E7l88FMEea5pdrFDq-m2g">
                <body>Contract Term Agent List</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E6-5MFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E6-5cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5E7l-MFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5E8NBMFMEea5pdrFDq-m2g">
                <body>Role played by the agent assigned this role in the execution of this Contract Provision.</body>
              </ownedComment>
              <ownedComment xmi:id="_5E8NAsFMEea5pdrFDq-m2g">
                <body>Contract Term Agent Role</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E7l-cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E7l-sFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5E9bIMFMEea5pdrFDq-m2g" name="TermValuedItem">
            <generalization xmi:id="_5E9bIcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5E-pQMFMEea5pdrFDq-m2g" name="entity[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5E-pRsFMEea5pdrFDq-m2g">
                <body>Specific type of Contract Provision Valued Item that may be priced.</body>
              </ownedComment>
              <ownedComment xmi:id="_5E-pRMFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item Type</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E-pQcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E-pQsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5E_QUcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5E_QV8FMEea5pdrFDq-m2g">
                <body>Identifies a Contract Provision Valued Item instance.</body>
              </ownedComment>
              <ownedComment xmi:id="_5E_QVcFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item Identifier</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E_QUsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E_QU8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5E_3YMFMEea5pdrFDq-m2g" name="effectiveTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5E_3ZsFMEea5pdrFDq-m2g">
                <body>Indicates the time during which this Contract Term ValuedItem information is effective.</body>
              </ownedComment>
              <ownedComment xmi:id="_5E_3ZMFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item Effective Tiem</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E_3YcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E_3YsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5E_3aMFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5FAec8FMEea5pdrFDq-m2g">
                <body>Specifies the units by which the Contract Provision Valued Item is measured or counted, and quantifies the countable or measurable Contract Term Valued Item instances.</body>
              </ownedComment>
              <ownedComment xmi:id="_5FAeccFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item Count</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E_3acFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E_3asFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5FAedcFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5FBFgsFMEea5pdrFDq-m2g">
                <body>A Contract Provision Valued Item unit valuation measure.</body>
              </ownedComment>
              <ownedComment xmi:id="_5FBFgMFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item fee, charge, or cost</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FAedsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FAed8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5FBFhMFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5FBFisFMEea5pdrFDq-m2g">
                <body>A real number that represents a multiplier used in determining the overall value of the Contract Provision Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
              </ownedComment>
              <ownedComment xmi:id="_5FBFiMFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item Price Scaling Factor</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FBFhcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FBFhsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5FBskMFMEea5pdrFDq-m2g" name="points" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5FBslsFMEea5pdrFDq-m2g">
                <body>An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Provision Valued Item delivered. The concept of Points allows for assignment of point values for a Contract ProvisionValued Item, such that a monetary amount can be assigned to each point.</body>
              </ownedComment>
              <ownedComment xmi:id="_5FBslMFMEea5pdrFDq-m2g">
                <body>Contract Term Valued Item Difficulty Scaling Factor</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FBskcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FBsksFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5FBsmMFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5FBsnsFMEea5pdrFDq-m2g">
                <body>Expresses the product of the Contract Provision Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
              </ownedComment>
              <ownedComment xmi:id="_5FBsnMFMEea5pdrFDq-m2g">
                <body>Total Contract Term Valued Item Value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FBsmcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FBsmsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5FmUUsFMEea5pdrFDq-m2g" name="FriendlyLanguage">
          <generalization xmi:id="_5FmUU8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Fm7a8FMEea5pdrFDq-m2g" name="content[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FnicMFMEea5pdrFDq-m2g">
              <body>Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Fm7b8FMEea5pdrFDq-m2g">
              <body>Easily comprehended representation of this Contract</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fm7bMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fm7bcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Fnic8FMEea5pdrFDq-m2g" name="LegalLanguage">
          <generalization xmi:id="_5FnidMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5FoJi8FMEea5pdrFDq-m2g" name="content[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FowkMFMEea5pdrFDq-m2g">
              <body>Contract legal text in human renderable form.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FoJj8FMEea5pdrFDq-m2g">
              <body>Contract Legal Text</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FoJjMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FoJjcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Fowk8FMEea5pdrFDq-m2g" name="ComputableLanguage">
          <generalization xmi:id="_5FowlMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5FpXrMFMEea5pdrFDq-m2g" name="content[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Fp-sMFMEea5pdrFDq-m2g">
              <body>Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).</body>
            </ownedComment>
            <ownedComment xmi:id="_5FpXsMFMEea5pdrFDq-m2g">
              <body>Computable Contract Rules</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FpXrcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FpXrsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EdE1sFMEea5pdrFDq-m2g" memberEnd="_5EdE18FMEea5pdrFDq-m2g _5EdE0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EdE18FMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5EdE1sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EdE2MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EdE2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EeS8cFMEea5pdrFDq-m2g" memberEnd="_5EeS8sFMEea5pdrFDq-m2g _5Edr58FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EeS8sFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5EeS8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EeS88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EeS9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Ee6CMFMEea5pdrFDq-m2g" memberEnd="_5EfhEMFMEea5pdrFDq-m2g _5Ee6BMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EfhEMFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5Ee6CMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EfhEcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EfhEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EgIIMFMEea5pdrFDq-m2g" memberEnd="_5EgIIcFMEea5pdrFDq-m2g _5EfhF8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EgIIcFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5EgIIMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EgIIsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EgII8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ElntMFMEea5pdrFDq-m2g" memberEnd="_5ElntcFMEea5pdrFDq-m2g _5ElnsMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ElntcFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5ElntMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ElntsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Elnt8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EmOx8FMEea5pdrFDq-m2g" memberEnd="_5Em10MFMEea5pdrFDq-m2g _5EmOw8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Em10MFMEea5pdrFDq-m2g" type="_5EkZlMFMEea5pdrFDq-m2g" association="_5EmOx8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Em10cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Em10sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EpSEMFMEea5pdrFDq-m2g" memberEnd="_5EpSEcFMEea5pdrFDq-m2g _5EorAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EpSEcFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5EpSEMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EpSEsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EpSE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ErHRMFMEea5pdrFDq-m2g" memberEnd="_5ErHRcFMEea5pdrFDq-m2g _5ErHQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ErHRcFMEea5pdrFDq-m2g" type="_5EoD9MFMEea5pdrFDq-m2g" association="_5ErHRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ErHRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ErHR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Es8dcFMEea5pdrFDq-m2g" memberEnd="_5Es8dsFMEea5pdrFDq-m2g _5Es8ccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Es8dsFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5Es8dcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Es8d8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Es8eMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5EycBcFMEea5pdrFDq-m2g" memberEnd="_5EycBsFMEea5pdrFDq-m2g _5EycAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5EycBsFMEea5pdrFDq-m2g" type="_5EaBgsFMEea5pdrFDq-m2g" association="_5EycBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5EycB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5EycCMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5E2td8FMEea5pdrFDq-m2g" memberEnd="_5E2teMFMEea5pdrFDq-m2g _5E2tc8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5E2teMFMEea5pdrFDq-m2g" type="_5ExN6MFMEea5pdrFDq-m2g" association="_5E2td8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5E2tecFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E2tesFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5E6X0sFMEea5pdrFDq-m2g" memberEnd="_5E6X08FMEea5pdrFDq-m2g _5E5wwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5E6X08FMEea5pdrFDq-m2g" type="_5ExN6MFMEea5pdrFDq-m2g" association="_5E6X0sFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E6X1cFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5E6-58FMEea5pdrFDq-m2g" memberEnd="_5E7l8MFMEea5pdrFDq-m2g _5E6-48FMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E7l8sFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5E-CNMFMEea5pdrFDq-m2g" memberEnd="_5E-CNcFMEea5pdrFDq-m2g _5E-CMMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5E-CNcFMEea5pdrFDq-m2g" type="_5ExN6MFMEea5pdrFDq-m2g" association="_5E-CNMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5E-CN8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5FCTpcFMEea5pdrFDq-m2g" memberEnd="_5FCTpsFMEea5pdrFDq-m2g _5FCTocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5FCTpsFMEea5pdrFDq-m2g" type="_5ExN6MFMEea5pdrFDq-m2g" association="_5FCTpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FCTp8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5FC6sMFMEea5pdrFDq-m2g" name="Composition">
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          <body>A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.</body>
        </ownedComment>
        <ownedComment xmi:id="_5FEI0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Composition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5FEI1MFMEea5pdrFDq-m2g">
          <body>To support documents, and also to capture the EN13606 notion of an attested commit to the patient EHR, and to allow a set of disparate resources at the information/engineering level to be gathered into a clinical statement.</body>
        </ownedComment>
        <ownedComment xmi:id="_5FEI18FMEea5pdrFDq-m2g">
          <body>A set of resources composed into a single coherent clinical statement with clinical attestation</body>
        </ownedComment>
        <ownedComment xmi:id="_5FEv4sFMEea5pdrFDq-m2g">
          <body>While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.</body>
        </ownedComment>
        <ownedRule xmi:id="_5FC6scFMEea5pdrFDq-m2g" name="cmp-1" constrainedElement="_5FXq0cFMEea5pdrFDq-m2g _5Fhb1MFMEea5pdrFDq-m2g _5FlGOMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5FC6ssFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:text) or exists(f:entry) or exists(f:section)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5FDhwcFMEea5pdrFDq-m2g" name="cmp-2" constrainedElement="_5FXq0cFMEea5pdrFDq-m2g _5Fj4EsFMEea5pdrFDq-m2g _5FkfIMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5FDhwsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:emptyReason) and exists(f:entry))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5FEI1sFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5FEv5MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FEv6sFMEea5pdrFDq-m2g">
            <body>Logical identifier for the composition, assigned when created. This identifier stays constant as the composition is changed over time.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FEv6MFMEea5pdrFDq-m2g">
            <body>Logical identifier of composition (version-independent)</body>
          </ownedComment>
          <ownedComment xmi:id="_5FEv7MFMEea5pdrFDq-m2g">
            <body>See discussion in resource definition for how these relate.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FEv5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FEv5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FEv7sFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FFW9cFMEea5pdrFDq-m2g">
            <body>The composition editing time, when the composition was last logically changed by the author.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FFW88FMEea5pdrFDq-m2g">
            <body>Composition editing time</body>
          </ownedComment>
          <ownedComment xmi:id="_5FFW98FMEea5pdrFDq-m2g">
            <body>The Last Modified Date on the composition may be after the date of the document was attested without being changed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FFW-cFMEea5pdrFDq-m2g">
            <body>dateTime is used for tracking, organizing versions and searching.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FFW8MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FFW8cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FFW-8FMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FF-BcFMEea5pdrFDq-m2g">
            <body>Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FF-A8FMEea5pdrFDq-m2g">
            <body>Kind of composition (LOINC if possible)</body>
          </ownedComment>
          <ownedComment xmi:id="_5FF-B8FMEea5pdrFDq-m2g">
            <body>For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FGlEMFMEea5pdrFDq-m2g">
            <body>Key metadata element describing the composition, used in searching/filtering.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FFW_MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FFW_cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FGlEsFMEea5pdrFDq-m2g" name="class" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FLdlsFMEea5pdrFDq-m2g">
            <body>A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FLdlMFMEea5pdrFDq-m2g">
            <body>Categorization of Composition</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMEoMFMEea5pdrFDq-m2g">
            <body>This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMEosFMEea5pdrFDq-m2g">
            <body>Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FGlE8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FGlFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FMEpMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FMEqsFMEea5pdrFDq-m2g">
            <body>Official human-readable label for the composition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMEqMFMEea5pdrFDq-m2g">
            <body>Human Readable name/title</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMErMFMEea5pdrFDq-m2g">
            <body>For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a &quot;consultation&quot; or &quot;progress note&quot;). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FMEpcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FMEpsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FMrsMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FMrt8FMEea5pdrFDq-m2g">
            <body>The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMrtcFMEea5pdrFDq-m2g">
            <body>preliminary | final | amended | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMrucFMEea5pdrFDq-m2g">
            <body>If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag &quot;withdrawn&quot; is why this element is labeled as a modifier of other elements.   Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FMru8FMEea5pdrFDq-m2g">
            <body>Need to be able to mark interim, amended, or withdrawn compositions or documents.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FMrscFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FMrssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FNSwcFMEea5pdrFDq-m2g" name="confidentiality" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5FOg5sFMEea5pdrFDq-m2g">
            <body>The code specifying the level of confidentiality of the Composition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FOg5MFMEea5pdrFDq-m2g">
            <body>As defined by affinity domain</body>
          </ownedComment>
          <ownedComment xmi:id="_5FOg6MFMEea5pdrFDq-m2g">
            <body>The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FNSwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FNSw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FPH8cFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FPH9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FPH-8FMEea5pdrFDq-m2g">
            <body>Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).</body>
          </ownedComment>
          <ownedComment xmi:id="_5FPH-cFMEea5pdrFDq-m2g">
            <body>Who and/or what the composition is about</body>
          </ownedComment>
          <ownedComment xmi:id="_5FPH_cFMEea5pdrFDq-m2g">
            <body>For clinical documents, this is usually the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FPH_8FMEea5pdrFDq-m2g">
            <body>Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FPH8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FPH88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FPvAcFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FPvBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FPvC8FMEea5pdrFDq-m2g">
            <body>Identifies who is responsible for the information in the composition, not necessarily who typed it in.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FPvCcFMEea5pdrFDq-m2g">
            <body>Who and/or what authored the composition</body>
          </ownedComment>
          <ownedComment xmi:id="_5FPvDcFMEea5pdrFDq-m2g">
            <body>Identifies who is responsible for the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FPvAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FPvA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FQWFMFMEea5pdrFDq-m2g" name="attester" type="_5FQWEcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FQ9IcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FQ9J8FMEea5pdrFDq-m2g">
            <body>A participant who has attested to the accuracy of the composition/document.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FQ9JcFMEea5pdrFDq-m2g">
            <body>Attests to accuracy of composition</body>
          </ownedComment>
          <ownedComment xmi:id="_5FQ9KcFMEea5pdrFDq-m2g">
            <body>Only list each attester once.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FQ9K8FMEea5pdrFDq-m2g">
            <body>Identifies responsibility for the accuracy of the composition content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FQWFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FQWFsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FTZYsFMEea5pdrFDq-m2g" name="custodian" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5FTZZsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FTZbMFMEea5pdrFDq-m2g">
            <body>Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FTZasFMEea5pdrFDq-m2g">
            <body>Organization which maintains the composition</body>
          </ownedComment>
          <ownedComment xmi:id="_5FUAcMFMEea5pdrFDq-m2g">
            <body>This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However it is important that this information be known when working with a derived document, so providing a custodian is encouraged.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FUAcsFMEea5pdrFDq-m2g">
            <body>Identifies where to go to find the current version, where to report issues, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FTZY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FTZZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FUngMFMEea5pdrFDq-m2g" name="event" type="_5FUAdMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FUnhMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FUnisFMEea5pdrFDq-m2g">
            <body>The clinical service, such as a colonoscopy or an appendectomy, being documented.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FUniMFMEea5pdrFDq-m2g">
            <body>The clinical service(s) being documented</body>
          </ownedComment>
          <ownedComment xmi:id="_5FUnjMFMEea5pdrFDq-m2g">
            <body>The event needs to be consistent with the type element, though can provide further information if desired.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FUnjsFMEea5pdrFDq-m2g">
            <body>Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FUngcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FUngsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FWcucFMEea5pdrFDq-m2g" name="encounter" type="_4lCk_MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FXDwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FXDxsFMEea5pdrFDq-m2g">
            <body>Describes the clinical encounter or type of care this documentation is associated with.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FXDxMFMEea5pdrFDq-m2g">
            <body>Context of the Composition</body>
          </ownedComment>
          <ownedComment xmi:id="_5FXDyMFMEea5pdrFDq-m2g">
            <body>Provides context for the composition and supports searching.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FWcusFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FWcu8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5FXq0cFMEea5pdrFDq-m2g" name="section" type="_5FXDysFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5FXq1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5FXq28FMEea5pdrFDq-m2g">
            <body>The root of the sections that make up the composition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5FXq2cFMEea5pdrFDq-m2g">
            <body>Composition is broken into sections</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FXq0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FXq08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5FQWEcFMEea5pdrFDq-m2g" name="Attester">
          <generalization xmi:id="_5FQWEsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5FRkMMFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FSLQsFMEea5pdrFDq-m2g">
              <body>The type of attestation the authenticator offers.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSLQMFMEea5pdrFDq-m2g">
              <body>personal | professional | legal | official</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSLRMFMEea5pdrFDq-m2g">
              <body>Use more than one code where a single attester has more than one mode (professional and legal are often paired).</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSLRsFMEea5pdrFDq-m2g">
              <body>Indicates the level of authority of the attestation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FRkMcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FRkMsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FSLSMFMEea5pdrFDq-m2g" name="time" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FSLTsFMEea5pdrFDq-m2g">
              <body>When composition was attested by the party.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSLTMFMEea5pdrFDq-m2g">
              <body>When composition attested</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSyUcFMEea5pdrFDq-m2g">
              <body>Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FSLScFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FSLSsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FSyU8FMEea5pdrFDq-m2g" name="party" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FSyV8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5FSyXcFMEea5pdrFDq-m2g">
              <body>Who attested the composition in the specified way.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSyW8FMEea5pdrFDq-m2g">
              <body>Who attested the composition</body>
            </ownedComment>
            <ownedComment xmi:id="_5FSyX8FMEea5pdrFDq-m2g">
              <body>Identifies who has taken on the responsibility for accuracy of the composition content.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FSyVMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FSyVcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5FUAdMFMEea5pdrFDq-m2g" name="Event">
          <generalization xmi:id="_5FUAdcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5FUnkMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FV1oMFMEea5pdrFDq-m2g">
              <body>This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a &quot;History and Physical Report&quot; in which the procedure being documented is necessarily a &quot;History and Physical&quot; act.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FVOlsFMEea5pdrFDq-m2g">
              <body>Code(s) that apply to the event being documented</body>
            </ownedComment>
            <ownedComment xmi:id="_5FV1osFMEea5pdrFDq-m2g">
              <body>An event can further specialize the act inherent in the typeCode, such as where it is simply &quot;Procedure Report&quot; and the procedure was a &quot;colonoscopy&quot;. If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FVOkMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FVOkcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FV1pMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5FV1qsFMEea5pdrFDq-m2g">
              <body>The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FV1qMFMEea5pdrFDq-m2g">
              <body>The period covered by the documentation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FV1pcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FV1psFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5FV1rMFMEea5pdrFDq-m2g" name="detail" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5FWcscFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5FWct8FMEea5pdrFDq-m2g">
              <body>The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FWctcFMEea5pdrFDq-m2g">
              <body>The event(s) being documented</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FV1rcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FV1rsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5FXDysFMEea5pdrFDq-m2g" name="Section">
          <generalization xmi:id="_5FXDy8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5FXq3cFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.</body>
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            <ownedComment xmi:id="_5FYR4cFMEea5pdrFDq-m2g">
              <body>Label for section (e.g. for ToC)</body>
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            <ownedComment xmi:id="_5FYR5cFMEea5pdrFDq-m2g">
              <body>The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.</body>
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            <ownedComment xmi:id="_5FYR58FMEea5pdrFDq-m2g">
              <body>Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.</body>
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              <body>A code identifying the kind of content contained within the section. This must be consistent with the section title.</body>
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            <ownedComment xmi:id="_5Fg0xcFMEea5pdrFDq-m2g">
              <body>Classification of section (recommended)</body>
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            <ownedComment xmi:id="_5Fhb0MFMEea5pdrFDq-m2g">
              <body>The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.</body>
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              <body>Provides computable standardized labels to topics within the document.</body>
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              <body>A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative.</body>
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            <ownedComment xmi:id="_5Fhb2MFMEea5pdrFDq-m2g">
              <body>Text summary of the section, for human interpretation</body>
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            <ownedComment xmi:id="_5Fhb3MFMEea5pdrFDq-m2g">
              <body>Document profiles may define what content should be represented in the narrative to ensure clinical safety.</body>
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              <body>How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.</body>
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              <body>working | snapshot | changes</body>
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              <body>Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.</body>
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              <body>Specifies the order applied to the items in the section entries.</body>
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              <body>Order of section entries</body>
            </ownedComment>
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              <body>Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.</body>
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            <ownedComment xmi:id="_5Fj4EMFMEea5pdrFDq-m2g">
              <body>Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.</body>
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              <body>A reference to the actual resource from which the narrative in the section is derived.</body>
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              <body>A reference to data that supports this section</body>
            </ownedComment>
            <ownedComment xmi:id="_5Fj4HsFMEea5pdrFDq-m2g">
              <body>If there are no entries in the list, an emptyReason SHOULD be provided.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Fj4E8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Fj4FMFMEea5pdrFDq-m2g" value="*"/>
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              <body>If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.</body>
            </ownedComment>
            <ownedComment xmi:id="_5FlGMMFMEea5pdrFDq-m2g">
              <body>Why the section is empty</body>
            </ownedComment>
            <ownedComment xmi:id="_5FlGNMFMEea5pdrFDq-m2g">
              <body>The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.</body>
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            <ownedComment xmi:id="_5FlGNsFMEea5pdrFDq-m2g">
              <body>Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5FkfIcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5FkfIsFMEea5pdrFDq-m2g" value="1"/>
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              <body>A nested sub-section within this section.</body>
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              <body>Nested Section</body>
            </ownedComment>
            <ownedComment xmi:id="_5FltSMFMEea5pdrFDq-m2g">
              <body>Nested sections are primarily used to help human readers navigate to particular portions of the document.</body>
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        </nestedClassifier>
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          <body>An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition.</body>
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          <body>Base StructureDefinition for Communication Resource</body>
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        <ownedComment xmi:id="_5GlLw8FMEea5pdrFDq-m2g">
          <body>A record of information transmitted from a sender to a receiver</body>
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        <generalization xmi:id="_5GlLwsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
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            <body>Identifiers associated with this Communication that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).</body>
          </ownedComment>
          <ownedComment xmi:id="_5GlLy8FMEea5pdrFDq-m2g">
            <body>Unique identifier</body>
          </ownedComment>
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            <body>An order, proposal or plan fulfilled in whole or in part by this Communication.</body>
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            <body>Request fulfilled by this communication</body>
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            <body>This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc.</body>
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            <body>Part of this action.</body>
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          <ownedComment xmi:id="_5GmZ6cFMEea5pdrFDq-m2g">
            <body>Part of this action</body>
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            <body>This must point to some sort of an 'Event' resource such as Communication, Procedure, MedicationAdministration, etc.</body>
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            <body>The status of the transmission.</body>
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          <ownedComment xmi:id="_5GnoAMFMEea5pdrFDq-m2g">
            <body>in-progress | completed | suspended | rejected | failed</body>
          </ownedComment>
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            <body>The type of message conveyed such as alert, notification, reminder, instruction, etc.</body>
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            <body>Message category</body>
          </ownedComment>
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            <body>A channel that was used for this communication (e.g. email, fax).</body>
          </ownedComment>
          <ownedComment xmi:id="_5GoPFsFMEea5pdrFDq-m2g">
            <body>A channel of communication</body>
          </ownedComment>
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        </ownedAttribute>
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            <body>The patient who was the focus of this communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Go2KMFMEea5pdrFDq-m2g">
            <body>Focus of message</body>
          </ownedComment>
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            <body>The resources which were responsible for or related to producing this communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GpdOMFMEea5pdrFDq-m2g">
            <body>Focal resources</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GpdMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GpdMsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GpdPMFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5GqEQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GqERsFMEea5pdrFDq-m2g">
            <body>The encounter within which the communication was sent.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GqERMFMEea5pdrFDq-m2g">
            <body>Encounter or episode leading to message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GpdPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GpdPsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GqEScFMEea5pdrFDq-m2g" name="sent" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GqrUsFMEea5pdrFDq-m2g">
            <body>The time when this communication was sent.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GqrUMFMEea5pdrFDq-m2g">
            <body>When sent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GqESsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GqES8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GqrVMFMEea5pdrFDq-m2g" name="received" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GqrWsFMEea5pdrFDq-m2g">
            <body>The time when this communication arrived at the destination.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GqrWMFMEea5pdrFDq-m2g">
            <body>When received</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GqrVcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GqrVsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GrSYMFMEea5pdrFDq-m2g" name="sender" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5GrSZMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5GrSasFMEea5pdrFDq-m2g">
            <body>The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GrSaMFMEea5pdrFDq-m2g">
            <body>Message sender</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GrSYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GrSYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GrSbcFMEea5pdrFDq-m2g" name="recipient" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Gr5csFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Gr5eMFMEea5pdrFDq-m2g">
            <body>The entity (e.g. person, organization, clinical information system, or device) which was the target of the communication. If receipts need to be tracked by individual, a separate resource instance will need to be created for each recipient.  Multiple recipient communications are intended where either a receipt(s) is not tracked (e.g. a mass mail-out) or is captured in aggregate (all emails confirmed received by a particular time).</body>
          </ownedComment>
          <ownedComment xmi:id="_5Gr5dsFMEea5pdrFDq-m2g">
            <body>Message recipient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GrSbsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gr5cMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GsggMFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GtHkMFMEea5pdrFDq-m2g">
            <body>The reason or justification for the communication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GsghcFMEea5pdrFDq-m2g">
            <body>Indication for message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GsggcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GsggsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GtuocFMEea5pdrFDq-m2g" name="payload" type="_5GtHksFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5GtupcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Gtuq8FMEea5pdrFDq-m2g">
            <body>Text, attachment(s), or resource(s) that was communicated to the recipient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GtuqcFMEea5pdrFDq-m2g">
            <body>Message payload</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GtuosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gtuo8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GuVtsFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Gu8wcFMEea5pdrFDq-m2g">
            <body>Additional notes or commentary about the communication by the sender, receiver or other interested parties.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GuVusFMEea5pdrFDq-m2g">
            <body>Comments made about the communication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GuVt8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GuVuMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5GtHksFMEea5pdrFDq-m2g" name="Payload">
          <generalization xmi:id="_5GtHk8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5GturcFMEea5pdrFDq-m2g" name="content[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5GuVs8FMEea5pdrFDq-m2g">
              <body>A communicated content (or for multi-part communications, one portion of the communication).</body>
            </ownedComment>
            <ownedComment xmi:id="_5GuVscFMEea5pdrFDq-m2g">
              <body>Message part content</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GtursFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gtur8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Gly1sFMEea5pdrFDq-m2g" memberEnd="_5Gly18FMEea5pdrFDq-m2g _5Gly0sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Gly18FMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5Gly1sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gly2MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gly2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5GmZ5cFMEea5pdrFDq-m2g" memberEnd="_5GmZ5sFMEea5pdrFDq-m2g _5GmZ4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5GmZ5sFMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5GmZ5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GmZ58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GmZ6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Go2JMFMEea5pdrFDq-m2g" memberEnd="_5Go2JcFMEea5pdrFDq-m2g _5Go2IMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Go2JcFMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5Go2JMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Go2JsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Go2J8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5GpdNMFMEea5pdrFDq-m2g" memberEnd="_5GpdNcFMEea5pdrFDq-m2g _5GpdMMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5GpdNcFMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5GpdNMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GpdNsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GpdN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5GqEQMFMEea5pdrFDq-m2g" memberEnd="_5GqEQcFMEea5pdrFDq-m2g _5GpdPMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5GqEQcFMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5GqEQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GqEQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GqEQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5GrSZMFMEea5pdrFDq-m2g" memberEnd="_5GrSZcFMEea5pdrFDq-m2g _5GrSYMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5GrSZcFMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5GrSZMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GrSZsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GrSZ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Gr5csFMEea5pdrFDq-m2g" memberEnd="_5Gr5c8FMEea5pdrFDq-m2g _5GrSbcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Gr5c8FMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5Gr5csFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gr5dMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gr5dcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5GtupcFMEea5pdrFDq-m2g" memberEnd="_5GtupsFMEea5pdrFDq-m2g _5GtuocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5GtupsFMEea5pdrFDq-m2g" type="_5GkksMFMEea5pdrFDq-m2g" association="_5GtupcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gtup8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GtuqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Gu8w8FMEea5pdrFDq-m2g" name="NamingSystem">
        <ownedComment xmi:id="_5Gwx98FMEea5pdrFDq-m2g">
          <body>A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc.  Represents a &quot;System&quot; used within the Identifier and Coding data types.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Gwx8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for NamingSystem Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5Gwx9cFMEea5pdrFDq-m2g">
          <body>System of unique identification</body>
        </ownedComment>
        <ownedRule xmi:id="_5Gu8xMFMEea5pdrFDq-m2g" name="nsd-1" constrainedElement="_5Gu8w8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Gu8xcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:kind/@value='root' and f:uniqueId/f:type/@value='uuid')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5Gvj0cFMEea5pdrFDq-m2g" name="nsd-3" constrainedElement="_5Gu8w8FMEea5pdrFDq-m2g _5G7KAMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Gvj0sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:replacedBy) or f:status/@value='retired'</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5Gvj1MFMEea5pdrFDq-m2g" name="nsd-2" constrainedElement="_5Gu8w8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Gvj1cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(for $type in distinct-values(f:uniqueId/f:type/@value) return if (count(f:uniqueId[f:type/@value=$type and f:preferred/@value=true()])>1) then $type else ()))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5Gwx9MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5Gwx-cFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GxZAsFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the naming system. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GxZAMFMEea5pdrFDq-m2g">
            <body>Name for this naming system (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5GxZBMFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly. The&quot;symbolic name&quot; for an OID would be captured as an extension.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GxZBsFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gwx-sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gwx-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GxZCMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GyAEsFMEea5pdrFDq-m2g">
            <body>The status of this naming system. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GyAEMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5GyAFMFMEea5pdrFDq-m2g">
            <body>Allows filtering of naming system that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GxZCcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GxZCsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GyAFsFMEea5pdrFDq-m2g" name="kind" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GynJMFMEea5pdrFDq-m2g">
            <body>Indicates the purpose for the naming system - what kinds of things does it make unique?</body>
          </ownedComment>
          <ownedComment xmi:id="_5GynIsFMEea5pdrFDq-m2g">
            <body>codesystem | identifier | root</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GyAF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GyAGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GynJsFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GzOM8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the naming system was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the naming system changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GzOMcFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5GzONcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the naming system. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GynJ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GynKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GzON8FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5GzOPcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the naming system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5GzOO8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5GzOP8FMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the naming system is the organization or individual primarily responsible for the maintenance and upkeep of the naming system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the naming system. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Gz1QcFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the naming system.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5GzOOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5GzOOcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Gz1Q8FMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Gz1ScFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Gz1R8FMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5Gz1S8FMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Gz1RMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Gz1RcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G0cUMFMEea5pdrFDq-m2g" name="responsible" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G0cVsFMEea5pdrFDq-m2g">
            <body>The name of the organization that is responsible for issuing identifiers or codes for this namespace and ensuring their non-collision.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G0cVMFMEea5pdrFDq-m2g">
            <body>Who maintains system namespace?</body>
          </ownedComment>
          <ownedComment xmi:id="_5G0cWMFMEea5pdrFDq-m2g">
            <body>This is the primary organization.  Responsibility for some aspects of a namespace may be delegated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G0cUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G0cUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G0cWsFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G1DYsFMEea5pdrFDq-m2g">
            <body>Categorizes a naming system for easier search by grouping related naming systems.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G1DYMFMEea5pdrFDq-m2g">
            <body>e.g. driver,  provider,  patient, bank etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G1DZMFMEea5pdrFDq-m2g">
            <body>This will most commonly be used for identifier namespaces, but categories could potentially be useful for code systems and authorities as well.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G0cW8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G0cXMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G1DZsFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G1qcsFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the naming system from the consumer's perspective. Details about what the namespace identifies including scope, granularity, version labeling, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G1qcMFMEea5pdrFDq-m2g">
            <body>Natural language description of the naming system</body>
          </ownedComment>
          <ownedComment xmi:id="_5G1qdMFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the naming system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G1DZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G1DaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G1qdsFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G1qfMFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G1qesFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5G1qfsFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G2RgcFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G1qd8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G1qeMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G2Rg8FMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G24kcFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the naming system is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G2RiMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for naming system (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G2RhMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G2RhcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G24k8FMEea5pdrFDq-m2g" name="usage" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G24mcFMEea5pdrFDq-m2g">
            <body>Provides guidance on the use of the namespace, including the handling of formatting characters, use of upper vs. lower case, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G24l8FMEea5pdrFDq-m2g">
            <body>How/where is it used</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G24lMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G24lcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G3fo8FMEea5pdrFDq-m2g" name="uniqueId" type="_5G3foMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5G4GsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5G4GtsFMEea5pdrFDq-m2g">
            <body>Indicates how the system may be identified when referenced in electronic exchange.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G4GtMFMEea5pdrFDq-m2g">
            <body>Unique identifiers used for system</body>
          </ownedComment>
          <ownedComment xmi:id="_5G4GuMFMEea5pdrFDq-m2g">
            <body>Multiple identifiers may exist, either due to duplicate registration, regional rules, needs of different communication technologies, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G3fpMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G3fpcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G7KAMFMEea5pdrFDq-m2g" name="replacedBy" type="_5Gu8w8FMEea5pdrFDq-m2g" isOrdered="true" association="_5G7KBMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5G7KCsFMEea5pdrFDq-m2g">
            <body>For naming systems that are retired, indicates the naming system that should be used in their place (if any).</body>
          </ownedComment>
          <ownedComment xmi:id="_5G7KCMFMEea5pdrFDq-m2g">
            <body>Use this instead</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G7KAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G7KAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5G3foMFMEea5pdrFDq-m2g" name="UniqueId">
          <generalization xmi:id="_5G3focFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5G4GusFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5G4txcFMEea5pdrFDq-m2g">
              <body>Identifies the unique identifier scheme used for this particular identifier.</body>
            </ownedComment>
            <ownedComment xmi:id="_5G4tw8FMEea5pdrFDq-m2g">
              <body>oid | uuid | uri | other</body>
            </ownedComment>
            <ownedComment xmi:id="_5G5U0MFMEea5pdrFDq-m2g">
              <body>Different identifier types may be used in different types of communications (OIDs for v3, URIs for FHIR, etc.).  Other includes RUIDs from v3, standard v2 code name strings, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G4Gu8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G4GvMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5G5U0sFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5G5U2MFMEea5pdrFDq-m2g">
              <body>The string that should be sent over the wire to identify the code system or identifier system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5G5U1sFMEea5pdrFDq-m2g">
              <body>The unique identifier</body>
            </ownedComment>
            <ownedComment xmi:id="_5G5U2sFMEea5pdrFDq-m2g">
              <body>If the value is a URI intended for use as FHIR system identifier, the URI should not contain &quot;\&quot; or &quot;?&quot; or &quot;,&quot; since this makes escaping very difficult.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G5U08FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G5U1MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5G574MFMEea5pdrFDq-m2g" name="preferred" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5G575sFMEea5pdrFDq-m2g">
              <body>Indicates whether this identifier is the &quot;preferred&quot; identifier of this type.</body>
            </ownedComment>
            <ownedComment xmi:id="_5G575MFMEea5pdrFDq-m2g">
              <body>Is this the id that should be used for this type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G574cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G574sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5G576MFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5G577sFMEea5pdrFDq-m2g">
              <body>Notes about the past or intended usage of this identifier.</body>
            </ownedComment>
            <ownedComment xmi:id="_5G577MFMEea5pdrFDq-m2g">
              <body>Notes about identifier usage</body>
            </ownedComment>
            <ownedComment xmi:id="_5G6i8MFMEea5pdrFDq-m2g">
              <body>e.g. &quot;must be used in Germany&quot; or &quot;was initially published in error with this value&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G576cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G576sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5G6i8sFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5G6i-MFMEea5pdrFDq-m2g">
              <body>Identifies the period of time over which this identifier is considered appropriate to refer to the naming system.  Outside of this window, the identifier might be non-deterministic.</body>
            </ownedComment>
            <ownedComment xmi:id="_5G6i9sFMEea5pdrFDq-m2g">
              <body>When is identifier valid?</body>
            </ownedComment>
            <ownedComment xmi:id="_5G6i-sFMEea5pdrFDq-m2g">
              <body>Within a registry, a given identifier should only be &quot;active&quot; for a single namespace at a time.  (Ideally, an identifier should only ever be associated with a single namespace across all time).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G6i88FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G6i9MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5G4GsMFMEea5pdrFDq-m2g" memberEnd="_5G4GscFMEea5pdrFDq-m2g _5G3fo8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5G4GscFMEea5pdrFDq-m2g" type="_5Gu8w8FMEea5pdrFDq-m2g" association="_5G4GsMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G4GssFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G4Gs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5G7KBMFMEea5pdrFDq-m2g" memberEnd="_5G7KBcFMEea5pdrFDq-m2g _5G7KAMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5G7KBcFMEea5pdrFDq-m2g" type="_5Gu8w8FMEea5pdrFDq-m2g" association="_5G7KBMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G7KBsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G7KB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5G7KDMFMEea5pdrFDq-m2g" name="ConceptMap">
        <ownedComment xmi:id="_5G8YJ8FMEea5pdrFDq-m2g">
          <body>A statement of relationships from one set of concepts to one or more other concepts - either code systems or data elements, or classes in class models.</body>
        </ownedComment>
        <ownedComment xmi:id="_5G8YIsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ConceptMap Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5G8YJcFMEea5pdrFDq-m2g">
          <body>A map from one set of concepts to one or more other concepts</body>
        </ownedComment>
        <ownedRule xmi:id="_5G7xEMFMEea5pdrFDq-m2g" name="cmd-1" constrainedElement="_5HJMccFMEea5pdrFDq-m2g _5HLBoMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5G7xEcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:comments) or not(exists(f:equivalence)) or ((f:equivalence/@value != 'narrower') and (f:equivalence/@value != 'inexact'))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5G8YJMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5G8_MMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G8_NsFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this concept map when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this concept map is (or will be) published. The URL SHOULD include the major version of the concept map. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5G8_NMFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this concept map (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5G8_OMFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G8_OsFMEea5pdrFDq-m2g">
            <body>Allows the concept map to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G8_McFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G8_MsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G8_PMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G9mQ8FMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G9mQcFMEea5pdrFDq-m2g">
            <body>Additional identifier for the concept map</body>
          </ownedComment>
          <ownedComment xmi:id="_5G9mRcFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this concept map outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G9mR8FMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G8_PcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G8_PsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G9mScFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G-NUcFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G9mTcFMEea5pdrFDq-m2g">
            <body>Business version of the concept map</body>
          </ownedComment>
          <ownedComment xmi:id="_5G-NU8FMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a concept map that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G9mSsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G9mS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G-NVcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G-NW8FMEea5pdrFDq-m2g">
            <body>A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G-NWcFMEea5pdrFDq-m2g">
            <body>Name for this concept map (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5G-NXcFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G-0YMFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G-NVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G-NV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G-0YsFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G-0aMFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the concept map.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G-0ZsFMEea5pdrFDq-m2g">
            <body>Name for this concept map (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G-0Y8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G-0ZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G-0asFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5G_bc8FMEea5pdrFDq-m2g">
            <body>The status of this concept map. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G_bccFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5G_bdcFMEea5pdrFDq-m2g">
            <body>Allows filtering of concept map that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G-0a8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G-0bMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5G_bd8FMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HACgcFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5G_be8FMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5HACg8FMEea5pdrFDq-m2g">
            <body>Allows filtering of concept map that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HAChcFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level concept map would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5G_beMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5G_becFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HACh8FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HApkMFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the concept map.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HACi8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5HApksFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HAplMFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the concept map.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HACiMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HACicFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HAplsFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HApnMFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HApmsFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5HApnsFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HApl8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HApmMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HBQocFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HBQp8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the concept map was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HBQpcFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5HBQqcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HBQosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HBQo8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HB3sMFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HB3tsFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the concept map from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HB3tMFMEea5pdrFDq-m2g">
            <body>Natural language description of the concept map</body>
          </ownedComment>
          <ownedComment xmi:id="_5HB3uMFMEea5pdrFDq-m2g">
            <body>The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HB3scFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HB3ssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HB3usFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HCewMFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HB3vsFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5HCewsFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HCexMFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HB3u8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HB3vMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HCexsFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HDF0sFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the concept map is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HDF0MFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for concept map (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HCex8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HCeyMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HDF1MFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HDF2sFMEea5pdrFDq-m2g">
            <body>Explains why this concept map is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HDF2MFMEea5pdrFDq-m2g">
            <body>Why this concept map is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5HDF3MFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the concept map (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this concept map.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HDF1cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HDF1sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HDs4MFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HDs5sFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HDs5MFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5HDs6MFMEea5pdrFDq-m2g">
            <body>null Frequently, the copyright differs between the concept map, and codes that are included. The copyright statement should clearly differentiate between these when required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HDs6sFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the concept map and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HDs4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HDs4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HDs7MFMEea5pdrFDq-m2g" name="source[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HET8sFMEea5pdrFDq-m2g">
            <body>The source value set that specifies the concepts that are being mapped.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HET8MFMEea5pdrFDq-m2g">
            <body>Identifies the source of the concepts which are being mapped</body>
          </ownedComment>
          <ownedComment xmi:id="_5HET9MFMEea5pdrFDq-m2g">
            <body>Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HDs7cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HDs7sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HET98FMEea5pdrFDq-m2g" name="target[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HE7AMFMEea5pdrFDq-m2g">
            <body>The target value set provides context to the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HET-8FMEea5pdrFDq-m2g">
            <body>Provides context to the mappings</body>
          </ownedComment>
          <ownedComment xmi:id="_5HE7AsFMEea5pdrFDq-m2g">
            <body>Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HET-MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HET-cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HFiEcFMEea5pdrFDq-m2g" name="group" type="_5HE7BcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HFiFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HFiG8FMEea5pdrFDq-m2g">
            <body>A group of mappings that all have the same source and target system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HFiGcFMEea5pdrFDq-m2g">
            <body>Same source and target systems</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HFiEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HFiE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5HE7BcFMEea5pdrFDq-m2g" name="Group">
          <generalization xmi:id="_5HE7BsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5HFiHcFMEea5pdrFDq-m2g" name="source" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HGJJMFMEea5pdrFDq-m2g">
              <body>An absolute URI that identifies the Code System (if the source is a value set that crosses more than one code system).</body>
            </ownedComment>
            <ownedComment xmi:id="_5HGJIsFMEea5pdrFDq-m2g">
              <body>Code System (if value set crosses code systems)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HFiHsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HGJIMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HGJJsFMEea5pdrFDq-m2g" name="sourceVersion" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HGJLMFMEea5pdrFDq-m2g">
              <body>The specific version of the code system, as determined by the code system authority.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HGJKsFMEea5pdrFDq-m2g">
              <body>Specific version of the  code system</body>
            </ownedComment>
            <ownedComment xmi:id="_5HGJLsFMEea5pdrFDq-m2g">
              <body>The specification of a particular code system version may be required for code systems which lack concept permanence.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HGJJ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HGJKMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HGwMMFMEea5pdrFDq-m2g" name="target" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HGwNsFMEea5pdrFDq-m2g">
              <body>An absolute URI that identifies the code system of the target code (if the target is a value set that cross code systems).</body>
            </ownedComment>
            <ownedComment xmi:id="_5HGwNMFMEea5pdrFDq-m2g">
              <body>System of the target (if necessary)</body>
            </ownedComment>
            <ownedComment xmi:id="_5HGwOMFMEea5pdrFDq-m2g">
              <body>Target may be omitted if all the targget element equivalence values are 'unmatched'.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HGwMcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HGwMsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HGwOsFMEea5pdrFDq-m2g" name="targetVersion" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HHXQcFMEea5pdrFDq-m2g">
              <body>The specific version of the code system, as determined by the code system authority.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HGwPsFMEea5pdrFDq-m2g">
              <body>Specific version of the  code system</body>
            </ownedComment>
            <ownedComment xmi:id="_5HHXQ8FMEea5pdrFDq-m2g">
              <body>The specification of a particular code system version may be required for code systems which lack concept permanence.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HGwO8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HGwPMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HH-UcFMEea5pdrFDq-m2g" name="element" type="_5HHXRcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HH-VcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5HH-W8FMEea5pdrFDq-m2g">
              <body>Mappings for an individual concept in the source to one or more concepts in the target.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HH-WcFMEea5pdrFDq-m2g">
              <body>Mappings for a concept from the source set</body>
            </ownedComment>
            <ownedComment xmi:id="_5HH-XcFMEea5pdrFDq-m2g">
              <body>Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HH-UsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HH-U8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5HHXRcFMEea5pdrFDq-m2g" name="SourceElement">
            <generalization xmi:id="_5HHXRsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5HH-X8FMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HIlY8FMEea5pdrFDq-m2g">
                <body>Identity (code or path) or the element/item being mapped.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HIlYcFMEea5pdrFDq-m2g">
                <body>Identifies element being mapped</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HH-YMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HH-YcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5HJMccFMEea5pdrFDq-m2g" name="target" type="_5HIlZcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HJMdcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5HJMe8FMEea5pdrFDq-m2g">
                <body>A concept from the target value set that this concept maps to.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HJMecFMEea5pdrFDq-m2g">
                <body>Concept in target system for element</body>
              </ownedComment>
              <ownedComment xmi:id="_5HJMfcFMEea5pdrFDq-m2g">
                <body>Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HJMcsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HJMc8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5HIlZcFMEea5pdrFDq-m2g" name="TargetElement">
              <generalization xmi:id="_5HIlZsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5HJMf8FMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5HJzhcFMEea5pdrFDq-m2g">
                  <body>Identity (code or path) or the element/item that the map refers to.</body>
                </ownedComment>
                <ownedComment xmi:id="_5HJzg8FMEea5pdrFDq-m2g">
                  <body>Code that identifies the target element</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HJzgMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HJzgcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5HJzh8FMEea5pdrFDq-m2g" name="equivalence" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5HKalcFMEea5pdrFDq-m2g">
                  <body>The equivalence between the source and target concepts (counting for the dependencies and products). The equivalence is read from target to source (e.g. the target is 'wider' than the source).</body>
                </ownedComment>
                <ownedComment xmi:id="_5HKak8FMEea5pdrFDq-m2g">
                  <body>relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HJziMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HJzicFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5HLBoMFMEea5pdrFDq-m2g" name="comments" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5HLBpsFMEea5pdrFDq-m2g">
                  <body>A description of status/issues in mapping that conveys additional information not represented in  the structured data.</body>
                </ownedComment>
                <ownedComment xmi:id="_5HLBpMFMEea5pdrFDq-m2g">
                  <body>Description of status/issues in mapping</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HLBocFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HLBosFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5HLoscFMEea5pdrFDq-m2g" name="dependsOn" type="_5HLBqMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HLotcFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5HMPwcFMEea5pdrFDq-m2g">
                  <body>A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.</body>
                </ownedComment>
                <ownedComment xmi:id="_5HLoucFMEea5pdrFDq-m2g">
                  <body>Other elements required for this mapping (from context)</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HLossFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HLos8FMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5HNd4sFMEea5pdrFDq-m2g" name="product" type="_5HLBqMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HNd5sFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5HNd7MFMEea5pdrFDq-m2g">
                  <body>A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the equivalence cannot be relied on.</body>
                </ownedComment>
                <ownedComment xmi:id="_5HNd6sFMEea5pdrFDq-m2g">
                  <body>Other concepts that this mapping also produces</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HNd48FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HNd5MFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_5HLBqMFMEea5pdrFDq-m2g" name="OtherElement">
                <generalization xmi:id="_5HLBqcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_5HMPw8FMEea5pdrFDq-m2g" name="property" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5HMPycFMEea5pdrFDq-m2g">
                    <body>A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somwhere that is labelled to correspond with a code system property.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5HMPx8FMEea5pdrFDq-m2g">
                    <body>Reference to property mapping depends on</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HMPxMFMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HMPxcFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5HM20MFMEea5pdrFDq-m2g" name="system" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5HM21sFMEea5pdrFDq-m2g">
                    <body>An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5HM21MFMEea5pdrFDq-m2g">
                    <body>Code System (if necessary)</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HM20cFMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HM20sFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5HM22MFMEea5pdrFDq-m2g" name="code" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5HNd4MFMEea5pdrFDq-m2g">
                    <body>Identity (code or path) or the element/item/ValueSet that the map depends on / refers to.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5HM23MFMEea5pdrFDq-m2g">
                    <body>Value of the referenced element</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HM22cFMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HM22sFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
              </nestedClassifier>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HFiFcFMEea5pdrFDq-m2g" memberEnd="_5HFiFsFMEea5pdrFDq-m2g _5HFiEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HFiFsFMEea5pdrFDq-m2g" type="_5G7KDMFMEea5pdrFDq-m2g" association="_5HFiFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HFiF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HFiGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HH-VcFMEea5pdrFDq-m2g" memberEnd="_5HH-VsFMEea5pdrFDq-m2g _5HH-UcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HH-VsFMEea5pdrFDq-m2g" type="_5HE7BcFMEea5pdrFDq-m2g" association="_5HH-VcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HH-V8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HH-WMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HJMdcFMEea5pdrFDq-m2g" memberEnd="_5HJMdsFMEea5pdrFDq-m2g _5HJMccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HJMdsFMEea5pdrFDq-m2g" type="_5HHXRcFMEea5pdrFDq-m2g" association="_5HJMdcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HJMd8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HJMeMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HLotcFMEea5pdrFDq-m2g" memberEnd="_5HLotsFMEea5pdrFDq-m2g _5HLoscFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HLotsFMEea5pdrFDq-m2g" type="_5HIlZcFMEea5pdrFDq-m2g" association="_5HLotcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HLot8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HLouMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HNd5sFMEea5pdrFDq-m2g" memberEnd="_5HNd58FMEea5pdrFDq-m2g _5HNd4sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HNd58FMEea5pdrFDq-m2g" type="_5HIlZcFMEea5pdrFDq-m2g" association="_5HNd5sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HNd6MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HNd6cFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5HOE8MFMEea5pdrFDq-m2g" name="RequestGroup">
        <ownedComment xmi:id="_5HPTEcFMEea5pdrFDq-m2g">
          <body>A group of related requests that can be used to capture intended activities that have inter-dependencies such as &quot;give this medication after that one&quot;.</body>
        </ownedComment>
        <ownedComment xmi:id="_5HOsAsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for RequestGroup Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5HOsBcFMEea5pdrFDq-m2g">
          <body>A group of related requests</body>
        </ownedComment>
        <ownedRule xmi:id="_5HOE8cFMEea5pdrFDq-m2g" name="rqg-1" constrainedElement="_5HSWZcFMEea5pdrFDq-m2g _5HnGhsFMEea5pdrFDq-m2g _5Hntm8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5HOE8sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:resource) != exists(f:action)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5HOsBMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5HPTE8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HPTGcFMEea5pdrFDq-m2g">
            <body>Allows a service to provide a unique, business identifier for the response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HPTF8FMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HPTFMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HPTFcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HPTG8FMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5HP6IMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HP6JsFMEea5pdrFDq-m2g">
            <body>The subject for which the request group was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HP6JMFMEea5pdrFDq-m2g">
            <body>Subject of the request group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HPTHMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HPTHcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HP6KcFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5HQhMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HQhNsFMEea5pdrFDq-m2g">
            <body>Describes the context of the request group, if any.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HQhNMFMEea5pdrFDq-m2g">
            <body>Encounter or Episode for the request group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HP6KsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HP6K8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HQhOcFMEea5pdrFDq-m2g" name="occurrenceDateTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HQhP8FMEea5pdrFDq-m2g">
            <body>Indicates when the request group was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HQhPcFMEea5pdrFDq-m2g">
            <body>When the request group was authored</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HQhOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HQhO8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HRIQMFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5HRIRMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HRISsFMEea5pdrFDq-m2g">
            <body>Provides a reference to the author of the request group.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HRISMFMEea5pdrFDq-m2g">
            <body>Device or practitioner that authored the request group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HRIQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HRIQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HRvUMFMEea5pdrFDq-m2g" name="reason[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HRvVsFMEea5pdrFDq-m2g">
            <body>Indicates the reason the request group was created. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HRvVMFMEea5pdrFDq-m2g">
            <body>Reason for the request group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HRvUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HRvUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HRvWcFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HSWYMFMEea5pdrFDq-m2g">
            <body>Provides a mechanism to communicate additional information about the response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HRvXcFMEea5pdrFDq-m2g">
            <body>Additional notes about the response</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HRvWsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HRvW8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HSWZcFMEea5pdrFDq-m2g" name="action" type="_5HSWYsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HS9cMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HS9dsFMEea5pdrFDq-m2g">
            <body>The actions, if any, produced by the evaluation of the artifact.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HS9dMFMEea5pdrFDq-m2g">
            <body>Proposed actions, if any</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HSWZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HSWZ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5HSWYsFMEea5pdrFDq-m2g" name="Action">
          <generalization xmi:id="_5HSWY8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5HS9eMFMEea5pdrFDq-m2g" name="actionIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HS9fsFMEea5pdrFDq-m2g">
              <body>A unique identifier for the action. The identifier SHALL be unique within the container in which it appears, and MAY be universally unique.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HS9fMFMEea5pdrFDq-m2g">
              <body>Unique identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HS9ecFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HS9esFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HTkgMFMEea5pdrFDq-m2g" name="label" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HTkhsFMEea5pdrFDq-m2g">
              <body>A user-visible label for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HTkhMFMEea5pdrFDq-m2g">
              <body>User-visible label for the action (e.g. 1. or A.)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HTkgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HTkgsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HTkiMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HTkjsFMEea5pdrFDq-m2g">
              <body>The title of the action displayed to a user.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HTkjMFMEea5pdrFDq-m2g">
              <body>User-visible title</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HTkicFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HTkisFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HULkMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HULlsFMEea5pdrFDq-m2g">
              <body>A short description of the action used to provide a summary to display to the user.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HULlMFMEea5pdrFDq-m2g">
              <body>Short description of the action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HULkcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HULksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HULmMFMEea5pdrFDq-m2g" name="textEquivalent" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HULnsFMEea5pdrFDq-m2g">
              <body>A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that may not be capable of interpreting it dynamically.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HULnMFMEea5pdrFDq-m2g">
              <body>Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HULmcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HULmsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HUyocFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HUyp8FMEea5pdrFDq-m2g">
              <body>The concept represented by this action or its sub-actions.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HUypcFMEea5pdrFDq-m2g">
              <body>The meaning of the action or its sub-actions</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HUyosFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HUyo8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HUyqcFMEea5pdrFDq-m2g" name="documentation" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HVZssFMEea5pdrFDq-m2g">
              <body>Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HVZsMFMEea5pdrFDq-m2g">
              <body>Supporting documentation for the intended performer of the action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HUyqsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HUyq8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HWAwcFMEea5pdrFDq-m2g" name="condition" type="_5HVZtMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HWAxcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5HWAy8FMEea5pdrFDq-m2g">
              <body>An expression that describes applicability criteria, or start/stop conditions for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HWAycFMEea5pdrFDq-m2g">
              <body>Whether or not the action is applicable</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HWAwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HWAw8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HZEEMFMEea5pdrFDq-m2g" name="relatedAction" type="_5HYdA8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HZEFMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5HZEGsFMEea5pdrFDq-m2g">
              <body>A relationship to another action such as &quot;before&quot; or &quot;30-60 minutes after start of&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HZEGMFMEea5pdrFDq-m2g">
              <body>Relationship to another action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HZEEcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HZEEsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HaSPMFMEea5pdrFDq-m2g" name="timing[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ha5RcFMEea5pdrFDq-m2g">
              <body>An optional value describing when the action should be performed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ha5Q8FMEea5pdrFDq-m2g">
              <body>When the action should take place</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ha5QMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ha5QcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Hi1FMFMEea5pdrFDq-m2g" name="participant" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5HjcIcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5HjcJ8FMEea5pdrFDq-m2g">
              <body>The participant in the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HjcJcFMEea5pdrFDq-m2g">
              <body>Participant</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hi1FcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hi1FsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HjcKsFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HkDNMFMEea5pdrFDq-m2g">
              <body>The type of action to perform (create, update, remove).</body>
            </ownedComment>
            <ownedComment xmi:id="_5HkDMsFMEea5pdrFDq-m2g">
              <body>create | update | remove | fire-event</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HjcK8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HjcLMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HkDNsFMEea5pdrFDq-m2g" name="groupingBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HkqRMFMEea5pdrFDq-m2g">
              <body>Defines the grouping behavior for the action and its children.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HkqQsFMEea5pdrFDq-m2g">
              <body>visual-group | logical-group | sentence-group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HkDN8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HkDOMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HkqRsFMEea5pdrFDq-m2g" name="selectionBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HlRVMFMEea5pdrFDq-m2g">
              <body>Defines the selection behavior for the action and its children.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HlRUsFMEea5pdrFDq-m2g">
              <body>any | all | all-or-none | exactly-one | at-most-one | one-or-more</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HkqR8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HkqSMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HlRVsFMEea5pdrFDq-m2g" name="requiredBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Hl4ZMFMEea5pdrFDq-m2g">
              <body>Defines the requiredness behavior for the action.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Hl4YsFMEea5pdrFDq-m2g">
              <body>must | could | must-unless-documented</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HlRV8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HlRWMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Hl4ZsFMEea5pdrFDq-m2g" name="precheckBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Hmfc8FMEea5pdrFDq-m2g">
              <body>Defines whether the action should usually be preselected.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HmfccFMEea5pdrFDq-m2g">
              <body>yes | no</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hl4Z8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hl4aMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HmfdcFMEea5pdrFDq-m2g" name="cardinalityBehavior" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5HnGhMFMEea5pdrFDq-m2g">
              <body>Defines whether the action can be selected multiple times.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HnGgsFMEea5pdrFDq-m2g">
              <body>single | multiple</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HmfdsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hmfd8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5HnGhsFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5HntkcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Hntl8FMEea5pdrFDq-m2g">
              <body>The resource that is the target of the action (e.g. CommunicationRequest).</body>
            </ownedComment>
            <ownedComment xmi:id="_5HntlcFMEea5pdrFDq-m2g">
              <body>The target of the action</body>
            </ownedComment>
            <ownedComment xmi:id="_5HntmcFMEea5pdrFDq-m2g">
              <body>The target resource SHALL be a [Request](request.html) resource with a Request.intent set to &quot;option&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HnGh8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HnGiMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Hntm8FMEea5pdrFDq-m2g" name="action" type="_5HSWYsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5HoUocFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5HoUp8FMEea5pdrFDq-m2g">
              <body>Sub actions.</body>
            </ownedComment>
            <ownedComment xmi:id="_5HoUpcFMEea5pdrFDq-m2g">
              <body>Sub action</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HntnMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HntncFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5HVZtMFMEea5pdrFDq-m2g" name="Condition">
            <generalization xmi:id="_5HVZtcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5HWn0cFMEea5pdrFDq-m2g" name="kind" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HWn2MFMEea5pdrFDq-m2g">
                <body>The kind of condition.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HWn1sFMEea5pdrFDq-m2g">
                <body>applicability | start | stop</body>
              </ownedComment>
              <ownedComment xmi:id="_5HXO4cFMEea5pdrFDq-m2g">
                <body>Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe when enter/exit criteria for an action.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HWn0sFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HWn08FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5HXO48FMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HXO6cFMEea5pdrFDq-m2g">
                <body>A brief, natural language description of the condition that effectively communicates the intended semantics.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HXO58FMEea5pdrFDq-m2g">
                <body>Natural language description of the condition</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HXO5MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HXO5cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5HXO68FMEea5pdrFDq-m2g" name="language" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HX19MFMEea5pdrFDq-m2g">
                <body>The media type of the language for the expression.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HX18sFMEea5pdrFDq-m2g">
                <body>Language of the expression</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HXO7MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HX18MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5HX19sFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HX1_MFMEea5pdrFDq-m2g">
                <body>An expression that returns true or false, indicating whether or not the condition is satisfied.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HX1-sFMEea5pdrFDq-m2g">
                <body>Boolean-valued expression</body>
              </ownedComment>
              <ownedComment xmi:id="_5HYdAcFMEea5pdrFDq-m2g">
                <body>The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HX198FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HX1-MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5HYdA8FMEea5pdrFDq-m2g" name="RelatedAction">
            <generalization xmi:id="_5HYdBMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5HZEHMFMEea5pdrFDq-m2g" name="actionIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HZrIsFMEea5pdrFDq-m2g">
                <body>The unique identifier of the related action.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HZrIMFMEea5pdrFDq-m2g">
                <body>Identifier of the related action</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HZEHcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HZEHsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5HZrJMFMEea5pdrFDq-m2g" name="relationship" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HaSMcFMEea5pdrFDq-m2g">
                <body>The relationship of this action to the related action.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HZrKcFMEea5pdrFDq-m2g">
                <body>before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HZrJcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HZrJsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5HaSM8FMEea5pdrFDq-m2g" name="offset[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5HaSOcFMEea5pdrFDq-m2g">
                <body>A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.</body>
              </ownedComment>
              <ownedComment xmi:id="_5HaSN8FMEea5pdrFDq-m2g">
                <body>Time offset for the relationship</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HaSNMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HaSNcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HP6IMFMEea5pdrFDq-m2g" memberEnd="_5HP6IcFMEea5pdrFDq-m2g _5HPTG8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HP6IcFMEea5pdrFDq-m2g" type="_5HOE8MFMEea5pdrFDq-m2g" association="_5HP6IMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HP6IsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HP6I8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HQhMMFMEea5pdrFDq-m2g" memberEnd="_5HQhMcFMEea5pdrFDq-m2g _5HP6KcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HQhMcFMEea5pdrFDq-m2g" type="_5HOE8MFMEea5pdrFDq-m2g" association="_5HQhMMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HQhMsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HQhM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HRIRMFMEea5pdrFDq-m2g" memberEnd="_5HRIRcFMEea5pdrFDq-m2g _5HRIQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HRIRcFMEea5pdrFDq-m2g" type="_5HOE8MFMEea5pdrFDq-m2g" association="_5HRIRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HRIRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HRIR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HS9cMFMEea5pdrFDq-m2g" memberEnd="_5HS9ccFMEea5pdrFDq-m2g _5HSWZcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HS9ccFMEea5pdrFDq-m2g" type="_5HOE8MFMEea5pdrFDq-m2g" association="_5HS9cMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HS9csFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HS9c8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HWAxcFMEea5pdrFDq-m2g" memberEnd="_5HWAxsFMEea5pdrFDq-m2g _5HWAwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HWAxsFMEea5pdrFDq-m2g" type="_5HSWYsFMEea5pdrFDq-m2g" association="_5HWAxcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HWAx8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HWAyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HZEFMFMEea5pdrFDq-m2g" memberEnd="_5HZEFcFMEea5pdrFDq-m2g _5HZEEMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HZEFcFMEea5pdrFDq-m2g" type="_5HSWYsFMEea5pdrFDq-m2g" association="_5HZEFMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HZEFsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HZEF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Ha5SMFMEea5pdrFDq-m2g" name="Person">
        <ownedComment xmi:id="_5HcHYMFMEea5pdrFDq-m2g">
          <body>Demographics and administrative information about a person independent of a specific health-related context.</body>
        </ownedComment>
        <ownedComment xmi:id="_5HbgUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Person Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5HbgVMFMEea5pdrFDq-m2g">
          <body>Need to track persons potentially across multiple roles.</body>
        </ownedComment>
        <ownedComment xmi:id="_5HbgV8FMEea5pdrFDq-m2g">
          <body>A generic person record</body>
        </ownedComment>
        <ownedComment xmi:id="_5HcHYsFMEea5pdrFDq-m2g">
          <body>The Person resource does justice to person registries that keep track of persons regardless of their role. The Person resource is also a primary resource to point to for people acting in a particular role such as SubjectofCare, Practitioner, and Agent. Very few attributes are specific to any role and so Person is kept lean. Most attributes are expected to be tied to the role the Person plays rather than the Person himself. Examples of that are Guardian (SubjectofCare), ContactParty (SubjectOfCare, Practitioner), and multipleBirthInd (SubjectofCare).</body>
        </ownedComment>
        <generalization xmi:id="_5HbgVsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5HcHZMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HcHasFMEea5pdrFDq-m2g">
            <body>Identifier for a person within a particular scope.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HcHaMFMEea5pdrFDq-m2g">
            <body>A human identifier for this person</body>
          </ownedComment>
          <ownedComment xmi:id="_5HcHbMFMEea5pdrFDq-m2g">
            <body>People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HcHZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HcHZsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HcHbsFMEea5pdrFDq-m2g" name="name" type="_4c4HcMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HcudMFMEea5pdrFDq-m2g">
            <body>A name associated with the person.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HcucsFMEea5pdrFDq-m2g">
            <body>A name associated with the person</body>
          </ownedComment>
          <ownedComment xmi:id="_5HcudsFMEea5pdrFDq-m2g">
            <body>Person may have multiple names with different uses or applicable periods.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HcueMFMEea5pdrFDq-m2g">
            <body>Need to be able to track the person by multiple names. Examples are your official name and a partner name.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HcHb8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HcucMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HcuesFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HdVgMFMEea5pdrFDq-m2g">
            <body>A contact detail for the person, e.g. a telephone number or an email address.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HcufsFMEea5pdrFDq-m2g">
            <body>A contact detail for the person</body>
          </ownedComment>
          <ownedComment xmi:id="_5HdVgsFMEea5pdrFDq-m2g">
            <body>Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HdVhMFMEea5pdrFDq-m2g">
            <body>People have (primary) ways to contact them in some way such as phone, email.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hcue8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HcufMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HdVhsFMEea5pdrFDq-m2g" name="gender" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hd8ksFMEea5pdrFDq-m2g">
            <body>Administrative Gender.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hd8kMFMEea5pdrFDq-m2g">
            <body>male | female | other | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hd8lMFMEea5pdrFDq-m2g">
            <body>The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hd8lsFMEea5pdrFDq-m2g">
            <body>Needed for identification of the person, in combination with (at least) name and birth date. Gender of person drives many clinical processes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HdVh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HdViMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Hd8mMFMEea5pdrFDq-m2g" name="birthDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hd8nsFMEea5pdrFDq-m2g">
            <body>The birth date for the person.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hd8nMFMEea5pdrFDq-m2g">
            <body>The date on which the person was born</body>
          </ownedComment>
          <ownedComment xmi:id="_5HejoMFMEea5pdrFDq-m2g">
            <body>At least an estimated year should be provided as a guess if the real DOB is unknown.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HejosFMEea5pdrFDq-m2g">
            <body>Age of person drives many clinical processes, and is often used in performing identification of the person. Times are not included so as to not confuse things with potential timezone issues.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hd8mcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hd8msFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HejpMFMEea5pdrFDq-m2g" name="address" type="_4arvFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HejqsFMEea5pdrFDq-m2g">
            <body>One or more addresses for the person.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HejqMFMEea5pdrFDq-m2g">
            <body>One or more addresses for the person</body>
          </ownedComment>
          <ownedComment xmi:id="_5HejrMFMEea5pdrFDq-m2g">
            <body>Person may have multiple addresses with different uses or applicable periods.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HejrsFMEea5pdrFDq-m2g">
            <body>May need to keep track of person's addresses for contacting, billing or reporting requirements and also to help with identification.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HejpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HejpsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HfKsMFMEea5pdrFDq-m2g" name="photo" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HfKtsFMEea5pdrFDq-m2g">
            <body>An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HfKtMFMEea5pdrFDq-m2g">
            <body>Image of the person</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HfKscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HfKssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HfKuMFMEea5pdrFDq-m2g" name="managingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5HfKvMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HfxxMFMEea5pdrFDq-m2g">
            <body>The organization that is the custodian of the person record.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HfxwsFMEea5pdrFDq-m2g">
            <body>The organization that is the custodian of the person record</body>
          </ownedComment>
          <ownedComment xmi:id="_5HfxxsFMEea5pdrFDq-m2g">
            <body>Need to know who recognizes this person record, manages and updates it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HfKucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HfKusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HfxyMFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HfxzsFMEea5pdrFDq-m2g">
            <body>Whether this person's record is in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HfxzMFMEea5pdrFDq-m2g">
            <body>This person's record is in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hfx0MFMEea5pdrFDq-m2g">
            <body>Need to be able to mark a person record as not to be used because it was created in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HfxycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HfxysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HgY08FMEea5pdrFDq-m2g" name="link" type="_5HgY0MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Hg_48FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Hg_6cFMEea5pdrFDq-m2g">
            <body>Link to a resource that concerns the same actual person.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hg_58FMEea5pdrFDq-m2g">
            <body>Link to a resource that concerns the same actual person</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hg_4MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hg_4cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5HgY0MFMEea5pdrFDq-m2g" name="Link">
          <generalization xmi:id="_5HgY0cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Hg_68FMEea5pdrFDq-m2g" name="target" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Hhm8cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Hhm98FMEea5pdrFDq-m2g">
              <body>The resource to which this actual person is associated.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Hhm9cFMEea5pdrFDq-m2g">
              <body>The resource to which this actual person is associated</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hg_7MFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hg_7cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Hhm-sFMEea5pdrFDq-m2g" name="assurance" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Hi1EsFMEea5pdrFDq-m2g">
              <body>Level of assurance that this link is actually associated with the target resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Hi1EMFMEea5pdrFDq-m2g">
              <body>level1 | level2 | level3 | level4</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hhm-8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HiOAMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HfKvMFMEea5pdrFDq-m2g" memberEnd="_5HfKvcFMEea5pdrFDq-m2g _5HfKuMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HfKvcFMEea5pdrFDq-m2g" type="_5Ha5SMFMEea5pdrFDq-m2g" association="_5HfKvMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HfxwMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HfxwcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Hg_48FMEea5pdrFDq-m2g" memberEnd="_5Hg_5MFMEea5pdrFDq-m2g _5HgY08FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Hg_5MFMEea5pdrFDq-m2g" type="_5Ha5SMFMEea5pdrFDq-m2g" association="_5Hg_48FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hg_5cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hg_5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Hhm8cFMEea5pdrFDq-m2g" memberEnd="_5Hhm8sFMEea5pdrFDq-m2g _5Hg_68FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Hhm8sFMEea5pdrFDq-m2g" type="_5HgY0MFMEea5pdrFDq-m2g" association="_5Hhm8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hhm88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hhm9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HjcIcFMEea5pdrFDq-m2g" memberEnd="_5HjcIsFMEea5pdrFDq-m2g _5Hi1FMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HjcIsFMEea5pdrFDq-m2g" type="_5HSWYsFMEea5pdrFDq-m2g" association="_5HjcIcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HjcI8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HjcJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HntkcFMEea5pdrFDq-m2g" memberEnd="_5HntksFMEea5pdrFDq-m2g _5HnGhsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HntksFMEea5pdrFDq-m2g" type="_5HSWYsFMEea5pdrFDq-m2g" association="_5HntkcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hntk8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HntlMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HoUocFMEea5pdrFDq-m2g" memberEnd="_5HoUosFMEea5pdrFDq-m2g _5Hntm8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HoUosFMEea5pdrFDq-m2g" type="_5HSWYsFMEea5pdrFDq-m2g" association="_5HoUocFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HoUo8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HoUpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5HoUqcFMEea5pdrFDq-m2g" name="Flag">
        <ownedComment xmi:id="_5Hpiw8FMEea5pdrFDq-m2g">
          <body>Prospective warnings of potential issues when providing care to the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Ho7ssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Flag Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5HpiwcFMEea5pdrFDq-m2g">
          <body>Key information to flag to healthcare providers</body>
        </ownedComment>
        <generalization xmi:id="_5HpiwMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5HpixcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hpiy8FMEea5pdrFDq-m2g">
            <body>Identifier assigned to the flag for external use (outside the FHIR environment).</body>
          </ownedComment>
          <ownedComment xmi:id="_5HpiycFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HpixsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hpix8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HpizcFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hqw4MFMEea5pdrFDq-m2g">
            <body>Allows an flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HqJ1MFMEea5pdrFDq-m2g">
            <body>Clinical, administrative, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HpizsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hpiz8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Hqw4sFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HrX9MFMEea5pdrFDq-m2g">
            <body>Supports basic workflow.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HrX8sFMEea5pdrFDq-m2g">
            <body>active | inactive | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hqw48FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hqw5MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HrX9sFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hr_AsFMEea5pdrFDq-m2g">
            <body>The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hr_AMFMEea5pdrFDq-m2g">
            <body>Time period when flag is active</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HrX98FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HrX-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Hr_BMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Hr_CMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Hr_DsFMEea5pdrFDq-m2g">
            <body>The patient, location, group , organization , or practitioner, etc. this is about record this flag is associated with.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hr_DMFMEea5pdrFDq-m2g">
            <body>Who/What is flag about?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hr_BcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hr_BsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HsmEcFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5HsmFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HsmG8FMEea5pdrFDq-m2g">
            <body>This alert is only relevant during the encounter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HsmGcFMEea5pdrFDq-m2g">
            <body>Alert relevant during encounter</body>
          </ownedComment>
          <ownedComment xmi:id="_5HtNIMFMEea5pdrFDq-m2g">
            <body>If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HsmEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HsmE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HtNIsFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5HtNJsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5HtNLMFMEea5pdrFDq-m2g">
            <body>The person, organization or device that created the flag.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HtNKsFMEea5pdrFDq-m2g">
            <body>Flag creator</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HtNI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HtNJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ht0McFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HubQsFMEea5pdrFDq-m2g">
            <body>The coded value or textual component of the flag to display to the user.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HubQMFMEea5pdrFDq-m2g">
            <body>Coded or textual message to display to user</body>
          </ownedComment>
          <ownedComment xmi:id="_5HubRMFMEea5pdrFDq-m2g">
            <body>If non coded, use CodeableConcept.text.  This element should always be included in the narrative.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ht0MsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ht0M8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Hr_CMFMEea5pdrFDq-m2g" memberEnd="_5Hr_CcFMEea5pdrFDq-m2g _5Hr_BMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Hr_CcFMEea5pdrFDq-m2g" type="_5HoUqcFMEea5pdrFDq-m2g" association="_5Hr_CMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hr_CsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hr_C8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HsmFcFMEea5pdrFDq-m2g" memberEnd="_5HsmFsFMEea5pdrFDq-m2g _5HsmEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HsmFsFMEea5pdrFDq-m2g" type="_5HoUqcFMEea5pdrFDq-m2g" association="_5HsmFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HsmF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HsmGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HtNJsFMEea5pdrFDq-m2g" memberEnd="_5HtNJ8FMEea5pdrFDq-m2g _5HtNIsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5HtNJ8FMEea5pdrFDq-m2g" type="_5HoUqcFMEea5pdrFDq-m2g" association="_5HtNJsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HtNKMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HtNKcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5HubRsFMEea5pdrFDq-m2g" name="CodeSystem">
        <ownedComment xmi:id="_5HvpZ8FMEea5pdrFDq-m2g">
          <body>A code system resource specifies a set of codes drawn from one or more code systems.</body>
        </ownedComment>
        <ownedComment xmi:id="_5HvpYsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CodeSystem Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5HvpZcFMEea5pdrFDq-m2g">
          <body>A set of codes drawn from one or more code systems</body>
        </ownedComment>
        <ownedRule xmi:id="_5HubR8FMEea5pdrFDq-m2g" name="csd-1" constrainedElement="_5HubRsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5HubSMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5HvpZMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5HvpacFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HwQdcFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this code system when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this code system is (or will be) published. The URL SHOULD include the major version of the code system. For more information see [Technical and Business Versions](resource.html#versions). This is used in [Coding]{datatypes.html#Coding}.system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HwQc8FMEea5pdrFDq-m2g">
            <body>Logical uri to reference this code system (globally unique) (Coding.system)</body>
          </ownedComment>
          <ownedComment xmi:id="_5HwQd8FMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HwQecFMEea5pdrFDq-m2g">
            <body>Allows the code system to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HwQcMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HwQccFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HwQe8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hw3g8FMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this code system when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hw3gcFMEea5pdrFDq-m2g">
            <body>Additional identifier for the code system</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hw3hcFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this code system outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hw3h8FMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HwQfMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HwQfcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Hw3icFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HxekcFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the code system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the code system author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. This is used in [Coding]{datatypes.html#Coding}.version.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hw3jcFMEea5pdrFDq-m2g">
            <body>Business version of the code system (Coding.version)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hxek8FMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a code system that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hw3isFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hw3i8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HxelcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hxem8FMEea5pdrFDq-m2g">
            <body>A natural language name identifying the code system. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HxemcFMEea5pdrFDq-m2g">
            <body>Name for this code system (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5HxencFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HyFoMFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HxelsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hxel8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HyFosFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HyFqMFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the code system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HyFpsFMEea5pdrFDq-m2g">
            <body>Name for this code system (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HyFo8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HyFpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HyFqsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HystsFMEea5pdrFDq-m2g">
            <body>The status of this code system. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HystMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5HysuMFMEea5pdrFDq-m2g">
            <body>Allows filtering of code system that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HyssMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HysscFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HzTwMFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5HzTxsFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this code system is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HzTxMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5HzTyMFMEea5pdrFDq-m2g">
            <body>Allows filtering of code system that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5HzTysFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level code system would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HzTwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HzTwsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HzTzMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Hz608FMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the code system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hz60cFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hz61cFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the code system is the organization or individual primarily responsible for the maintenance and upkeep of the code system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the code system. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hz618FMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the code system.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HzTzcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HzTzsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Hz62cFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H0h4MFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Hz63cFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5H0h4sFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Hz62sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Hz628FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H0h5MFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H0h6sFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the code system was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the code system changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H0h6MFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5H0h7MFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the code system. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H0h5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H0h5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H1I8cFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H1I98FMEea5pdrFDq-m2g">
            <body>A free text natural language description of the code system from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H1I9cFMEea5pdrFDq-m2g">
            <body>Natural language description of the code system</body>
          </ownedComment>
          <ownedComment xmi:id="_5H1I-cFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the code system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H1I8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H1I88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H1wAMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H1wBsFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H1wBMFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5H1wCMFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H1wCsFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H1wAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H1wAsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H1wDMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H2XE8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the code system is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H2XEcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for code system (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H1wDcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H1wDsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H2XFcFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H2-IMFMEea5pdrFDq-m2g">
            <body>Explains why this code system is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H2XGcFMEea5pdrFDq-m2g">
            <body>Why this code system is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5H2-IsFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the code system (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this code system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H2XFsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H2XF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H2-JMFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H2-KsFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the code system and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the code system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H2-KMFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5H2-LMFMEea5pdrFDq-m2g">
            <body>null Sometimes, the copyright differs between the code system and the codes that are included. The copyright statement should clearly differentiate between these when required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H2-LsFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the code system and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H2-JcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H2-JsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H3lMcFMEea5pdrFDq-m2g" name="caseSensitive" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H3lN8FMEea5pdrFDq-m2g">
            <body>If code comparison is case sensitive when codes within this system are compared to each other.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H3lNcFMEea5pdrFDq-m2g">
            <body>If code comparison is case sensitive</body>
          </ownedComment>
          <ownedComment xmi:id="_5H3lOcFMEea5pdrFDq-m2g">
            <body>If this value is missing, then it is not specified whether a code system is case sensitive or not. When the rule is not known, Postel's law should be followed: produce codes with the correct case, and accept codes in any case. This element is primarily provided to support validation software.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H3lMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H3lM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H3lO8FMEea5pdrFDq-m2g" name="valueSet" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H4MQsFMEea5pdrFDq-m2g">
            <body>Canonical URL of value set that contains the entire code system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H4MQMFMEea5pdrFDq-m2g">
            <body>Canonical URL for value set with entire code system</body>
          </ownedComment>
          <ownedComment xmi:id="_5H4MRMFMEea5pdrFDq-m2g">
            <body>Thedefinition of the value set SHALL include all codes from this code system, and it SHALL be immutable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H3lPMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H3lPcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H4MRsFMEea5pdrFDq-m2g" name="hierarchyMeaning" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H4zVMFMEea5pdrFDq-m2g">
            <body>The meaning of the heirarchy of concepts.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H4zUsFMEea5pdrFDq-m2g">
            <body>grouped-by | is-a | part-of | classified-with</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H4MR8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H4MSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H4zVsFMEea5pdrFDq-m2g" name="compositional" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H5aY8FMEea5pdrFDq-m2g">
            <body>True If code system defines a post-composition grammar.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H5aYcFMEea5pdrFDq-m2g">
            <body>If code system defines a post-composition grammar</body>
          </ownedComment>
          <ownedComment xmi:id="_5H5aZcFMEea5pdrFDq-m2g">
            <body>Note that the code system resource does not define what the compositional grammar is, only whether or not there is one.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H4zV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H4zWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H5aZ8FMEea5pdrFDq-m2g" name="versionNeeded" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H5abcFMEea5pdrFDq-m2g">
            <body>This flag is used to signify that the code system has not (or does not) maintain the definitions, and a version must be specified when referencing this code system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H5aa8FMEea5pdrFDq-m2g">
            <body>If definitions are not stable</body>
          </ownedComment>
          <ownedComment xmi:id="_5H6BcMFMEea5pdrFDq-m2g">
            <body>Best practice is that code systems do not redefine concepts, or that if concepts are redefined, a new code system definition is created. But this is not always possible, so some code systems may be defined as 'versionNeeded'.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H5aaMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H5aacFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H6BcsFMEea5pdrFDq-m2g" name="content" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H6ogsFMEea5pdrFDq-m2g">
            <body>How much of the content of the code system - the concepts and codes it defines - are represented in this resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H6ogMFMEea5pdrFDq-m2g">
            <body>not-present | examplar | fragment | complete</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H6Bc8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H6BdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H6ohMFMEea5pdrFDq-m2g" name="count" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5H6oisFMEea5pdrFDq-m2g">
            <body>The total number of concepts defined by the code system. Where the code system has a compositional grammar, the count refers to the number of base (primitive) concepts.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H6oiMFMEea5pdrFDq-m2g">
            <body>Total concepts in the code system</body>
          </ownedComment>
          <ownedComment xmi:id="_5H6ojMFMEea5pdrFDq-m2g">
            <body>The count of concepts defined in this resource cannot be more than this value, but may be less for several reasons - see the content value.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H6ohcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H6ohsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H7Pk8FMEea5pdrFDq-m2g" name="filter" type="_5H7PkMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5H72oMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5H72psFMEea5pdrFDq-m2g">
            <body>A filter that can be used in a value set compose statement when selecting concepts using a filter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H72pMFMEea5pdrFDq-m2g">
            <body>Filter that can be used in a value set</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H7PlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H7PlcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5H9r1MFMEea5pdrFDq-m2g" name="property" type="_5H9r0cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5H-S4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5H-S5sFMEea5pdrFDq-m2g">
            <body>A property defines an additional slot through which additional information can be provided about a concept.</body>
          </ownedComment>
          <ownedComment xmi:id="_5H-S5MFMEea5pdrFDq-m2g">
            <body>Additional information supplied about each concept</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H9r1cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H9r1sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IAvIcFMEea5pdrFDq-m2g" name="concept" type="_5IAIFcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IAvJcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IAvK8FMEea5pdrFDq-m2g">
            <body>Concepts that are in the code system. The concept definitions are inherently hierarchical, but the definitions must be consulted to determine what the meaning of the hierarchical relationships are.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IAvKcFMEea5pdrFDq-m2g">
            <body>Concepts in the code system</body>
          </ownedComment>
          <ownedComment xmi:id="_5IAvLcFMEea5pdrFDq-m2g">
            <body>If this is empty, it means that the code system resource does not represent the content of the code system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IAvIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IAvI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5H7PkMFMEea5pdrFDq-m2g" name="Filter">
          <generalization xmi:id="_5H7PkcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5H72qMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H72rsFMEea5pdrFDq-m2g">
              <body>The code that identifies this filter when it is used in the instance.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H72rMFMEea5pdrFDq-m2g">
              <body>Code that identifies the filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H72qcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H72qsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5H8dscFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H8dt8FMEea5pdrFDq-m2g">
              <body>A description of how or why the filter is used.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H8dtcFMEea5pdrFDq-m2g">
              <body>How or why the filter is used</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H8dssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H8ds8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5H8ducFMEea5pdrFDq-m2g" name="operator" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H9Ew8FMEea5pdrFDq-m2g">
              <body>A list of operators that can be used with the filter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H9EwcFMEea5pdrFDq-m2g">
              <body>Operators that can be used with filter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H8dusFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H8du8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5H9ExcFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H9Ey8FMEea5pdrFDq-m2g">
              <body>A description of what the value for the filter should be.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H9EycFMEea5pdrFDq-m2g">
              <body>What to use for the value</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H9ExsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H9Ex8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5H9r0cFMEea5pdrFDq-m2g" name="Property">
          <generalization xmi:id="_5H9r0sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5H-S6MFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H-S7sFMEea5pdrFDq-m2g">
              <body>A code that is used to identify the property. The code is used internally (in CodeSystem.concept.property.code) and also externally, such as in property filters.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H-S7MFMEea5pdrFDq-m2g">
              <body>Identifies the property on the concepts, and when referred to in operations</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H-S6cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H-S6sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5H-58cFMEea5pdrFDq-m2g" name="uri" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H-598FMEea5pdrFDq-m2g">
              <body>Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H-59cFMEea5pdrFDq-m2g">
              <body>Formal identifier for the property</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H-58sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H-588FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5H-5-cFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5H_hAMFMEea5pdrFDq-m2g">
              <body>A description of the property- why it is defined, and how it's value might be used.</body>
            </ownedComment>
            <ownedComment xmi:id="_5H-5_cFMEea5pdrFDq-m2g">
              <body>Why the property is defined, and/or what it conveys</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H-5-sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H-5-8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5H_hAsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IAIE8FMEea5pdrFDq-m2g">
              <body>The type of the property value. Properties of type &quot;code&quot; contain a code defined by the code system (e.g. a reference to anotherr defined concept).</body>
            </ownedComment>
            <ownedComment xmi:id="_5IAIEcFMEea5pdrFDq-m2g">
              <body>code | Coding | string | integer | boolean | dateTime</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H_hA8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H_hBMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5IAIFcFMEea5pdrFDq-m2g" name="ConceptDefinition">
          <generalization xmi:id="_5IAIFsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5IBWMcFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IBWN8FMEea5pdrFDq-m2g">
              <body>A code - a text symbol - that uniquely identifies the concept within the code system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IBWNcFMEea5pdrFDq-m2g">
              <body>Code that identifies concept</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IBWMsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IBWM8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5IBWOcFMEea5pdrFDq-m2g" name="display" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IB9QMFMEea5pdrFDq-m2g">
              <body>A human readable string that is the recommended default way to present this concept to a user.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IBWPcFMEea5pdrFDq-m2g">
              <body>Text to display to the user</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IBWOsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IBWO8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5IB9QsFMEea5pdrFDq-m2g" name="definition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IB9SMFMEea5pdrFDq-m2g">
              <body>The formal definition of the concept. The code system resource does not make formal definitions required, because of the prevalence of legacy systems. However, they are highly recommended, as without them there is no formal meaning associated with the concept.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IB9RsFMEea5pdrFDq-m2g">
              <body>Formal definition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IB9Q8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IB9RMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ICkUcFMEea5pdrFDq-m2g" name="designation" type="_5IB9SsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5ICkVcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5ICkW8FMEea5pdrFDq-m2g">
              <body>Additional representations for the concept - other languages, aliases, specialized purposes, used for particular purposes, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ICkWcFMEea5pdrFDq-m2g">
              <body>Additional representations for the concept</body>
            </ownedComment>
            <ownedComment xmi:id="_5IDLYcFMEea5pdrFDq-m2g">
              <body>Many concept definition systems support multiple representations, in multiple languages, and for multiple purposes.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ICkUsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ICkU8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5IFAlMFMEea5pdrFDq-m2g" name="property" type="_5IFAkcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IFnoMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5IFnpsFMEea5pdrFDq-m2g">
              <body>A property value for this concept.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IFnpMFMEea5pdrFDq-m2g">
              <body>Property value for the concept</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IFAlcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IFAlsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5IGOusFMEea5pdrFDq-m2g" name="concept" type="_5IAIFcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IG1wcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5IG1x8FMEea5pdrFDq-m2g">
              <body>Defines children of a concept to produce a hierarchy of concepts. The nature of the relationships is variable (is-a/contains/categorizes) - see hierarchyMeaning.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IG1xcFMEea5pdrFDq-m2g">
              <body>Child Concepts (is-a/contains/categorizes)</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IGOu8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IGOvMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5IB9SsFMEea5pdrFDq-m2g" name="Designation">
            <generalization xmi:id="_5IB9S8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5IDLY8FMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5IDycsFMEea5pdrFDq-m2g">
                <body>The language this designation is defined for.</body>
              </ownedComment>
              <ownedComment xmi:id="_5IDycMFMEea5pdrFDq-m2g">
                <body>Human language of the designation</body>
              </ownedComment>
              <ownedComment xmi:id="_5IDydMFMEea5pdrFDq-m2g">
                <body>In the absence of a language, the resource language applies.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IDLZMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IDLZcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5IDydsFMEea5pdrFDq-m2g" name="use" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5IEZgsFMEea5pdrFDq-m2g">
                <body>A code that details how this designation would be used.</body>
              </ownedComment>
              <ownedComment xmi:id="_5IEZgMFMEea5pdrFDq-m2g">
                <body>Details how this designation would be used</body>
              </ownedComment>
              <ownedComment xmi:id="_5IEZhMFMEea5pdrFDq-m2g">
                <body>If no use is provided, the designation can be assumed to be suitable for general display to a human user.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IDyd8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IDyeMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5IEZhsFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5IEZjMFMEea5pdrFDq-m2g">
                <body>The text value for this designation.</body>
              </ownedComment>
              <ownedComment xmi:id="_5IEZisFMEea5pdrFDq-m2g">
                <body>The text value for this designation</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IEZh8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IEZiMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5IFAkcFMEea5pdrFDq-m2g" name="ConceptProperty">
            <generalization xmi:id="_5IFAksFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5IFnqMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5IFnrsFMEea5pdrFDq-m2g">
                <body>A code that is a reference to CodeSystem.property.code.</body>
              </ownedComment>
              <ownedComment xmi:id="_5IFnrMFMEea5pdrFDq-m2g">
                <body>Reference to CodeSystem.property.code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IFnqcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IFnqsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5IGOscFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5IGOt8FMEea5pdrFDq-m2g">
                <body>The value of this property.</body>
              </ownedComment>
              <ownedComment xmi:id="_5IGOtcFMEea5pdrFDq-m2g">
                <body>Value of the property for this concept</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IGOssFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IGOs8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5H72oMFMEea5pdrFDq-m2g" memberEnd="_5H72ocFMEea5pdrFDq-m2g _5H7Pk8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5H72ocFMEea5pdrFDq-m2g" type="_5HubRsFMEea5pdrFDq-m2g" association="_5H72oMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H72osFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H72o8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5H-S4MFMEea5pdrFDq-m2g" memberEnd="_5H-S4cFMEea5pdrFDq-m2g _5H9r1MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5H-S4cFMEea5pdrFDq-m2g" type="_5HubRsFMEea5pdrFDq-m2g" association="_5H-S4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5H-S4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5H-S48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IAvJcFMEea5pdrFDq-m2g" memberEnd="_5IAvJsFMEea5pdrFDq-m2g _5IAvIcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IAvJsFMEea5pdrFDq-m2g" type="_5HubRsFMEea5pdrFDq-m2g" association="_5IAvJcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IAvJ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IAvKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ICkVcFMEea5pdrFDq-m2g" memberEnd="_5ICkVsFMEea5pdrFDq-m2g _5ICkUcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ICkVsFMEea5pdrFDq-m2g" type="_5IAIFcFMEea5pdrFDq-m2g" association="_5ICkVcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ICkV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ICkWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IFnoMFMEea5pdrFDq-m2g" memberEnd="_5IFnocFMEea5pdrFDq-m2g _5IFAlMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IFnocFMEea5pdrFDq-m2g" type="_5IAIFcFMEea5pdrFDq-m2g" association="_5IFnoMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IFnosFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IFno8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IG1wcFMEea5pdrFDq-m2g" memberEnd="_5IG1wsFMEea5pdrFDq-m2g _5IGOusFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IG1wsFMEea5pdrFDq-m2g" type="_5IAIFcFMEea5pdrFDq-m2g" association="_5IG1wcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IG1w8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IG1xMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5IG1ycFMEea5pdrFDq-m2g" name="Binary">
        <ownedComment xmi:id="_5IHc2cFMEea5pdrFDq-m2g">
          <body>A binary resource can contain any content, whether text, image, pdf, zip archive, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_5IHc0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Binary Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5IHc1MFMEea5pdrFDq-m2g">
          <body>There are situations where it is useful or required to handle pure binary content using the same framework as other resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_5IHc18FMEea5pdrFDq-m2g">
          <body>Pure binary content defined by some other format than FHIR</body>
        </ownedComment>
        <ownedComment xmi:id="_5IID4cFMEea5pdrFDq-m2g">
          <body>Typically, Binary resources are used for handling content such as:  * CDA Documents (i.e. with XDS) * PDF Documents * Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).</body>
        </ownedComment>
        <generalization xmi:id="_5IHc1sFMEea5pdrFDq-m2g" general="_4a-C9MFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5IID48FMEea5pdrFDq-m2g" name="contentType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IID6sFMEea5pdrFDq-m2g">
            <body>MimeType of the binary content represented as a standard MimeType (BCP 13).</body>
          </ownedComment>
          <ownedComment xmi:id="_5IID6MFMEea5pdrFDq-m2g">
            <body>MimeType of the binary content</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IID5MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IID5cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IID7MFMEea5pdrFDq-m2g" name="securityContext" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5IIq88FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IIq-cFMEea5pdrFDq-m2g">
            <body>Treat this binary as if it was this other resource for access control purposes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IIq98FMEea5pdrFDq-m2g">
            <body>Access Control Management</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IIq8MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IIq8cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IIq-8FMEea5pdrFDq-m2g" name="content" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IJSAMFMEea5pdrFDq-m2g">
            <body>The actual content, base64 encoded.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IIq_8FMEea5pdrFDq-m2g">
            <body>The actual content</body>
          </ownedComment>
          <ownedComment xmi:id="_5IJSAsFMEea5pdrFDq-m2g">
            <body>If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IIq_MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IIq_cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IIq88FMEea5pdrFDq-m2g" memberEnd="_5IIq9MFMEea5pdrFDq-m2g _5IID7MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IIq9MFMEea5pdrFDq-m2g" type="_5IG1ycFMEea5pdrFDq-m2g" association="_5IIq88FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IIq9cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IIq9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5IJSBMFMEea5pdrFDq-m2g" name="DocumentManifest">
        <ownedComment xmi:id="_5IJ5F8FMEea5pdrFDq-m2g">
          <body>A manifest that defines a set of documents.</body>
        </ownedComment>
        <ownedComment xmi:id="_5IJ5EsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DocumentManifest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5IJ5FcFMEea5pdrFDq-m2g">
          <body>A manifest that defines a set of documents</body>
        </ownedComment>
        <generalization xmi:id="_5IJ5FMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5IKgIMFMEea5pdrFDq-m2g" name="masterIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IKgJsFMEea5pdrFDq-m2g">
            <body>A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IKgJMFMEea5pdrFDq-m2g">
            <body>Unique Identifier for the set of documents</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IKgIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IKgIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IKgKMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ILHMsFMEea5pdrFDq-m2g">
            <body>Other identifiers associated with the document manifest, including version independent  identifiers.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ILHMMFMEea5pdrFDq-m2g">
            <body>Other identifiers for the manifest</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IKgKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IKgKsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ILHNMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ILHOMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ILHPsFMEea5pdrFDq-m2g">
            <body>Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case).</body>
          </ownedComment>
          <ownedComment xmi:id="_5ILHPMFMEea5pdrFDq-m2g">
            <body>The subject of the set of documents</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ILHNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ILHNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ILuQsFMEea5pdrFDq-m2g" name="recipient" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ILuRsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ILuTMFMEea5pdrFDq-m2g">
            <body>A patient, practitioner, or organization for which this set of documents is intended.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ILuSsFMEea5pdrFDq-m2g">
            <body>Intended to get notified about this set of documents</body>
          </ownedComment>
          <ownedComment xmi:id="_5IMVUMFMEea5pdrFDq-m2g">
            <body>How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ILuQ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ILuRMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IMVU8FMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IM8YsFMEea5pdrFDq-m2g">
            <body>Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The type of a set of documents may be the same as one of the documents in it - especially if there is only one - but it may be wider.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IM8YMFMEea5pdrFDq-m2g">
            <body>Kind of document set</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IMVVMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IMVVcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IM8ZMFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5IM8aMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IM8bsFMEea5pdrFDq-m2g">
            <body>Identifies who is responsible for creating the manifest, and adding  documents to it.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IM8bMFMEea5pdrFDq-m2g">
            <body>Who and/or what authored the manifest</body>
          </ownedComment>
          <ownedComment xmi:id="_5INjccFMEea5pdrFDq-m2g">
            <body>Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IM8ZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IM8ZsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5INjdMFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5INjesFMEea5pdrFDq-m2g">
            <body>When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.).</body>
          </ownedComment>
          <ownedComment xmi:id="_5INjeMFMEea5pdrFDq-m2g">
            <body>When this document manifest created</body>
          </ownedComment>
          <ownedComment xmi:id="_5INjfMFMEea5pdrFDq-m2g">
            <body>Creation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5INjdcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5INjdsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IOKgcFMEea5pdrFDq-m2g" name="source" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IOKh8FMEea5pdrFDq-m2g">
            <body>Identifies the source system, application, or software that produced the document manifest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IOKhcFMEea5pdrFDq-m2g">
            <body>The source system/application/software</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IOKgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IOKg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IOKicFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IOxlMFMEea5pdrFDq-m2g">
            <body>The status of this document manifest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IOxksFMEea5pdrFDq-m2g">
            <body>current | superseded | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IOKisFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IOKi8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IPYoMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IPYpsFMEea5pdrFDq-m2g">
            <body>Human-readable description of the source document. This is sometimes known as the &quot;title&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IPYpMFMEea5pdrFDq-m2g">
            <body>Human-readable description (title)</body>
          </ownedComment>
          <ownedComment xmi:id="_5IPYqMFMEea5pdrFDq-m2g">
            <body>What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a &quot;consultation&quot; or &quot;progress note&quot;).</body>
          </ownedComment>
          <ownedComment xmi:id="_5IPYqsFMEea5pdrFDq-m2g">
            <body>Helps humans to assess whether the document is of interest.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IPYocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IPYosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IP_scFMEea5pdrFDq-m2g" name="content" type="_5IPYrMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IP_tcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IQmwsFMEea5pdrFDq-m2g">
            <body>The list of Documents included in the manifest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IQmwMFMEea5pdrFDq-m2g">
            <body>The items included</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IP_ssFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IP_s8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IRN1MFMEea5pdrFDq-m2g" name="related" type="_5IRN0cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IR04MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IR05sFMEea5pdrFDq-m2g">
            <body>Related identifiers or resources associated with the DocumentManifest.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IR05MFMEea5pdrFDq-m2g">
            <body>Related things</body>
          </ownedComment>
          <ownedComment xmi:id="_5IR06MFMEea5pdrFDq-m2g">
            <body>May be identifiers or resources that caused the DocumentManifest to be created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IRN1cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IRN1sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5IPYrMFMEea5pdrFDq-m2g" name="Content">
          <generalization xmi:id="_5IPYrcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5IQmxMFMEea5pdrFDq-m2g" name="p[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IQmysFMEea5pdrFDq-m2g">
              <body>The list of references to document content, or Attachment that consist of the parts of this document manifest. Usually, these would be document references, but direct references to Media or Attachments are also allowed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IQmyMFMEea5pdrFDq-m2g">
              <body>Contents of this set of documents</body>
            </ownedComment>
            <ownedComment xmi:id="_5IQmzMFMEea5pdrFDq-m2g">
              <body>The intended focus of the DocumentManifest is for the reference to target either DocumentReference or Media Resources, and most implementation guides will restrict to these resources. The reference is to &quot;Any&quot; to support EN 13606 usage, where an extract is DocumentManifest that references  List and Composition resources.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IQmxcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IQmxsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5IRN0cFMEea5pdrFDq-m2g" name="Related">
          <generalization xmi:id="_5IRN0sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5IR06sFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5ISb8MFMEea5pdrFDq-m2g">
              <body>Related identifier to this DocumentManifest.  For example, Order numbers, accession numbers, XDW workflow numbers.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IR07sFMEea5pdrFDq-m2g">
              <body>Identifiers of things that are related</body>
            </ownedComment>
            <ownedComment xmi:id="_5ISb8sFMEea5pdrFDq-m2g">
              <body>If both identifier and ref elements are present they shall refer to the same thing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IR068FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IR07MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ISb9MFMEea5pdrFDq-m2g" name="ref" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5ISb-MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5ISb_sFMEea5pdrFDq-m2g">
              <body>Related Resource to this DocumentManifest. For example, Order, DiagnosticRequest,  Procedure, EligibilityRequest, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ISb_MFMEea5pdrFDq-m2g">
              <body>Related Resource</body>
            </ownedComment>
            <ownedComment xmi:id="_5ITDAcFMEea5pdrFDq-m2g">
              <body>If both identifier and ref elements are present they shall refer to the same thing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ISb9cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ISb9sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ILHOMFMEea5pdrFDq-m2g" memberEnd="_5ILHOcFMEea5pdrFDq-m2g _5ILHNMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ILHOcFMEea5pdrFDq-m2g" type="_5IJSBMFMEea5pdrFDq-m2g" association="_5ILHOMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ILHOsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ILHO8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ILuRsFMEea5pdrFDq-m2g" memberEnd="_5ILuR8FMEea5pdrFDq-m2g _5ILuQsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ILuR8FMEea5pdrFDq-m2g" type="_5IJSBMFMEea5pdrFDq-m2g" association="_5ILuRsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ILuSMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ILuScFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IM8aMFMEea5pdrFDq-m2g" memberEnd="_5IM8acFMEea5pdrFDq-m2g _5IM8ZMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IM8acFMEea5pdrFDq-m2g" type="_5IJSBMFMEea5pdrFDq-m2g" association="_5IM8aMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IM8asFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IM8a8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IP_tcFMEea5pdrFDq-m2g" memberEnd="_5IP_tsFMEea5pdrFDq-m2g _5IP_scFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IP_tsFMEea5pdrFDq-m2g" type="_5IJSBMFMEea5pdrFDq-m2g" association="_5IP_tcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IP_t8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IP_uMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IR04MFMEea5pdrFDq-m2g" memberEnd="_5IR04cFMEea5pdrFDq-m2g _5IRN1MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IR04cFMEea5pdrFDq-m2g" type="_5IJSBMFMEea5pdrFDq-m2g" association="_5IR04MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IR04sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IR048FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ISb-MFMEea5pdrFDq-m2g" memberEnd="_5ISb-cFMEea5pdrFDq-m2g _5ISb9MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ISb-cFMEea5pdrFDq-m2g" type="_5IRN0cFMEea5pdrFDq-m2g" association="_5ISb-MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ISb-sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ISb-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5ITDA8FMEea5pdrFDq-m2g" name="PaymentReconciliation">
        <ownedComment xmi:id="_5ITqF8FMEea5pdrFDq-m2g">
          <body>This resource provides payment details and claim references supporting a bulk payment.</body>
        </ownedComment>
        <ownedComment xmi:id="_5ITqEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for PaymentReconciliation Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5ITqFcFMEea5pdrFDq-m2g">
          <body>PaymentReconciliation resource</body>
        </ownedComment>
        <generalization xmi:id="_5ITqFMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5ITqGcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IURIsFMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IURIMFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ITqGsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ITqG8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IURJMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IU4McFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IURKcFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IURJcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IURJsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IU4M8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IU4OcFMEea5pdrFDq-m2g">
            <body>The period of time for which payments have been gathered into this bulk payment for settlement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IU4N8FMEea5pdrFDq-m2g">
            <body>Period covered</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IU4NMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IU4NcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IU4O8FMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IVfQsFMEea5pdrFDq-m2g">
            <body>The date when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IVfQMFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IU4PMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IU4PcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IVfRMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5IVfSMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IWGUcFMEea5pdrFDq-m2g">
            <body>The Insurer who produced this adjudicated response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IVfTMFMEea5pdrFDq-m2g">
            <body>Insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IVfRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IVfRsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IWGU8FMEea5pdrFDq-m2g" name="request" type="_5AQhUMFMEea5pdrFDq-m2g" isOrdered="true" association="_5IWGV8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IWGXcFMEea5pdrFDq-m2g">
            <body>Original request resource reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IWGW8FMEea5pdrFDq-m2g">
            <body>Claim reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IWGVMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IWGVcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IWtYMFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IXUcsFMEea5pdrFDq-m2g">
            <body>Transaction status: error, complete.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IXUcMFMEea5pdrFDq-m2g">
            <body>complete | error | partial</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IWtYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IWtYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IXUdMFMEea5pdrFDq-m2g" name="disposition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IXUesFMEea5pdrFDq-m2g">
            <body>A description of the status of the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IXUeMFMEea5pdrFDq-m2g">
            <body>Disposition Message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IXUdcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IXUdsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IXUfMFMEea5pdrFDq-m2g" name="requestProvider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5IX7gcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IX7h8FMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IX7hcFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IXUfcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IXUfsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IX7icFMEea5pdrFDq-m2g" name="requestOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5IYikMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IYilsFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IYilMFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IX7isFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IX7i8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IZJocFMEea5pdrFDq-m2g" name="detail" type="_5IYimMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IZJpcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IZJq8FMEea5pdrFDq-m2g">
            <body>List of individual settlement amounts and the corresponding transaction.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IZJqcFMEea5pdrFDq-m2g">
            <body>Details</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IZJosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IZJo8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ic0CsFMEea5pdrFDq-m2g" name="form" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IeCIMFMEea5pdrFDq-m2g">
            <body>The form to be used for printing the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IdbFsFMEea5pdrFDq-m2g">
            <body>Printed Form Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IdbEMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IdbEcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IeCIsFMEea5pdrFDq-m2g" name="total" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IeCKMFMEea5pdrFDq-m2g">
            <body>Total payment amount.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IeCJsFMEea5pdrFDq-m2g">
            <body>Total amount of Payment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IeCI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IeCJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IepMcFMEea5pdrFDq-m2g" name="note" type="_5IeCKsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IfQQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IfQRsFMEea5pdrFDq-m2g">
            <body>Suite of notes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IfQRMFMEea5pdrFDq-m2g">
            <body>Note text</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IepMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IepM8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5IYimMFMEea5pdrFDq-m2g" name="Details">
          <generalization xmi:id="_5IYimcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5IZwsMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IaXwcFMEea5pdrFDq-m2g">
              <body>Code to indicate the nature of the payment, adjustment, funds advance, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IZwt8FMEea5pdrFDq-m2g">
              <body>Type code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IZwscFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IZwssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5IaXw8FMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5IaXx8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5IaXzcFMEea5pdrFDq-m2g">
              <body>The claim or financial resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IaXy8FMEea5pdrFDq-m2g">
              <body>Claim</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IaXxMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IaXxcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ia-0MFMEea5pdrFDq-m2g" name="response" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Ia-1MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Ia-2sFMEea5pdrFDq-m2g">
              <body>The claim response resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ia-2MFMEea5pdrFDq-m2g">
              <body>Claim Response</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ia-0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ia-0sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ibl4MFMEea5pdrFDq-m2g" name="submitter" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Ibl5MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Ibl6sFMEea5pdrFDq-m2g">
              <body>The Organization which submitted the invoice or financial transaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ibl6MFMEea5pdrFDq-m2g">
              <body>Submitter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ibl4cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ibl4sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ibl7MFMEea5pdrFDq-m2g" name="payee" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5IcM8cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5IcM98FMEea5pdrFDq-m2g">
              <body>The organization which is receiving the payment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IcM9cFMEea5pdrFDq-m2g">
              <body>Payee</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ibl7cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ibl7sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5IcM-cFMEea5pdrFDq-m2g" name="date" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ic0AMFMEea5pdrFDq-m2g">
              <body>The date of the invoice or financial resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IcM_cFMEea5pdrFDq-m2g">
              <body>Invoice date</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IcM-sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IcM-8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ic0AsFMEea5pdrFDq-m2g" name="amount" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ic0CMFMEea5pdrFDq-m2g">
              <body>Amount paid for this detail.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ic0BsFMEea5pdrFDq-m2g">
              <body>Detail amount</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ic0A8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ic0BMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5IeCKsFMEea5pdrFDq-m2g" name="Notes">
          <generalization xmi:id="_5IeCK8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5IfQSMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5If3VMFMEea5pdrFDq-m2g">
              <body>The note purpose: Print/Display.</body>
            </ownedComment>
            <ownedComment xmi:id="_5If3UsFMEea5pdrFDq-m2g">
              <body>display | print | printoper</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IfQScFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IfQSsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5If3VsFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5IgeY8FMEea5pdrFDq-m2g">
              <body>The note text.</body>
            </ownedComment>
            <ownedComment xmi:id="_5IgeYcFMEea5pdrFDq-m2g">
              <body>Notes text</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5If3V8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5If3WMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IVfSMFMEea5pdrFDq-m2g" memberEnd="_5IVfScFMEea5pdrFDq-m2g _5IVfRMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IVfScFMEea5pdrFDq-m2g" type="_5ITDA8FMEea5pdrFDq-m2g" association="_5IVfSMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IVfSsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IVfS8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IWGV8FMEea5pdrFDq-m2g" memberEnd="_5IWGWMFMEea5pdrFDq-m2g _5IWGU8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IWGWMFMEea5pdrFDq-m2g" type="_5ITDA8FMEea5pdrFDq-m2g" association="_5IWGV8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IWGWcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IWGWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IX7gcFMEea5pdrFDq-m2g" memberEnd="_5IX7gsFMEea5pdrFDq-m2g _5IXUfMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IX7gsFMEea5pdrFDq-m2g" type="_5ITDA8FMEea5pdrFDq-m2g" association="_5IX7gcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IX7g8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IX7hMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IYikMFMEea5pdrFDq-m2g" memberEnd="_5IYikcFMEea5pdrFDq-m2g _5IX7icFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IYikcFMEea5pdrFDq-m2g" type="_5ITDA8FMEea5pdrFDq-m2g" association="_5IYikMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IYiksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IYik8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IZJpcFMEea5pdrFDq-m2g" memberEnd="_5IZJpsFMEea5pdrFDq-m2g _5IZJocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IZJpsFMEea5pdrFDq-m2g" type="_5ITDA8FMEea5pdrFDq-m2g" association="_5IZJpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IZJp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IZJqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IaXx8FMEea5pdrFDq-m2g" memberEnd="_5IaXyMFMEea5pdrFDq-m2g _5IaXw8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IaXyMFMEea5pdrFDq-m2g" type="_5IYimMFMEea5pdrFDq-m2g" association="_5IaXx8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IaXycFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IaXysFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Ia-1MFMEea5pdrFDq-m2g" memberEnd="_5Ia-1cFMEea5pdrFDq-m2g _5Ia-0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Ia-1cFMEea5pdrFDq-m2g" type="_5IYimMFMEea5pdrFDq-m2g" association="_5Ia-1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ia-1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ia-18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Ibl5MFMEea5pdrFDq-m2g" memberEnd="_5Ibl5cFMEea5pdrFDq-m2g _5Ibl4MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Ibl5cFMEea5pdrFDq-m2g" type="_5IYimMFMEea5pdrFDq-m2g" association="_5Ibl5MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ibl5sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ibl58FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IcM8cFMEea5pdrFDq-m2g" memberEnd="_5IcM8sFMEea5pdrFDq-m2g _5Ibl7MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IcM8sFMEea5pdrFDq-m2g" type="_5IYimMFMEea5pdrFDq-m2g" association="_5IcM8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IcM88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IcM9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IfQQMFMEea5pdrFDq-m2g" memberEnd="_5IfQQcFMEea5pdrFDq-m2g _5IepMcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IfQQcFMEea5pdrFDq-m2g" type="_5ITDA8FMEea5pdrFDq-m2g" association="_5IfQQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IfQQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IfQQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5IgeZcFMEea5pdrFDq-m2g" name="DeviceUseStatement">
        <ownedComment xmi:id="_5IhFd8FMEea5pdrFDq-m2g">
          <body>A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.</body>
        </ownedComment>
        <ownedComment xmi:id="_5IhFcsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DeviceUseStatement Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5IhFdcFMEea5pdrFDq-m2g">
          <body>Record of use of a device</body>
        </ownedComment>
        <generalization xmi:id="_5IhFdMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5IhFecFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IhshMFMEea5pdrFDq-m2g">
            <body>Indicates the site on the subject's body where the device was used ( i.e. the target site).</body>
          </ownedComment>
          <ownedComment xmi:id="_5IhsgsFMEea5pdrFDq-m2g">
            <body>Target body site</body>
          </ownedComment>
          <ownedComment xmi:id="_5IhshsFMEea5pdrFDq-m2g">
            <body>Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension [http://hl7.org/fhir/StructureDefinition/body-site-instance](null.html).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IhFesFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IhFe8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IhsiMFMEea5pdrFDq-m2g" name="whenUsed" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IiTlcFMEea5pdrFDq-m2g">
            <body>The time period over which the device was used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IiTk8FMEea5pdrFDq-m2g">
            <body>Period device was used</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IiTkMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IiTkcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IiTl8FMEea5pdrFDq-m2g" name="device" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5IiTm8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Ii6ocFMEea5pdrFDq-m2g">
            <body>The details of the device used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IiTn8FMEea5pdrFDq-m2g">
            <body>Reference to device used</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IiTmMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IiTmcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ii6o8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ii6qcFMEea5pdrFDq-m2g">
            <body>An external identifier for this statement such as an IRI.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ii6p8FMEea5pdrFDq-m2g">
            <body>External identifier for this record</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ii6pMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ii6pcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ii6q8FMEea5pdrFDq-m2g" name="indication" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IjhscFMEea5pdrFDq-m2g">
            <body>Reason or justification for the use of the device.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ii6r8FMEea5pdrFDq-m2g">
            <body>Why device was used</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ii6rMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ii6rcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ijhs8FMEea5pdrFDq-m2g" name="notes" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IjhucFMEea5pdrFDq-m2g">
            <body>Details about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ijht8FMEea5pdrFDq-m2g">
            <body>Addition details (comments, instructions)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IjhtMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IjhtcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ijhu8FMEea5pdrFDq-m2g" name="recordedOn" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IkIwsFMEea5pdrFDq-m2g">
            <body>The time at which the statement was made/recorded.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IkIwMFMEea5pdrFDq-m2g">
            <body>When statement was recorded</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IjhvMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IjhvcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IkIxMFMEea5pdrFDq-m2g" name="subject" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5IkIyMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Ikv0cFMEea5pdrFDq-m2g">
            <body>The patient who used the device.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IkIzMFMEea5pdrFDq-m2g">
            <body>Patient using device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IkIxcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IkIxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ikv08FMEea5pdrFDq-m2g" name="timing[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ikv2cFMEea5pdrFDq-m2g">
            <body>How often the device was used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ikv18FMEea5pdrFDq-m2g">
            <body>How often  the device was used</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ikv1MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ikv1cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IiTm8FMEea5pdrFDq-m2g" memberEnd="_5IiTnMFMEea5pdrFDq-m2g _5IiTl8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IiTnMFMEea5pdrFDq-m2g" type="_5IgeZcFMEea5pdrFDq-m2g" association="_5IiTm8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IiTncFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IiTnsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IkIyMFMEea5pdrFDq-m2g" memberEnd="_5IkIycFMEea5pdrFDq-m2g _5IkIxMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IkIycFMEea5pdrFDq-m2g" type="_5IgeZcFMEea5pdrFDq-m2g" association="_5IkIyMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IkIysFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IkIy8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5IlW4MFMEea5pdrFDq-m2g" name="TestScript">
        <ownedComment xmi:id="_5Irdh8FMEea5pdrFDq-m2g">
          <body>TestScript is a resource that specifies a suite of tests against a FHIR server implementation to determine compliance against the FHIR specification.</body>
        </ownedComment>
        <ownedComment xmi:id="_5IrdgsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for TestScript Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5IrdhcFMEea5pdrFDq-m2g">
          <body>Describes a set of tests</body>
        </ownedComment>
        <ownedRule xmi:id="_5IlW4cFMEea5pdrFDq-m2g" name="inv-4" constrainedElement="_5I4R0cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5IlW4sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:capability/f:required or f:capability/f:validated or (f:capability/f:required and f:capability/f:validated)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5Il98MFMEea5pdrFDq-m2g" name="inv-3" constrainedElement="_5KT1McFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Il98cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:expression and f:headerField and f:path)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5Il988FMEea5pdrFDq-m2g" name="inv-1" constrainedElement="_5LuxhsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Il99MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:operation or f:assert) and not(f:operation and f:assert)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5ImlAcFMEea5pdrFDq-m2g" name="inv-7" constrainedElement="_5Lv_ocFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5ImlAsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:sourceId or ((f:targetId or f:url or f:params) and (count(f:targetId) + count(f:url) + count(f:params) =1)) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5InMEcFMEea5pdrFDq-m2g" name="inv-5" constrainedElement="_5L7l08FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5InMEsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:contentType) + count(f:expression) + count(f:headerField) + count(f:minimumId) + count(f:navigationLinks) + count(f:path) + count(f:resource) + count(f:responseCode) + count(f:response) + count(f:rule) + count(f:ruleset) + count(f:validateProfileId)  &lt;=1</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5InMFMFMEea5pdrFDq-m2g" name="inv-10" constrainedElement="_5L7l08FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5InMFcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:compareToSourceId and f:compareToSourceExpression) or (f:compareToSourceId and f:compareToSourcePath) or not(f:compareToSourceId or f:compareToSourceExpression or f:compareToSourcePath)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5InzIcFMEea5pdrFDq-m2g" name="inv-12" constrainedElement="_5L7l08FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5InzIsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>((count(f:response) + count(f:responseCode)) = 0 and (f:direction/@value='request')) or (count(f:direction) = 0) or (f:direction/@value='response')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5IoaMcFMEea5pdrFDq-m2g" name="inv-2" constrainedElement="_5MSyM8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5IoaMsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:operation or f:assert) and not(f:operation and f:assert)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5IpBQMFMEea5pdrFDq-m2g" name="inv-8" constrainedElement="_5MTZSsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5IpBQcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:sourceId or (f:targetId or f:url or f:params) and (count(f:targetId) + count(f:url) + count(f:params) =1) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5IpBQ8FMEea5pdrFDq-m2g" name="inv-6" constrainedElement="_5MUAWMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5IpBRMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:contentType) + count(f:expression) + count(f:headerField) + count(f:minimumId) + count(f:navigationLinks) + count(f:path) + count(f:resource) + count(f:responseCode) + count(f:response) + count(f:rule) + count(f:ruleset) + count(f:validateProfileId)  &lt;=1</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5IpoUcFMEea5pdrFDq-m2g" name="inv-11" constrainedElement="_5MUAWMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5IpoUsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:compareToSourceId and f:compareToSourceExpression) or (f:compareToSourceId and f:compareToSourcePath) or not(f:compareToSourceId or f:compareToSourceExpression or f:compareToSourcePath)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5IqPYcFMEea5pdrFDq-m2g" name="inv-13" constrainedElement="_5MUAWMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5IqPYsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>((count(f:response) + count(f:responseCode)) = 0 and (f:direction/@value='request')) or (count(f:direction) = 0) or (f:direction/@value='response')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5Iq2ccFMEea5pdrFDq-m2g" name="inv-9" constrainedElement="_5MWcmsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Iq2csFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:sourceId or (f:targetId or f:url or (f:params and f:resource)) and (count(f:targetId) + count(f:url) + count(f:params) =1) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5IrdhMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5IsEkMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IsElsFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this test script when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this test script is (or will be) published. The URL SHOULD include the major version of the test script. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5IsElMFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this test script (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5IsEmMFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IsEmsFMEea5pdrFDq-m2g">
            <body>Allows the test script to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IsEkcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IsEksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IsEnMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Isro8FMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this test script when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IsrocFMEea5pdrFDq-m2g">
            <body>Additional identifier for the test script</body>
          </ownedComment>
          <ownedComment xmi:id="_5IsrpcFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this test script outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Isrp8FMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IsEncFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IsEnsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IsrqcFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ItSsMFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the test script when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the test script author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IsrrcFMEea5pdrFDq-m2g">
            <body>Business version of the test script</body>
          </ownedComment>
          <ownedComment xmi:id="_5ItSssFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a test script that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IsrqsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Isrq8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ItStMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ItSusFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the test script. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ItSuMFMEea5pdrFDq-m2g">
            <body>Name for this test script (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5ItSvMFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ItSvsFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ItStcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ItStsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5It5wMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5It5xsFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the test script.</body>
          </ownedComment>
          <ownedComment xmi:id="_5It5xMFMEea5pdrFDq-m2g">
            <body>Name for this test script (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5It5wcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5It5wsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5It5yMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Iug08FMEea5pdrFDq-m2g">
            <body>The status of this test script. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iug0cFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iug1cFMEea5pdrFDq-m2g">
            <body>Allows filtering of test script that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5It5ycFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5It5ysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Iug18FMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IvH4cFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this test script is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iug28FMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5IvH48FMEea5pdrFDq-m2g">
            <body>Allows filtering of test script that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IvH5cFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level test script would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Iug2MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Iug2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IvH58FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IvH7cFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the test script.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IvH68FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ivu8MFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the test script is the organization or individual primarily responsible for the maintenance and upkeep of the test script. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the test script. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ivu8sFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the test script.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IvH6MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IvH6cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ivu9MFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ivu-sFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ivu-MFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ivu_MFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ivu9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ivu9sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IwWAMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IwWBsFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the test script was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the test script changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IwWBMFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5IwWCMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the test script. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IwWAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IwWAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IwWCsFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Iw9EMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the test script from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IwWDsFMEea5pdrFDq-m2g">
            <body>Natural language description of the test script</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iw9EsFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the test script was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IwWC8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IwWDMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Iw9FMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Iw9GsFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iw9GMFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iw9HMFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Iw9HsFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Iw9FcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Iw9FsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IxkIMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IxkJ8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the test script is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IxkJcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for test script (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IxkIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IxkIsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IyLMMFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IyLNsFMEea5pdrFDq-m2g">
            <body>Explains why this test script is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IyLNMFMEea5pdrFDq-m2g">
            <body>Why this test script is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5IyLOMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the test script (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this test script.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IyLMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IyLMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IyLOsFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5IyyQcFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the test script and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the test script.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IyLPsFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5IyyQ8FMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the test script and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IyLO8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IyLPMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5IzZUcFMEea5pdrFDq-m2g" name="origin" type="_5IyyRcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5IzZVcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5IzZW8FMEea5pdrFDq-m2g">
            <body>An abstract server used in operations within this test script in the origin element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5IzZWcFMEea5pdrFDq-m2g">
            <body>An abstract server representing a client or sender in a message exchange</body>
          </ownedComment>
          <ownedComment xmi:id="_5I0AYMFMEea5pdrFDq-m2g">
            <body>The purpose of this element is to define the profile of an origin element used elsewhere in the script.  Test engines could then use the origin-profile mapping to offer a filtered list of test systems that can serve as the sender for the interaction.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IzZUsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IzZU8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5I11kcFMEea5pdrFDq-m2g" name="destination" type="_5I1Oh8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5I11lcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5I2cosFMEea5pdrFDq-m2g">
            <body>An abstract server used in operations within this test script in the destination element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5I2coMFMEea5pdrFDq-m2g">
            <body>An abstract server representing a destination or receiver in a message exchange</body>
          </ownedComment>
          <ownedComment xmi:id="_5I2cpMFMEea5pdrFDq-m2g">
            <body>The purpose of this element is to define the profile of an destination element used elsewhere in the script.  Test engines could then use the destination-profile mapping to offer a filtered list of test systems that can serve as the receiver for the interaction.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I11ksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I11k8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5I4R0cFMEea5pdrFDq-m2g" name="metadata" type="_5I3qxsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5I4R1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5I4R28FMEea5pdrFDq-m2g">
            <body>The required capability must exist and are assumed to function correctly on the FHIR server being tested.</body>
          </ownedComment>
          <ownedComment xmi:id="_5I4R2cFMEea5pdrFDq-m2g">
            <body>Required capability that is assumed to function correctly on the FHIR server being tested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I4R0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I4R08FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KRY8MFMEea5pdrFDq-m2g" name="fixture" type="_5KQx4cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5KRY9MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5KRY-sFMEea5pdrFDq-m2g">
            <body>Fixture in the test script - by reference (uri). All fixtures are required for the test script to execute.</body>
          </ownedComment>
          <ownedComment xmi:id="_5KRY-MFMEea5pdrFDq-m2g">
            <body>Fixture in the test script - by reference (uri)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KRY8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KRY8sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KSnG8FMEea5pdrFDq-m2g" name="profile" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5KTOIMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5KTOJsFMEea5pdrFDq-m2g">
            <body>Reference to the profile to be used for validation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5KTOJMFMEea5pdrFDq-m2g">
            <body>Reference of the validation profile</body>
          </ownedComment>
          <ownedComment xmi:id="_5KTOKMFMEea5pdrFDq-m2g">
            <body>See http://build.fhir.org/resourcelist.html for complete list of resource types.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KSnHMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KSnHcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KT1McFMEea5pdrFDq-m2g" name="variable" type="_5KTOKsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LhWI8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Lh9NcFMEea5pdrFDq-m2g">
            <body>Variable is set based either on element value in response body or on header field value in the response headers.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Lh9M8FMEea5pdrFDq-m2g">
            <body>Placeholder for evaluated elements</body>
          </ownedComment>
          <ownedComment xmi:id="_5Lh9N8FMEea5pdrFDq-m2g">
            <body>Variables would be set based either on XPath/JsonPath expressions against fixtures (static and response), or headerField evaluations against response headers. If variable evaluates to nodelist or anything other than a primitive value, then test engine would report error.  Variables would be used to perform clean replacements in &quot;operation.params&quot;, &quot;operation.requestHeader.value&quot;, and &quot;operation.url&quot; element values during operation calls and in &quot;assert.value&quot; during assertion evaluations. This limits the places that test engines would need to look for placeholders &quot;${}&quot;.  Variables are scoped to the whole script. They are NOT evaluated at declaration. They are evaluated by test engine when used for substitutions in &quot;operation.params&quot;, &quot;operation.requestHeader.value&quot;, and &quot;operation.url&quot; element values during operation calls and in &quot;assert.value&quot; during assertion evaluations.  See example testscript-search.xml.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LhWIMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LhWIcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5LlnlcFMEea5pdrFDq-m2g" name="rule" type="_5LlnksFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LmOo8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5LmOqcFMEea5pdrFDq-m2g">
            <body>Assert rule to be used in one or more asserts within the test script.</body>
          </ownedComment>
          <ownedComment xmi:id="_5LmOp8FMEea5pdrFDq-m2g">
            <body>Assert rule used within the test script</body>
          </ownedComment>
          <ownedComment xmi:id="_5LmOq8FMEea5pdrFDq-m2g">
            <body>Each rule should be treated by test engines as one assertion regardless of how many assertions are contained within the external rule template.  The impact of negative rule evaluation on test script execution is the same as an assertion failure which is descibed elsewhere in the TestScript resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LmOoMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LmOocFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5LpR8cFMEea5pdrFDq-m2g" name="ruleset" type="_5Loq6sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LpR9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Lp5AMFMEea5pdrFDq-m2g">
            <body>Contains one or more rules.  Offers a way to group rules so assertions could reference the group of rules and have them all applied.</body>
          </ownedComment>
          <ownedComment xmi:id="_5LpR-cFMEea5pdrFDq-m2g">
            <body>Assert ruleset used within the test script</body>
          </ownedComment>
          <ownedComment xmi:id="_5Lp5AsFMEea5pdrFDq-m2g">
            <body>Each rule within a ruleset should be treated by test engines as one assertion regardless of how many assertions are contained within the external rule template.  The impact of negative rule evaluation on test script execution is the same as an assertion failure which is descibed elsewhere in the TestScript resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LpR8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LpR88FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5LuKccFMEea5pdrFDq-m2g" name="setup" type="_5LtjZsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LuKdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5LuxgcFMEea5pdrFDq-m2g">
            <body>A series of required setup operations before tests are executed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5LuKecFMEea5pdrFDq-m2g">
            <body>A series of required setup operations before tests are executed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LuKcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LuKc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MRkEcFMEea5pdrFDq-m2g" name="test" type="_5MQ9BMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MRkFcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5MRkG8FMEea5pdrFDq-m2g">
            <body>A test in this script.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MRkGcFMEea5pdrFDq-m2g">
            <body>A test in this script</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MRkEsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MRkE8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MVOccFMEea5pdrFDq-m2g" name="teardown" type="_5MUnacFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MVOdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5MVOe8FMEea5pdrFDq-m2g">
            <body>A series of operations required to clean up after the all the tests are executed (successfully or otherwise).</body>
          </ownedComment>
          <ownedComment xmi:id="_5MVOecFMEea5pdrFDq-m2g">
            <body>A series of required clean up steps</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MVOcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MVOc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5IyyRcFMEea5pdrFDq-m2g" name="Origin">
          <generalization xmi:id="_5IyyRsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5I0AYsFMEea5pdrFDq-m2g" name="index" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5I0nccFMEea5pdrFDq-m2g">
              <body>Abstract name given to an origin server in this test script.  The name is provided as a number starting at 1.</body>
            </ownedComment>
            <ownedComment xmi:id="_5I0AZsFMEea5pdrFDq-m2g">
              <body>The index of the abstract origin server starting at 1</body>
            </ownedComment>
            <ownedComment xmi:id="_5I0nc8FMEea5pdrFDq-m2g">
              <body>A given origin index (e.g. 1) can appear only once in the list (e.g. Origin 1 cannot be specified twice ... once as FormFiller and and again as FormProcessor within the same script as that could get confusing during test configuration).   Different origin indices could play the same actor in the same test script (e.g. You could have two different test systems acting as Form-Filler).  The origin indices provided elsewhere in the test script must be one of these origin indices.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I0AY8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I0AZMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5I0ndcFMEea5pdrFDq-m2g" name="profile" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5I1Og8FMEea5pdrFDq-m2g">
              <body>The type of origin profile the test system supports.</body>
            </ownedComment>
            <ownedComment xmi:id="_5I1OgcFMEea5pdrFDq-m2g">
              <body>FHIR-Client | FHIR-SDC-FormFiller</body>
            </ownedComment>
            <ownedComment xmi:id="_5I1OhcFMEea5pdrFDq-m2g">
              <body>Must be a &quot;sender&quot;/&quot;client&quot; profile.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I0ndsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I0nd8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5I1Oh8FMEea5pdrFDq-m2g" name="Destination">
          <generalization xmi:id="_5I1OiMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5I2cpsFMEea5pdrFDq-m2g" name="index" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5I2crMFMEea5pdrFDq-m2g">
              <body>Abstract name given to a destination server in this test script.  The name is provided as a number starting at 1.</body>
            </ownedComment>
            <ownedComment xmi:id="_5I2cqsFMEea5pdrFDq-m2g">
              <body>The index of the abstract destination server starting at 1</body>
            </ownedComment>
            <ownedComment xmi:id="_5I2crsFMEea5pdrFDq-m2g">
              <body>A given destination index (e.g. 1) can appear only once in the list (e.g. Destination 1 cannot be specified twice ... once as Form-Manager and and again as Form-Processor within the same script as that could get confusing during test configuration).   Different destination indices could play the same actor in the same test script (e.g. You could have two different test systems acting as Form-Manager).  The destination indices provided elsewhere in the test script must be one of these destination indices.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I2cp8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I2cqMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5I3DscFMEea5pdrFDq-m2g" name="profile" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5I3qwsFMEea5pdrFDq-m2g">
              <body>The type of destination profile the test system supports.</body>
            </ownedComment>
            <ownedComment xmi:id="_5I3qwMFMEea5pdrFDq-m2g">
              <body>FHIR-Server | FHIR-SDC-FormManager | FHIR-SDC-FormReceiver | FHIR-SDC-FormProcessor</body>
            </ownedComment>
            <ownedComment xmi:id="_5I3qxMFMEea5pdrFDq-m2g">
              <body>Must be a &quot;receiver&quot;/&quot;server&quot; profile.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I3DssFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I3Ds8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5I3qxsFMEea5pdrFDq-m2g" name="Metadata">
          <generalization xmi:id="_5I3qx8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5I4448FMEea5pdrFDq-m2g" name="link" type="_5I444MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5I5f8MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5I5f9sFMEea5pdrFDq-m2g">
              <body>A link to the FHIR specification that this test is covering.</body>
            </ownedComment>
            <ownedComment xmi:id="_5I5f9MFMEea5pdrFDq-m2g">
              <body>Links to the FHIR specification</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I445MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I445cFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5I6uEcFMEea5pdrFDq-m2g" name="capability" type="_5I6HCMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5I6uFcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5I6uG8FMEea5pdrFDq-m2g">
              <body>Capabilities that must exist and are assumed to function correctly on the FHIR server being tested.</body>
            </ownedComment>
            <ownedComment xmi:id="_5I6uGcFMEea5pdrFDq-m2g">
              <body>Capabilities  that are assumed to function correctly on the FHIR server being tested</body>
            </ownedComment>
            <ownedComment xmi:id="_5I6uHcFMEea5pdrFDq-m2g">
              <body>When the metadata capabilities section is defined at TestScript.metadata or at TestScript.setup.metadata, and the server's conformance statement does not contain the elements defined in the minimal conformance statement, then all the tests in the TestScript are skipped.  When the metadata capabilities section is defined at TestScript.test.metadata and the server's conformance statement does not contain the elements defined in the minimal conformance statement, then only that test is skipped.  The &quot;metadata.capabilities.required&quot; and &quot;metadata.capabilities.validated&quot; elements only indicate whether the capabilities are the primary focus of the test script or not.  The do not impact the skipping logic.  Capabilities whose &quot;metadata.capabilities.validated&quot; flag is true are the primary focus of the test script.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I6uEsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I6uE8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5I444MFMEea5pdrFDq-m2g" name="Link">
            <generalization xmi:id="_5I444cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5I5f-MFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I5f_sFMEea5pdrFDq-m2g">
                <body>URL to a particular requirement or feature within the FHIR specification.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I5f_MFMEea5pdrFDq-m2g">
                <body>URL to the specification</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I5f-cFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I5f-sFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5I6HAMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I6HBsFMEea5pdrFDq-m2g">
                <body>Short description of the link.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I6HBMFMEea5pdrFDq-m2g">
                <body>Short description</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I6HAcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I6HAsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5I6HCMFMEea5pdrFDq-m2g" name="Capability">
            <generalization xmi:id="_5I6HCcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5I7VIcFMEea5pdrFDq-m2g" name="required" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I7VJ8FMEea5pdrFDq-m2g">
                <body>Whether or not the test execution will require the given capabilities of the server in order for this test script to execute.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I7VJcFMEea5pdrFDq-m2g">
                <body>Are the capabilities required?</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I7VIsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I7VI8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5I7VKcFMEea5pdrFDq-m2g" name="validated" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I78McFMEea5pdrFDq-m2g">
                <body>Whether or not the test execution will validate the given capabilities of the server in order for this test script to execute.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I7VLcFMEea5pdrFDq-m2g">
                <body>Are the capabilities validated?</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I7VKsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I7VK8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5I78M8FMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I78OcFMEea5pdrFDq-m2g">
                <body>Description of the capabilities that this test script is requiring the server to support.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I78N8FMEea5pdrFDq-m2g">
                <body>The expected capabilities of the server</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I78NMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I78NcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5I78O8FMEea5pdrFDq-m2g" name="origin" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I8jQsFMEea5pdrFDq-m2g">
                <body>Which origin server these requirements apply to.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I8jQMFMEea5pdrFDq-m2g">
                <body>Which origin server these requirements apply to</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I78PMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I78PcFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5I8jRMFMEea5pdrFDq-m2g" name="destination" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I8jSsFMEea5pdrFDq-m2g">
                <body>Which server these requirements apply to.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I8jSMFMEea5pdrFDq-m2g">
                <body>Which server these requirements apply to</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I8jRcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I8jRsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5I8jTMFMEea5pdrFDq-m2g" name="link" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5I9KVMFMEea5pdrFDq-m2g">
                <body>Links to the FHIR specification that describes this interaction and the resources involved in more detail.</body>
              </ownedComment>
              <ownedComment xmi:id="_5I9KUsFMEea5pdrFDq-m2g">
                <body>Links to the FHIR specification</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I8jTcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I9KUMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5KPjzMFMEea5pdrFDq-m2g" name="capabilities" type="_5I9KVsFMEea5pdrFDq-m2g" isOrdered="true" association="_5KQK08FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5KQK2cFMEea5pdrFDq-m2g">
                <body>Minimum capabilities required of server for test script to execute successfully.   If server does not meet at a minimum the referenced capability statement, then all tests in this script are skipped.</body>
              </ownedComment>
              <ownedComment xmi:id="_5KQK18FMEea5pdrFDq-m2g">
                <body>Required Capability Statement</body>
              </ownedComment>
              <ownedComment xmi:id="_5KQK28FMEea5pdrFDq-m2g">
                <body>The conformance statement of the server has to contain at a minimum the contents of the reference pointed to by this element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KQK0MFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KQK0cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5KQx4cFMEea5pdrFDq-m2g" name="Fixture">
          <generalization xmi:id="_5KQx4sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5KRY_MFMEea5pdrFDq-m2g" name="autocreate" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5KSAAsFMEea5pdrFDq-m2g">
              <body>Whether or not to implicitly create the fixture during setup. If true, the fixture is automatically created on each server being tested during setup, therefore no create operation is required for this fixture in the TestScript.setup section.</body>
            </ownedComment>
            <ownedComment xmi:id="_5KSAAMFMEea5pdrFDq-m2g">
              <body>Whether or not to implicitly create the fixture during setup</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KRY_cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KRY_sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5KSABMFMEea5pdrFDq-m2g" name="autodelete" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5KSACsFMEea5pdrFDq-m2g">
              <body>Whether or not to implicitly delete the fixture during teardown If true, the fixture is automatically deleted on each server being tested during teardown, therefore no delete operation is required for this fixture in the TestScript.teardown section.</body>
            </ownedComment>
            <ownedComment xmi:id="_5KSACMFMEea5pdrFDq-m2g">
              <body>Whether or not to implicitly delete the fixture during teardown</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KSABcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KSABsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5KSADMFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5KSnEcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5KSnF8FMEea5pdrFDq-m2g">
              <body>Reference to the resource (containing the contents of the resource needed for operations).</body>
            </ownedComment>
            <ownedComment xmi:id="_5KSnFcFMEea5pdrFDq-m2g">
              <body>Reference of the resource</body>
            </ownedComment>
            <ownedComment xmi:id="_5KSnGcFMEea5pdrFDq-m2g">
              <body>See http://build.fhir.org/resourcelist.html for complete list of resource types.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KSADcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KSADsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5KTOKsFMEea5pdrFDq-m2g" name="Variable">
          <generalization xmi:id="_5KTOK8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Lh9OcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LikQcFMEea5pdrFDq-m2g">
              <body>Descriptive name for this variable.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Lh9PcFMEea5pdrFDq-m2g">
              <body>Descriptive name for this variable</body>
            </ownedComment>
            <ownedComment xmi:id="_5LikQ8FMEea5pdrFDq-m2g">
              <body>Placeholders would contain the variable name wrapped in ${} in &quot;operation.params&quot;, &quot;operation.requestHeader.value&quot;, and &quot;operation.url&quot; elements.  These placeholders would need to be replaced by the variable value before the operation is executed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Lh9OsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Lh9O8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LikRcFMEea5pdrFDq-m2g" name="defaultValue" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LikS8FMEea5pdrFDq-m2g">
              <body>A default, hard-coded, or user-defined value for this variable.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LikScFMEea5pdrFDq-m2g">
              <body>Default, hard-coded, or user-defined value for this variable</body>
            </ownedComment>
            <ownedComment xmi:id="_5LikTcFMEea5pdrFDq-m2g">
              <body>The purpose of this element is to allow for a pre-defined value that can be used as a default or as an override value. Test engines can optionally use this as a placeholder for user-defined execution time values.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LikRsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LikR8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LjLUMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LjLVsFMEea5pdrFDq-m2g">
              <body>A free text natural language description of the variable and its purpose.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LjLVMFMEea5pdrFDq-m2g">
              <body>Natural language description of the variable</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LjLUcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LjLUsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LjLWMFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LjLXsFMEea5pdrFDq-m2g">
              <body>The fhirpath expression to evaluate against the fixture body. When variables are defined, only one of either expression, headerField or path must be specified.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LjLXMFMEea5pdrFDq-m2g">
              <body>The fhirpath expression against the fixture body</body>
            </ownedComment>
            <ownedComment xmi:id="_5LjyYcFMEea5pdrFDq-m2g">
              <body>If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If expression or path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define any combination of expression, headerField and path.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LjLWcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LjLWsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LjyY8FMEea5pdrFDq-m2g" name="headerField" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LjyacFMEea5pdrFDq-m2g">
              <body>Will be used to grab the HTTP header field value from the headers that sourceId is pointing to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LjyZ8FMEea5pdrFDq-m2g">
              <body>HTTP header field name for source</body>
            </ownedComment>
            <ownedComment xmi:id="_5LkZccFMEea5pdrFDq-m2g">
              <body>If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define both headerField and path.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LjyZMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LjyZcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LkZc8FMEea5pdrFDq-m2g" name="hint" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LkZecFMEea5pdrFDq-m2g">
              <body>Displayable text string with hint help information to the user when entering a default value.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LkZd8FMEea5pdrFDq-m2g">
              <body>Hint help text for default value to enter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LkZdMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LkZdcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LkZe8FMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LlAgsFMEea5pdrFDq-m2g">
              <body>XPath or JSONPath to evaluate against the fixture body.  When variables are defined, only one of either expression, headerField or path must be specified.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LlAgMFMEea5pdrFDq-m2g">
              <body>XPath or JSONPath against the fixture body</body>
            </ownedComment>
            <ownedComment xmi:id="_5LlAhMFMEea5pdrFDq-m2g">
              <body>If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If expression or path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define any combination of expression, headerField and path.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LkZfMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LkZfcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LlAhsFMEea5pdrFDq-m2g" name="sourceId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5LlAjMFMEea5pdrFDq-m2g">
              <body>Fixture to evaluate the XPath/JSONPath expression or the headerField  against within this variable.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LlAisFMEea5pdrFDq-m2g">
              <body>Fixture Id of source expression or headerField within this variable</body>
            </ownedComment>
            <ownedComment xmi:id="_5LlnkMFMEea5pdrFDq-m2g">
              <body>This can be a statically defined fixture (at the top of the testscript) or a dynamically set fixture created by responseId of the action.operation element.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LlAh8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LlAiMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5LlnksFMEea5pdrFDq-m2g" name="Rule">
          <generalization xmi:id="_5Llnk8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5LmOrcFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Lm1scFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Lm1t8FMEea5pdrFDq-m2g">
              <body>Reference to the resource (containing the contents of the rule needed for assertions).</body>
            </ownedComment>
            <ownedComment xmi:id="_5Lm1tcFMEea5pdrFDq-m2g">
              <body>Assert rule resource reference</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LmOrsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LmOr8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LncwcFMEea5pdrFDq-m2g" name="param" type="_5Lm1ucFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LncxcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5LoD0MFMEea5pdrFDq-m2g">
              <body>Each rule template can take one or more parameters for rule evaluation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LncycFMEea5pdrFDq-m2g">
              <body>Rule parameter template</body>
            </ownedComment>
            <ownedComment xmi:id="_5LoD0sFMEea5pdrFDq-m2g">
              <body>The parameter value can be dynamic at runtime.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LncwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Lncw8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Lm1ucFMEea5pdrFDq-m2g" name="RuleParam">
            <generalization xmi:id="_5Lm1usFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5LoD1MFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5LoD2sFMEea5pdrFDq-m2g">
                <body>Descriptive name for this parameter that matches the external assert rule parameter name.</body>
              </ownedComment>
              <ownedComment xmi:id="_5LoD2MFMEea5pdrFDq-m2g">
                <body>Parameter name matching external assert rule parameter</body>
              </ownedComment>
              <ownedComment xmi:id="_5LoD3MFMEea5pdrFDq-m2g">
                <body>The external rule template would be looking for the parameter by this name.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LoD1cFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LoD1sFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Loq4MFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Loq5sFMEea5pdrFDq-m2g">
                <body>The explict or dynamic value for the parameter that will be passed on to the external rule template.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Loq5MFMEea5pdrFDq-m2g">
                <body>Parameter value defined either explicitly or dynamically</body>
              </ownedComment>
              <ownedComment xmi:id="_5Loq6MFMEea5pdrFDq-m2g">
                <body>This value can be overwritten by the assert.rule.param.value i.e. TestScript.rule.param.value will be used if assert.rule.param.value is not specified.  The param value can be a string-representation of a number, string, or boolean that is expected. Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before supplying this value to the external rule template.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Loq4cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Loq4sFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Loq6sFMEea5pdrFDq-m2g" name="Ruleset">
          <generalization xmi:id="_5Loq68FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Lp5BMFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Lp5CMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Lp5DsFMEea5pdrFDq-m2g">
              <body>Reference to the resource (containing the contents of the ruleset needed for assertions).</body>
            </ownedComment>
            <ownedComment xmi:id="_5Lp5DMFMEea5pdrFDq-m2g">
              <body>Assert ruleset resource reference</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Lp5BcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Lp5BsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5LqgFMFMEea5pdrFDq-m2g" name="rule" type="_5LqgEcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LrHIMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5LrHJsFMEea5pdrFDq-m2g">
              <body>The referenced rule within the external ruleset template.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LrHJMFMEea5pdrFDq-m2g">
              <body>The referenced rule within the ruleset</body>
            </ownedComment>
            <ownedComment xmi:id="_5LrHKMFMEea5pdrFDq-m2g">
              <body>This qualifies each param name so that  a parameter with the same name can be used differently by the different rules with the ruleset.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LqgFcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LqgFsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5LqgEcFMEea5pdrFDq-m2g" name="RulesetRule">
            <generalization xmi:id="_5LqgEsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5LrHKsFMEea5pdrFDq-m2g" name="ruleId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5LruMsFMEea5pdrFDq-m2g">
                <body>Id of the referenced rule within the external ruleset template.</body>
              </ownedComment>
              <ownedComment xmi:id="_5LruMMFMEea5pdrFDq-m2g">
                <body>Id of referenced rule within the ruleset</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LrHK8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LrHLMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5LruN8FMEea5pdrFDq-m2g" name="param" type="_5LruNMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LsVQ8FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5LsVScFMEea5pdrFDq-m2g">
                <body>Each rule template can take one or more parameters for rule evaluation.</body>
              </ownedComment>
              <ownedComment xmi:id="_5LsVR8FMEea5pdrFDq-m2g">
                <body>Ruleset rule parameter template</body>
              </ownedComment>
              <ownedComment xmi:id="_5LsVS8FMEea5pdrFDq-m2g">
                <body>The parameter value can be dynamic at runtime.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LsVQMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LsVQcFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5LruNMFMEea5pdrFDq-m2g" name="RulesetRuleParam">
              <generalization xmi:id="_5LruNcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5LsVTcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Ls8VcFMEea5pdrFDq-m2g">
                  <body>Descriptive name for this parameter that matches the external assert ruleset rule parameter name.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Ls8U8FMEea5pdrFDq-m2g">
                  <body>Parameter name matching external assert ruleset rule parameter</body>
                </ownedComment>
                <ownedComment xmi:id="_5Ls8V8FMEea5pdrFDq-m2g">
                  <body>The external rule template would be looking for the parameter by this name.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ls8UMFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ls8UcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Ls8WcFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5LtjYsFMEea5pdrFDq-m2g">
                  <body>The value for the parameter that will be passed on to the external ruleset rule template.</body>
                </ownedComment>
                <ownedComment xmi:id="_5LtjYMFMEea5pdrFDq-m2g">
                  <body>Parameter value defined either explicitly or dynamically</body>
                </ownedComment>
                <ownedComment xmi:id="_5LtjZMFMEea5pdrFDq-m2g">
                  <body>This value can be overwritten by the assert.ruleset.rule.param.value i.e. TestScript.ruleset.rule.param.value will be used if assert.ruleset.rule.param.value is not specified.  The param value can be a string-representation of a number, string, or boolean that is expected. Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before supplying this value to the external rule template.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ls8WsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ls8W8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5LtjZsFMEea5pdrFDq-m2g" name="Setup">
          <generalization xmi:id="_5LtjZ8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5LuxhsFMEea5pdrFDq-m2g" name="action" type="_5Luxg8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5LvYksFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5LvYmMFMEea5pdrFDq-m2g">
              <body>Action would contain either an operation or an assertion.</body>
            </ownedComment>
            <ownedComment xmi:id="_5LvYlsFMEea5pdrFDq-m2g">
              <body>A setup operation or assert to perform</body>
            </ownedComment>
            <ownedComment xmi:id="_5LvYmsFMEea5pdrFDq-m2g">
              <body>An action should contain either an operation or an assertion but not both.  It can contain any number of variables.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Luxh8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LvYkMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Luxg8FMEea5pdrFDq-m2g" name="SetupAction">
            <generalization xmi:id="_5LuxhMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5Lv_ocFMEea5pdrFDq-m2g" name="operation" type="_5LvYnMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Lv_pcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5LwmtcFMEea5pdrFDq-m2g">
                <body>The operation to perform.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Lwms8FMEea5pdrFDq-m2g">
                <body>The setup operation to perform</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Lv_osFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Lv_o8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5L7l08FMEea5pdrFDq-m2g" name="assert" type="_5L7l0MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5L8M4cFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5L8M58FMEea5pdrFDq-m2g">
                <body>Evaluates the results of previous operations to determine if the server under test behaves appropriately.</body>
              </ownedComment>
              <ownedComment xmi:id="_5L8M5cFMEea5pdrFDq-m2g">
                <body>The assertion to perform</body>
              </ownedComment>
              <ownedComment xmi:id="_5L8M6cFMEea5pdrFDq-m2g">
                <body>In order to evaluate an assertion, the request, response, and results of the most recently executed operation must always be maintained by the test engine.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L7l1MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L7l1cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5LvYnMFMEea5pdrFDq-m2g" name="Operation">
              <generalization xmi:id="_5LvYncFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5Lwmt8FMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5LxNxMFMEea5pdrFDq-m2g">
                  <body>Server interaction or operation type.</body>
                </ownedComment>
                <ownedComment xmi:id="_5LxNwsFMEea5pdrFDq-m2g">
                  <body>The operation code type that will be executed</body>
                </ownedComment>
                <ownedComment xmi:id="_5LxNxsFMEea5pdrFDq-m2g">
                  <body>See http://build.fhir.org/http.html for list of server interactions.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LwmuMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LwmucFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Lx00cFMEea5pdrFDq-m2g" name="resource" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Lx02MFMEea5pdrFDq-m2g">
                  <body>The type of the resource.  See http://build.fhir.org/resourcelist.html.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Lx01sFMEea5pdrFDq-m2g">
                  <body>Resource type</body>
                </ownedComment>
                <ownedComment xmi:id="_5Lyb4cFMEea5pdrFDq-m2g">
                  <body>If &quot;url&quot; element is specified, then &quot;targetId&quot;, &quot;params&quot;, and &quot;resource&quot; elements will be ignored as &quot;url&quot; element will have everything needed for constructing the request url.  If &quot;params&quot; element is specified, then &quot;targetId&quot; element is ignored. For FHIR operations that require a resource (e.g. &quot;read&quot; and &quot;vread&quot; operations), the &quot;resource&quot; element must be specified when &quot;params&quot; element is specified.  If &quot;url&quot; and &quot;params&quot; elements are absent, then the request url will be constructed from &quot;targetId&quot; fixture if present. For &quot;read&quot; operation, the resource and id values will be extracted from &quot;targetId&quot; fixture and used to construct the url. For &quot;vread&quot; and &quot;history&quot; operations, the versionId value will also be used.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Lx00sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Lx008FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Lyb48FMEea5pdrFDq-m2g" name="label" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Lyb6cFMEea5pdrFDq-m2g">
                  <body>The label would be used for tracking/logging purposes by test engines.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Lyb58FMEea5pdrFDq-m2g">
                  <body>Tracking/logging operation label</body>
                </ownedComment>
                <ownedComment xmi:id="_5Lyb68FMEea5pdrFDq-m2g">
                  <body>This has no impact on the verification itself.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Lyb5MFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Lyb5cFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5LzC8MFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5LzC9sFMEea5pdrFDq-m2g">
                  <body>The description would be used by test engines for tracking and reporting purposes.</body>
                </ownedComment>
                <ownedComment xmi:id="_5LzC9MFMEea5pdrFDq-m2g">
                  <body>Tracking/reporting operation description</body>
                </ownedComment>
                <ownedComment xmi:id="_5LzC-MFMEea5pdrFDq-m2g">
                  <body>This has no impact on the verification itself.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LzC8cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LzC8sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5LzC-sFMEea5pdrFDq-m2g" name="accept" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L0REMFMEea5pdrFDq-m2g">
                  <body>The content-type or mime-type to use for RESTful operation in the 'Accept' header.</body>
                </ownedComment>
                <ownedComment xmi:id="_5LzqA8FMEea5pdrFDq-m2g">
                  <body>xml | json | ttl | none</body>
                </ownedComment>
                <ownedComment xmi:id="_5L0REsFMEea5pdrFDq-m2g">
                  <body>If this is specified, then test engine shall set the 'Accept' header to the corresponding value.    If 'xml' is specified, then 'Accept' header of 'application/fhir+xml' will be set.  If 'json' is specified, then 'application/fhir+json' will be used.    If you'd like to explicitly set the 'Accept' to some other value then use the 'requestHeader' element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5LzC-8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5LzC_MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L0RFMFMEea5pdrFDq-m2g" name="contentType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L04IsFMEea5pdrFDq-m2g">
                  <body>The content-type or mime-type to use for RESTful operation in the 'Content-Type' header.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L04IMFMEea5pdrFDq-m2g">
                  <body>xml | json | ttl | none</body>
                </ownedComment>
                <ownedComment xmi:id="_5L04JMFMEea5pdrFDq-m2g">
                  <body>If this is specified, then test engine shall set the 'Content-Type' header to the corresponding value.    If 'xml' is specified, then 'Content-Type' header of 'application/fhir+xml' will be set.    If 'json' is specified, then 'application/fhir+json' will be used.    If you'd like to explicitly set the 'Content-Type' to some other value then use the 'requestHeader' element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L0RFcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L0RFsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L04JsFMEea5pdrFDq-m2g" name="destination" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L1fMMFMEea5pdrFDq-m2g">
                  <body>The server where the request message is destined for.  Must be one of the server numbers listed in TestScript.destination section.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L04KsFMEea5pdrFDq-m2g">
                  <body>Server responding to the request</body>
                </ownedComment>
                <ownedComment xmi:id="_5L1fMsFMEea5pdrFDq-m2g">
                  <body>If multiple TestScript.destination elements are defined and operation.destination is undefined, test engine will error as it cannot determine what destination to use for the exchange.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L04J8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L04KMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L1fNMFMEea5pdrFDq-m2g" name="encodeRequestUrl" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L1fOsFMEea5pdrFDq-m2g">
                  <body>Whether or not to implicitly send the request url in encoded format. The default is true to match the standard RESTful client behavior. Set to false when communicating with a server that does not support encoded url paths.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L1fOMFMEea5pdrFDq-m2g">
                  <body>Whether or not to send the request url in encoded format</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L1fNcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L1fNsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L2GQMFMEea5pdrFDq-m2g" name="origin" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L2GRsFMEea5pdrFDq-m2g">
                  <body>The server where the request message originates from.  Must be one of the server numbers listed in TestScript.origin section.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L2GRMFMEea5pdrFDq-m2g">
                  <body>Server initiating the request</body>
                </ownedComment>
                <ownedComment xmi:id="_5L2GSMFMEea5pdrFDq-m2g">
                  <body>If absent, test engine will send the message.  When present, test engine will not send the request message but will wait for the request message to be sent from this origin server.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L2GQcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L2GQsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L2GSsFMEea5pdrFDq-m2g" name="params" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L2tUcFMEea5pdrFDq-m2g">
                  <body>Path plus parameters after [type].  Used to set parts of the request URL explicitly.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L2GTsFMEea5pdrFDq-m2g">
                  <body>Explicitly defined path parameters</body>
                </ownedComment>
                <ownedComment xmi:id="_5L2tU8FMEea5pdrFDq-m2g">
                  <body>If &quot;url&quot; element is specified, then &quot;targetId&quot;, &quot;params&quot;, and &quot;resource&quot; elements will be ignored as &quot;url&quot; element will have everything needed for constructing the request url.  If &quot;params&quot; element is specified, then &quot;targetId&quot; element is ignored.  For FHIR operations that require a resource (e.g. &quot;read&quot; and &quot;vread&quot; operations), the &quot;resource&quot; element must be specified when &quot;params&quot; element is specified.  If &quot;url&quot; and &quot;params&quot; elements are absent, then the request url will be constructed from &quot;targetId&quot; fixture if present.  For &quot;read&quot; operation, the resource and id values will be extracted from &quot;targetId&quot; fixture and used to construct the url.  For &quot;vread&quot; and &quot;history&quot; operations, the versionId value will also be used.   Test engines would append whatever is specified for &quot;params&quot; to the URL after the resource type without tampering with the string (beyond encoding the URL for HTTP).  The &quot;params&quot; element does not correspond exactly to &quot;search parameters&quot;.  Nor is it the &quot;path&quot;.  It corresponds to the part of the URL that comes after the [type] (when &quot;resource&quot; element is specified); e.g. It corresponds to &quot;/[id]/_history/[vid] {?_format=[mime-type]}&quot; in the following operation: GET [base]/[type]/[id]/_history/[vid] {?_format=[mime-type]}  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L2GS8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L2GTMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L3UYcFMEea5pdrFDq-m2g" name="requestHeader" type="_5L2tVcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5L3UZcFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5L3Ua8FMEea5pdrFDq-m2g">
                  <body>Header elements would be used to set HTTP headers.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L3UacFMEea5pdrFDq-m2g">
                  <body>Each operation can have one ore more header elements</body>
                </ownedComment>
                <ownedComment xmi:id="_5L3UbcFMEea5pdrFDq-m2g">
                  <body>This gives control to test-script writers to set headers explicitly based on test requirements.  It will allow for testing using:  - &quot;If-Modified-Since&quot; and &quot;If-None-Match&quot; headers.  See http://build.fhir.org/http.html#2.1.0.5.1 - &quot;If-Match&quot; header.  See http://build.fhir.org/http.html#2.1.0.11 - Conditional Create using &quot;If-None-Exist&quot;.  See http://build.fhir.org/http.html#2.1.0.13.1 - Invalid &quot;Content-Type&quot; header for negative testing. - etc.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L3UYsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L3UY8FMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L4ih8FMEea5pdrFDq-m2g" name="requestId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L4ijcFMEea5pdrFDq-m2g">
                  <body>The fixture id (maybe new) to map to the request.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L4ii8FMEea5pdrFDq-m2g">
                  <body>Fixture Id of mapped request</body>
                </ownedComment>
                <ownedComment xmi:id="_5L5JkcFMEea5pdrFDq-m2g">
                  <body>If a requestId is supplied, then the resulting request (both headers and body) is mapped to the fixture ID (which may be entirely new and previously undeclared) designated by &quot;requestId&quot;.  If requestId is not specified, it is the Test Engine's responsibility to store the request and use it as requestId in subsequent assertions when assertion path and/or headerField is specified and direction is equal to request and requestId is not specified.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L4iiMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L4iicFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L5Jk8FMEea5pdrFDq-m2g" name="responseId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L5JmcFMEea5pdrFDq-m2g">
                  <body>The fixture id (maybe new) to map to the response.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L5Jl8FMEea5pdrFDq-m2g">
                  <body>Fixture Id of mapped response</body>
                </ownedComment>
                <ownedComment xmi:id="_5L5wocFMEea5pdrFDq-m2g">
                  <body>If a responseId is supplied, and the server responds, then the resulting response (both headers and body) is mapped to the fixture ID (which may be entirely new and previously undeclared) designated by &quot;responseId&quot;.  If responseId is not specified, it is the Test Engine's responsibility to store the response and use it as sourceId in subsequent assertions when assertion path and/or headerField is specified and sourceId is not specified.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L5JlMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L5JlcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L5wo8FMEea5pdrFDq-m2g" name="sourceId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L5wqcFMEea5pdrFDq-m2g">
                  <body>The id of the fixture used as the body of a PUT or POST request.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L5wp8FMEea5pdrFDq-m2g">
                  <body>Fixture Id of body for PUT and POST requests</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L5wpMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L5wpcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L6XsMFMEea5pdrFDq-m2g" name="targetId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L6XtsFMEea5pdrFDq-m2g">
                  <body>Id of fixture used for extracting the [id],  [type], and [vid] for GET requests.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L6XtMFMEea5pdrFDq-m2g">
                  <body>Id of fixture used for extracting the [id],  [type], and [vid] for GET requests</body>
                </ownedComment>
                <ownedComment xmi:id="_5L6XuMFMEea5pdrFDq-m2g">
                  <body>If &quot;url&quot; element is specified, then &quot;targetId&quot;, &quot;params&quot;, and &quot;resource&quot; elements will be ignored as &quot;url&quot; element will have everything needed for constructing the request url.  If &quot;params&quot; element is specified, then &quot;targetId&quot; element is ignored.  For FHIR operations that require a resource (e.g. &quot;read&quot; and &quot;vread&quot; operations), the &quot;resource&quot; element must be specified when &quot;params&quot; element is specified.  If &quot;url&quot; and &quot;params&quot; elements are absent, then the request url will be constructed from &quot;targetId&quot; fixture if present.  For &quot;read&quot; operation, the resource and id values will be extracted from &quot;targetId&quot; fixture and used to construct the url.  For &quot;vread&quot; and &quot;history&quot; operations, the versionId value will also be used.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L6XscFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L6XssFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L6-wMFMEea5pdrFDq-m2g" name="url" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L6-xsFMEea5pdrFDq-m2g">
                  <body>Complete request URL.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L6-xMFMEea5pdrFDq-m2g">
                  <body>Request URL</body>
                </ownedComment>
                <ownedComment xmi:id="_5L6-yMFMEea5pdrFDq-m2g">
                  <body>Used to set the request URL explicitly.  If &quot;url&quot; element is defined, then &quot;targetId&quot;, &quot;resource&quot;, and &quot;params&quot; elements will be ignored.  Test engines would use whatever is specified in &quot;url&quot; without tampering with the string (beyond encoding the URL for HTTP).  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L6-wcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L6-wsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_5L2tVcFMEea5pdrFDq-m2g" name="RequestHeader">
                <generalization xmi:id="_5L2tVsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_5L37cMFMEea5pdrFDq-m2g" name="field" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5L37dsFMEea5pdrFDq-m2g">
                    <body>The HTTP header field e.g. &quot;Accept&quot;.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5L37dMFMEea5pdrFDq-m2g">
                    <body>HTTP header field name</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5L37eMFMEea5pdrFDq-m2g">
                    <body>If header element is specified, then field is required.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L37ccFMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L37csFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5L37esFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5L4ig8FMEea5pdrFDq-m2g">
                    <body>The value of the header e.g. &quot;application/fhir+xml&quot;.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5L4igcFMEea5pdrFDq-m2g">
                    <body>HTTP headerfield value</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5L4ihcFMEea5pdrFDq-m2g">
                    <body>If header element is specified, then value is required.  No conversions will be done by Test Engine e.g. &quot;xml&quot; to &quot;application/fhir+xml&quot;.  The values will be set in HTTP headers &quot;as-is&quot;.  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L37e8FMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L37fMFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
              </nestedClassifier>
            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5L7l0MFMEea5pdrFDq-m2g" name="Assert">
              <generalization xmi:id="_5L7l0cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5L8z8MFMEea5pdrFDq-m2g" name="label" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L8z9sFMEea5pdrFDq-m2g">
                  <body>The label would be used for tracking/logging purposes by test engines.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L8z9MFMEea5pdrFDq-m2g">
                  <body>Tracking/logging assertion label</body>
                </ownedComment>
                <ownedComment xmi:id="_5L8z-MFMEea5pdrFDq-m2g">
                  <body>This has no impact on the verification itself.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L8z8cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L8z8sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L8z-sFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L9bAcFMEea5pdrFDq-m2g">
                  <body>The description would be used by test engines for tracking and reporting purposes.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L8z_sFMEea5pdrFDq-m2g">
                  <body>Tracking/reporting assertion description</body>
                </ownedComment>
                <ownedComment xmi:id="_5L9bA8FMEea5pdrFDq-m2g">
                  <body>This has no impact on the verification itself.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L8z-8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L8z_MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L9bBcFMEea5pdrFDq-m2g" name="direction" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L-CE8FMEea5pdrFDq-m2g">
                  <body>The direction to use for the assertion.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L-CEcFMEea5pdrFDq-m2g">
                  <body>response | request</body>
                </ownedComment>
                <ownedComment xmi:id="_5L-CFcFMEea5pdrFDq-m2g">
                  <body>If the direction is specified as &quot;response&quot; (the default), then the processing of this assert is against the received response message. If the direction is specified as &quot;request&quot;, then the processing of this assert is against the sent request message.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L9bBsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L9bB8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L-CF8FMEea5pdrFDq-m2g" name="compareToSourceId" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L-pI8FMEea5pdrFDq-m2g">
                  <body>Id of the source fixture used as the contents to be evaluated by either the &quot;source/expression&quot; or &quot;sourceId/path&quot; definition.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L-pIcFMEea5pdrFDq-m2g">
                  <body>Id of the source fixture to be evaluated</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L-CGMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L-CGcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L-pJcFMEea5pdrFDq-m2g" name="compareToSourceExpression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L-pK8FMEea5pdrFDq-m2g">
                  <body>The fhirpath expression to evaluate against the source fixture. When compareToSourceId is defined, either compareToSourceExpression or compareToSourcePath must be defined, but not both.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L-pKcFMEea5pdrFDq-m2g">
                  <body>The fhirpath expression to evaluate against the source fixture</body>
                </ownedComment>
                <ownedComment xmi:id="_5L-pLcFMEea5pdrFDq-m2g">
                  <body>Thefhirpath expression to be evaluated against the expected fixture to compare to. Ignored if &quot;assert.value&quot; is used. The evaluation will be done before the assertion is evaluated.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L-pJsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L-pJ8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L_QMcFMEea5pdrFDq-m2g" name="compareToSourcePath" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L_QN8FMEea5pdrFDq-m2g">
                  <body>XPath or JSONPath expression to evaluate against the source fixture. When compareToSourceId is defined, either compareToSourceExpression or compareToSourcePath must be defined, but not both.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L_QNcFMEea5pdrFDq-m2g">
                  <body>XPath or JSONPath expression to evaluate against the source fixture</body>
                </ownedComment>
                <ownedComment xmi:id="_5L_QOcFMEea5pdrFDq-m2g">
                  <body>The XPath or JSONPath expression to be evaluated against the expected fixture to compare to. Ignored if &quot;assert.value&quot; is used. The evaluation will be done before the assertion is evaluated.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L_QMsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L_QM8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5L_QO8FMEea5pdrFDq-m2g" name="contentType" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5L_3RMFMEea5pdrFDq-m2g">
                  <body>The content-type or mime-type to use for RESTful operation in the 'Content-Type' header.</body>
                </ownedComment>
                <ownedComment xmi:id="_5L_3QsFMEea5pdrFDq-m2g">
                  <body>xml | json | ttl | none</body>
                </ownedComment>
                <ownedComment xmi:id="_5L_3RsFMEea5pdrFDq-m2g">
                  <body>If this is specified, then test engine shall confirm that the content-type of the last operation's headers is set to this value.  If &quot;assert.sourceId&quot; element is specified, then the evaluation will be done against the headers mapped to that sourceId (and not the last operation's headers).    If 'xml' is specified, then 'Content-Type' header of 'application/fhir+xml' will be confirmed. If 'json' is specified, then 'application/fhir+json' will be used. If you'd like to have more control over the string, then use 'assert.headerField' instead.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5L_QPMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5L_QPcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MAeUMFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MAeVsFMEea5pdrFDq-m2g">
                  <body>The fhirpath expression to be evaluated against the request or response message contents - HTTP headers and payload.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MAeVMFMEea5pdrFDq-m2g">
                  <body>The fhirpath expression to be evaluated</body>
                </ownedComment>
                <ownedComment xmi:id="_5MAeWMFMEea5pdrFDq-m2g">
                  <body>If both &quot;expression&quot; and a &quot;fixtureId&quot; are specified, then the expression will be evaluated against the request or response body mapped to the fixtureId.  If &quot;expression&quot; is specified and a &quot;fixtureId&quot; is not, then the expression will be evaluated against the response body of the last operation.  Test engines are to store the request and response body and headers of the last operation at all times for subsequent assertions.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MAeUcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MAeUsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MAeWsFMEea5pdrFDq-m2g" name="headerField" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MBFYsFMEea5pdrFDq-m2g">
                  <body>The HTTP header field name e.g. 'Location'.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MBFYMFMEea5pdrFDq-m2g">
                  <body>HTTP header field name</body>
                </ownedComment>
                <ownedComment xmi:id="_5MBFZMFMEea5pdrFDq-m2g">
                  <body>If &quot;headerField&quot; is specified then &quot;value&quot; must be specified.  If &quot;sourceId&quot; is not specified, then &quot;headerField&quot; will be evaluated against the last operation's response headers.  Test engines are to keep track of the last operation's response body and response headers.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MAeW8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MAeXMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MBFZsFMEea5pdrFDq-m2g" name="minimumId" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MBFbMFMEea5pdrFDq-m2g">
                  <body>The ID of a fixture.  Asserts that the response contains at a minimum the fixture specified by minimumId.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MBFasFMEea5pdrFDq-m2g">
                  <body>Fixture Id of minimum content resource</body>
                </ownedComment>
                <ownedComment xmi:id="_5MBscMFMEea5pdrFDq-m2g">
                  <body>Asserts that the response contains all the element/content in another fixture pointed to by minimumId.  This can be a statically defined fixture or one that is dynamically set via responseId.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MBFZ8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MBFaMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MBscsFMEea5pdrFDq-m2g" name="navigationLinks" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MBseMFMEea5pdrFDq-m2g">
                  <body>Whether or not the test execution performs validation on the bundle navigation links.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MBsdsFMEea5pdrFDq-m2g">
                  <body>Perform validation on navigation links?</body>
                </ownedComment>
                <ownedComment xmi:id="_5MBsesFMEea5pdrFDq-m2g">
                  <body>Asserts that the Bundle contains first, last, and next links.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MBsc8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MBsdMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MBsfMFMEea5pdrFDq-m2g" name="operator" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MC6kMFMEea5pdrFDq-m2g">
                  <body>The operator type defines the conditional behavior of the assert. If not defined, the default is equals.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MCThMFMEea5pdrFDq-m2g">
                  <body>equals | notEquals | in | notIn | greaterThan | lessThan | empty | notEmpty | contains | notContains | eval</body>
                </ownedComment>
                <ownedComment xmi:id="_5MC6ksFMEea5pdrFDq-m2g">
                  <body>Operators are useful especially for negative testing.  If operator is not specified, then the &quot;equals&quot; operator is assumed; e.g. &lt;code>   &lt;assert>  &lt;operator value=&quot;in&quot; />  &lt;responseCode value=&quot;200,201,204&quot; />    &lt;/assert>    &lt;assert>  &lt;operator value=&quot;notEquals&quot; />  &lt;response value=&quot;okay&quot;/>   &lt;/assert>    &lt;assert>  &lt;operator value=&quot;greaterThan&quot; />    &lt;responseHeader>     &lt;field value=&quot;Content-Length&quot; />     &lt;value value=&quot;0&quot; />    &lt;responseHeader/>   &lt;/assert> &lt;/code>.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MBsfcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MBsfsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MC6lMFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MC6msFMEea5pdrFDq-m2g">
                  <body>The XPath or JSONPath expression to be evaluated against the fixture representing the response received from server.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MC6mMFMEea5pdrFDq-m2g">
                  <body>XPath or JSONPath expression</body>
                </ownedComment>
                <ownedComment xmi:id="_5MC6nMFMEea5pdrFDq-m2g">
                  <body>If both &quot;path&quot; and a &quot;fixtureId&quot; are specified, then the path will be evaluated against the request or response body mapped to the fixtureId.  If &quot;path&quot; is specified and a &quot;fixtureId&quot; is not, then the path will be evaluated against the response body of the last operation.  Test engines are to store the request and response body and headers of the last operation at all times for subsequent assertions.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MC6lcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MC6lsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MDhoMFMEea5pdrFDq-m2g" name="requestURL" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MDhpsFMEea5pdrFDq-m2g">
                  <body>The value to use in a comparison against the request URL path string.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MDhpMFMEea5pdrFDq-m2g">
                  <body>Request URL comparison value</body>
                </ownedComment>
                <ownedComment xmi:id="_5MEIsMFMEea5pdrFDq-m2g">
                  <body>If &quot;requestURL&quot; is specified then it will be used in place of &quot;value&quot;. The &quot;requestURL&quot; will evaluate against the last operation's full request URL path string.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MDhocFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MDhosFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MEIssFMEea5pdrFDq-m2g" name="resource" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MEvwMFMEea5pdrFDq-m2g">
                  <body>The type of the resource.  See http://build.fhir.org/resourcelist.html.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MEIt8FMEea5pdrFDq-m2g">
                  <body>Resource type</body>
                </ownedComment>
                <ownedComment xmi:id="_5MEvwsFMEea5pdrFDq-m2g">
                  <body>This will be expected resource type in response body e.g. in read, vread, search, etc.  See http://build.fhir.org/resourcelist.html for complete list of resource types; e.g. &lt;assert > &lt;resourceType value=&quot;Patient&quot; &lt;/assert>.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MEIs8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MEItMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MEvxMFMEea5pdrFDq-m2g" name="response" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MFW08FMEea5pdrFDq-m2g">
                  <body>okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MFW0cFMEea5pdrFDq-m2g">
                  <body>okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable</body>
                </ownedComment>
                <ownedComment xmi:id="_5MFW1cFMEea5pdrFDq-m2g">
                  <body>This is a shorter way of achieving similar verifications via &quot;assert.responseCode&quot;.  If you need more control, then use &quot;assert.responseCode&quot;  e.g. &lt;assert>  &lt;contentType value=&quot;json&quot; />  &lt;response value=&quot;okay&quot;/> &lt;/assert>.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MEvxcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MEvxsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MFW18FMEea5pdrFDq-m2g" name="responseCode" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MF95MFMEea5pdrFDq-m2g">
                  <body>The value of the HTTP response code to be tested.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MF94sFMEea5pdrFDq-m2g">
                  <body>HTTP response code to test</body>
                </ownedComment>
                <ownedComment xmi:id="_5MF95sFMEea5pdrFDq-m2g">
                  <body>To be used with &quot;operator&quot; attribute value. Asserts that the response code equals this value if &quot;operator&quot; is not specified.   If the operator is &quot;in&quot; or &quot;notIn&quot; then the responseCode would be a comma-separated list of values e.g. &quot;200,201&quot;. Otherwise, it's expected to be a numeric value.   If &quot;fixture&quot; is not specified, then the &quot;responseBodyId&quot; value of the last operation is assumed.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MFW2MFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MF94MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MGk8cFMEea5pdrFDq-m2g" name="rule" type="_5MF96MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MHMAMFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5MHMBsFMEea5pdrFDq-m2g">
                  <body>The TestScript.rule this assert will evaluate.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MHMBMFMEea5pdrFDq-m2g">
                  <body>The reference to a TestScript.rule</body>
                </ownedComment>
                <ownedComment xmi:id="_5MHMCMFMEea5pdrFDq-m2g">
                  <body>Each rule should get evaluated by test engines as one assertion regardless of how many assertions are contained within the external rule template.  The impact of negative rule evaluation on test script execution is the same as an assertion failure which is descibed elsewhere in the TestScript resource.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MGk8sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MGk88FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MKPUcFMEea5pdrFDq-m2g" name="ruleset" type="_5MJoSsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MKPVcFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5MK2ZcFMEea5pdrFDq-m2g">
                  <body>The TestScript.ruleset this assert will evaluate.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MK2Y8FMEea5pdrFDq-m2g">
                  <body>The reference to a TestScript.ruleset</body>
                </ownedComment>
                <ownedComment xmi:id="_5MK2Z8FMEea5pdrFDq-m2g">
                  <body>Each rule within a ruleset should get evaluated by test engines as a separate assertion.  The impact of negative rule evaluation on test script execution is the same as an assertion failure which is descibed elsewhere in the TestScript resource.  If the first rule within the ruleset results in a failed assertion, then test engines do not have to evaluate the rest of the rules within the ruleset.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MKPUsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MKPU8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MPH0cFMEea5pdrFDq-m2g" name="sourceId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MPH18FMEea5pdrFDq-m2g">
                  <body>Fixture to evaluate the XPath/JSONPath expression or the headerField  against.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MPH1cFMEea5pdrFDq-m2g">
                  <body>Fixture Id of source expression or headerField</body>
                </ownedComment>
                <ownedComment xmi:id="_5MPH2cFMEea5pdrFDq-m2g">
                  <body>This can be a statically defined fixture (at the top of the testscript) or a dynamically set fixture created by responseId of the action.operation element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MPH0sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MPH08FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MPH28FMEea5pdrFDq-m2g" name="validateProfileId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MPu5cFMEea5pdrFDq-m2g">
                  <body>The ID of the Profile to validate against.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MPu48FMEea5pdrFDq-m2g">
                  <body>Profile Id of validation profile reference</body>
                </ownedComment>
                <ownedComment xmi:id="_5MPu58FMEea5pdrFDq-m2g">
                  <body>The ID of a Profile fixture. Asserts that the response is valid according to the Profile specified by validateProfileId.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MPu4MFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MPu4cFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MPu6cFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MQV8sFMEea5pdrFDq-m2g">
                  <body>The value to compare to.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MQV8MFMEea5pdrFDq-m2g">
                  <body>The value to compare to</body>
                </ownedComment>
                <ownedComment xmi:id="_5MQV9MFMEea5pdrFDq-m2g">
                  <body>The string-representation of a number, string, or boolean that is expected.  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before comparing this value to the actual value.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MPu6sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MPu68FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5MQV9sFMEea5pdrFDq-m2g" name="warningOnly" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5MQ9AMFMEea5pdrFDq-m2g">
                  <body>Whether or not the test execution will produce a warning only on error for this assert.</body>
                </ownedComment>
                <ownedComment xmi:id="_5MQV-sFMEea5pdrFDq-m2g">
                  <body>Will this assert produce a warning only on error?</body>
                </ownedComment>
                <ownedComment xmi:id="_5MQ9AsFMEea5pdrFDq-m2g">
                  <body>If this element is specified and it is true, then assertion failures can be logged by test engine but should not stop the test script execution from proceeding.  There are likely cases where the spec is not clear on what should happen. If the spec says something is optional (maybe a response header for example), but a server doesn’t do it, we could choose to issue a warning.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MQV98FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MQV-MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_5MF96MFMEea5pdrFDq-m2g" name="ActionAssertRule">
                <generalization xmi:id="_5MF96cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_5MHMCsFMEea5pdrFDq-m2g" name="ruleId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5MHzEsFMEea5pdrFDq-m2g">
                    <body>The TestScript.rule id value this assert will evaluate.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5MHzEMFMEea5pdrFDq-m2g">
                    <body>Id of the TestScript.rule</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MHMC8FMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MHMDMFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5MIaIcFMEea5pdrFDq-m2g" name="param" type="_5MHzFMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MIaJcFMEea5pdrFDq-m2g">
                  <ownedComment xmi:id="_5MIaK8FMEea5pdrFDq-m2g">
                    <body>Each rule template can take one or more parameters for rule evaluation.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5MIaKcFMEea5pdrFDq-m2g">
                    <body>Rule parameter template</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5MIaLcFMEea5pdrFDq-m2g">
                    <body>The parameter value can be dynamic at runtime.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MIaIsFMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MIaI8FMEea5pdrFDq-m2g" value="*"/>
                </ownedAttribute>
                <nestedClassifier xmi:type="uml:Class" xmi:id="_5MHzFMFMEea5pdrFDq-m2g" name="ActionAssertRuleParam">
                  <generalization xmi:id="_5MHzFcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                  <ownedAttribute xmi:id="_5MJBMcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                    <ownedComment xmi:id="_5MJBN8FMEea5pdrFDq-m2g">
                      <body>Descriptive name for this parameter that matches the external assert rule parameter name.</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MJBNcFMEea5pdrFDq-m2g">
                      <body>Parameter name matching external assert rule parameter</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MJBOcFMEea5pdrFDq-m2g">
                      <body>The external rule template would be looking for the parameter by this name.</body>
                    </ownedComment>
                    <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MJBMsFMEea5pdrFDq-m2g" value="1"/>
                    <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MJBM8FMEea5pdrFDq-m2g" value="1"/>
                  </ownedAttribute>
                  <ownedAttribute xmi:id="_5MJoQMFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                    <ownedComment xmi:id="_5MJoRsFMEea5pdrFDq-m2g">
                      <body>The value for the parameter that will be passed on to the external rule template.</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MJoRMFMEea5pdrFDq-m2g">
                      <body>Parameter value defined either explicitly or dynamically</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MJoSMFMEea5pdrFDq-m2g">
                      <body>This value overwrites the value (if any) specified in TestScript.rule.param.value.  The param value can be a string-representation of a number, string, or boolean that is expected.  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before supplying this value to the external rule template.</body>
                    </ownedComment>
                    <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MJoQcFMEea5pdrFDq-m2g" value="1"/>
                    <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MJoQsFMEea5pdrFDq-m2g" value="1"/>
                  </ownedAttribute>
                </nestedClassifier>
              </nestedClassifier>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_5MJoSsFMEea5pdrFDq-m2g" name="ActionAssertRuleset">
                <generalization xmi:id="_5MJoS8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_5MK2acFMEea5pdrFDq-m2g" name="rulesetId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5MK2b8FMEea5pdrFDq-m2g">
                    <body>The TestScript.ruleset id value this assert will evaluate.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5MK2bcFMEea5pdrFDq-m2g">
                    <body>Id of the TestScript.ruleset</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MK2asFMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MK2a8FMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5MLddMFMEea5pdrFDq-m2g" name="rule" type="_5MLdccFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MMEgcFMEea5pdrFDq-m2g">
                  <ownedComment xmi:id="_5MMEh8FMEea5pdrFDq-m2g">
                    <body>The referenced rule within the external ruleset template.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5MMEhcFMEea5pdrFDq-m2g">
                    <body>The referenced rule within the ruleset</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5MMEicFMEea5pdrFDq-m2g">
                    <body>This qualifies each param name so that  a parameter with the same name can be used differently by the different rules with the ruleset.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MLddcFMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MLddsFMEea5pdrFDq-m2g" value="*"/>
                </ownedAttribute>
                <nestedClassifier xmi:type="uml:Class" xmi:id="_5MLdccFMEea5pdrFDq-m2g" name="ActionAssertRulesetRule">
                  <generalization xmi:id="_5MLdcsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                  <ownedAttribute xmi:id="_5MMEi8FMEea5pdrFDq-m2g" name="ruleId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
                    <ownedComment xmi:id="_5MMrk8FMEea5pdrFDq-m2g">
                      <body>Id of the referenced rule within the external ruleset template.</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MMrkcFMEea5pdrFDq-m2g">
                      <body>Id of referenced rule within the ruleset</body>
                    </ownedComment>
                    <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MMEjMFMEea5pdrFDq-m2g" value="1"/>
                    <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MMEjcFMEea5pdrFDq-m2g" value="1"/>
                  </ownedAttribute>
                  <ownedAttribute xmi:id="_5MNSocFMEea5pdrFDq-m2g" name="param" type="_5MMrlcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MNSpcFMEea5pdrFDq-m2g">
                    <ownedComment xmi:id="_5MN5ssFMEea5pdrFDq-m2g">
                      <body>Each rule template can take one or more parameters for rule evaluation.</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MN5sMFMEea5pdrFDq-m2g">
                      <body>Rule parameter template</body>
                    </ownedComment>
                    <ownedComment xmi:id="_5MN5tMFMEea5pdrFDq-m2g">
                      <body>The parameter value can be dynamic at runtime.</body>
                    </ownedComment>
                    <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MNSosFMEea5pdrFDq-m2g"/>
                    <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MNSo8FMEea5pdrFDq-m2g" value="*"/>
                  </ownedAttribute>
                  <nestedClassifier xmi:type="uml:Class" xmi:id="_5MMrlcFMEea5pdrFDq-m2g" name="Param">
                    <generalization xmi:id="_5MMrlsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                    <ownedAttribute xmi:id="_5MN5tsFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                      <ownedComment xmi:id="_5MN5vMFMEea5pdrFDq-m2g">
                        <body>Descriptive name for this parameter that matches the external assert ruleset rule parameter name.</body>
                      </ownedComment>
                      <ownedComment xmi:id="_5MN5usFMEea5pdrFDq-m2g">
                        <body>Parameter name matching external assert ruleset rule parameter</body>
                      </ownedComment>
                      <ownedComment xmi:id="_5MOgwcFMEea5pdrFDq-m2g">
                        <body>The external rule template would be looking for the parameter by this name.</body>
                      </ownedComment>
                      <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MN5t8FMEea5pdrFDq-m2g" value="1"/>
                      <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MN5uMFMEea5pdrFDq-m2g" value="1"/>
                    </ownedAttribute>
                    <ownedAttribute xmi:id="_5MOgw8FMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                      <ownedComment xmi:id="_5MOgycFMEea5pdrFDq-m2g">
                        <body>The value for the parameter that will be passed on to the external ruleset rule template.</body>
                      </ownedComment>
                      <ownedComment xmi:id="_5MOgx8FMEea5pdrFDq-m2g">
                        <body>Parameter value defined either explicitly or dynamically</body>
                      </ownedComment>
                      <ownedComment xmi:id="_5MOgy8FMEea5pdrFDq-m2g">
                        <body>This value overwrites the value (if any) specified in TestScript.ruleset.rule.param.value.  The param value can be a string-representation of a number, string, or boolean that is expected.  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before supplying this value to the external rule template.</body>
                      </ownedComment>
                      <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MOgxMFMEea5pdrFDq-m2g" value="1"/>
                      <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MOgxcFMEea5pdrFDq-m2g" value="1"/>
                    </ownedAttribute>
                  </nestedClassifier>
                </nestedClassifier>
              </nestedClassifier>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5MQ9BMFMEea5pdrFDq-m2g" name="Test">
          <generalization xmi:id="_5MQ9BcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5MRkHcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MSLI8FMEea5pdrFDq-m2g">
              <body>The name of this test used for tracking/logging purposes by test engines.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MSLIcFMEea5pdrFDq-m2g">
              <body>Tracking/logging name of this test</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MRkHsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MRkH8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MSLJcFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MSLK8FMEea5pdrFDq-m2g">
              <body>A short description of the test used by test engines for tracking and reporting purposes.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MSLKcFMEea5pdrFDq-m2g">
              <body>Tracking/reporting short description of the test</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MSLJsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MSLJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MSyM8FMEea5pdrFDq-m2g" name="action" type="_5MSyMMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MTZQMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5MTZRsFMEea5pdrFDq-m2g">
              <body>Action would contain either an operation or an assertion.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MTZRMFMEea5pdrFDq-m2g">
              <body>A test operation or assert to perform</body>
            </ownedComment>
            <ownedComment xmi:id="_5MTZSMFMEea5pdrFDq-m2g">
              <body>An action should contain either an operation or an assertion but not both.  It can contain any number of variables.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MSyNMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MSyNcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5MSyMMFMEea5pdrFDq-m2g" name="TestAction">
            <generalization xmi:id="_5MSyMcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5MTZSsFMEea5pdrFDq-m2g" name="operation" type="_5LvYnMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MUAUMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5MUAVsFMEea5pdrFDq-m2g">
                <body>An operation would involve a REST request to a server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5MUAVMFMEea5pdrFDq-m2g">
                <body>The setup operation to perform</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MTZS8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MTZTMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5MUAWMFMEea5pdrFDq-m2g" name="assert" type="_5L7l0MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MUAXMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5MUnZcFMEea5pdrFDq-m2g">
                <body>Evaluates the results of previous operations to determine if the server under test behaves appropriately.</body>
              </ownedComment>
              <ownedComment xmi:id="_5MUnY8FMEea5pdrFDq-m2g">
                <body>The setup assertion to perform</body>
              </ownedComment>
              <ownedComment xmi:id="_5MUnZ8FMEea5pdrFDq-m2g">
                <body>In order to evaluate an assertion, the request, response, and results of the most recently executed operation must always be maintained by the test engine.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MUAWcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MUAWsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5MUnacFMEea5pdrFDq-m2g" name="Teardown">
          <generalization xmi:id="_5MUnasFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5MV1hMFMEea5pdrFDq-m2g" name="action" type="_5MV1gcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MWckMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5MWclsFMEea5pdrFDq-m2g">
              <body>The teardown action will only contain an operation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MWclMFMEea5pdrFDq-m2g">
              <body>One or more teardown operations to perform</body>
            </ownedComment>
            <ownedComment xmi:id="_5MWcmMFMEea5pdrFDq-m2g">
              <body>An action should contain either an operation or an assertion but not both.  It can contain any number of variables.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MV1hcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MV1hsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5MV1gcFMEea5pdrFDq-m2g" name="TeardownAction">
            <generalization xmi:id="_5MV1gsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5MWcmsFMEea5pdrFDq-m2g" name="operation" type="_5LvYnMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MXDoMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5MXDpsFMEea5pdrFDq-m2g">
                <body>An operation would involve a REST request to a server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5MXDpMFMEea5pdrFDq-m2g">
                <body>The teardown operation to perform</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MWcm8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MWcnMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5IzZVcFMEea5pdrFDq-m2g" memberEnd="_5IzZVsFMEea5pdrFDq-m2g _5IzZUcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5IzZVsFMEea5pdrFDq-m2g" type="_5IlW4MFMEea5pdrFDq-m2g" association="_5IzZVcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5IzZV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5IzZWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5I11lcFMEea5pdrFDq-m2g" memberEnd="_5I11lsFMEea5pdrFDq-m2g _5I11kcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5I11lsFMEea5pdrFDq-m2g" type="_5IlW4MFMEea5pdrFDq-m2g" association="_5I11lcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I11l8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I11mMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5I4R1cFMEea5pdrFDq-m2g" memberEnd="_5I4R1sFMEea5pdrFDq-m2g _5I4R0cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5I4R1sFMEea5pdrFDq-m2g" type="_5IlW4MFMEea5pdrFDq-m2g" association="_5I4R1cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I4R18FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I4R2MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5I5f8MFMEea5pdrFDq-m2g" memberEnd="_5I5f8cFMEea5pdrFDq-m2g _5I4448FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5I5f8cFMEea5pdrFDq-m2g" type="_5I3qxsFMEea5pdrFDq-m2g" association="_5I5f8MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I5f8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I5f88FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5I6uFcFMEea5pdrFDq-m2g" memberEnd="_5I6uFsFMEea5pdrFDq-m2g _5I6uEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5I6uFsFMEea5pdrFDq-m2g" type="_5I3qxsFMEea5pdrFDq-m2g" association="_5I6uFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5I6uF8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5I6uGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5I9KVsFMEea5pdrFDq-m2g" name="CapabilityStatement">
        <ownedComment xmi:id="_5JCC1cFMEea5pdrFDq-m2g">
          <body>A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation.</body>
        </ownedComment>
        <ownedComment xmi:id="_5JCC0MFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CapabilityStatement Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5JCC08FMEea5pdrFDq-m2g">
          <body>A statement of system Capabilities</body>
        </ownedComment>
        <ownedRule xmi:id="_5I9KV8FMEea5pdrFDq-m2g" name="cpb-8" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I9KWMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:rest)=count(distinct-values(f:rest/f:mode/@value))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5I9xYcFMEea5pdrFDq-m2g" name="cpb-7" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I9xYsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:document[f:mode/@value='producer'])=count(distinct-values(f:document[f:mode/@value='producer']/f:profile/f:reference/@value)) and count(f:document[f:mode/@value='consumer'])=count(distinct-values(f:document[f:mode/@value='consumer']/f:profile/f:reference/@value))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5I9xZMFMEea5pdrFDq-m2g" name="cpb-15" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I9xZcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:implementation)) or (f:kind/@value != 'capability')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5I-YccFMEea5pdrFDq-m2g" name="cpb-3" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I-YcsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:messaging/f:endpoint)) or f:kind/@value = 'instance'</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5I-_gcFMEea5pdrFDq-m2g" name="cpb-14" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I-_gsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:software) or exists(f:implementation)) or (f:kind/@value != 'requirements')</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5I_mkcFMEea5pdrFDq-m2g" name="cpb-2" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g _5JGURsFMEea5pdrFDq-m2g _5JKlssFMEea5pdrFDq-m2g _5JNB8cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I_mksFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:software | f:implementation | f:description) > 0</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5I_mlMFMEea5pdrFDq-m2g" name="cpb-1" constrainedElement="_5I9KVsFMEea5pdrFDq-m2g _5JR6ccFMEea5pdrFDq-m2g _5KDWgcFMEea5pdrFDq-m2g _5KNukcFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5I_mlcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:rest) or exists(f:messaging) or exists(f:document)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5JANocFMEea5pdrFDq-m2g" name="cpb-9" constrainedElement="_5JR6ccFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5JANosFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:resource)=count(distinct-values(f:resource/f:type/@value))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5JA0scFMEea5pdrFDq-m2g" name="cpb-12" constrainedElement="_5JYBE8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5JA0ssFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(f:searchParam)=count(distinct-values(f:searchParam/f:name/@value))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5JCC0sFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5JCC18FMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JCC3cFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this capability statement when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this capability statement is (or will be) published. The URL SHOULD include the major version of the capability statement. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5JCC28FMEea5pdrFDq-m2g">
            <body>Logical uri to reference this capability statement (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5JCp4MFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JCp4sFMEea5pdrFDq-m2g">
            <body>Allows the capability statement to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JCC2MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JCC2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JCp5MFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JCp6sFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the capability statement when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the capability statement author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JCp6MFMEea5pdrFDq-m2g">
            <body>Business version of the capability statement</body>
          </ownedComment>
          <ownedComment xmi:id="_5JCp7MFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a capability statement that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JCp5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JCp5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JDQ8MFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JDQ9sFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the capability statement. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JDQ9MFMEea5pdrFDq-m2g">
            <body>Name for this capability statement (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5JDQ-MFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JDQ-sFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JDQ8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JDQ8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JDQ_MFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JD4A8FMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the capability statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JD4AcFMEea5pdrFDq-m2g">
            <body>Name for this capability statement (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JDQ_cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JDQ_sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JD4BcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JEfEsFMEea5pdrFDq-m2g">
            <body>The status of this capability statement. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JEfEMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5JEfFMFMEea5pdrFDq-m2g">
            <body>Allows filtering of capability statement that are appropriate for use vs. not. This is not intended for use with actual capability statements, but where capability statements are used to describe possible or desired systems.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JD4BsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JD4B8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JEfFsFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JEfHMFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this capability statement is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JEfGsFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFGIcFMEea5pdrFDq-m2g">
            <body>Allows filtering of capability statement that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFGI8FMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level capability statement would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JEfF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JEfGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JFGJcFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JFGK8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the capability statement was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the capability statement changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFGKcFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFGLcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the capability statement. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JFGJsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JFGJ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JFtMMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JFtNsFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the capability statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFtNMFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFtOMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the capability statement is the organization or individual primarily responsible for the maintenance and upkeep of the capability statement. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the capability statement. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JFtOsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the capability statement.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JFtMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JFtMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JFtPMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JGUQsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JGUQMFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5JGURMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JFtPcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JFtPsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JGURsFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JGUTMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the capability statement from the consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JGUSsFMEea5pdrFDq-m2g">
            <body>Natural language description of the capability statement</body>
          </ownedComment>
          <ownedComment xmi:id="_5JG7UcFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the capability statement was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context. This does not need to be populated if the description is adequately implied by the software or implementation details.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JGUR8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JGUSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JG7U8FMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JG7WcFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JG7V8FMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5JG7W8FMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JG7XcFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JG7VMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JG7VcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JHiYMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JHiZ8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the capability statement is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JHiZcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for capability statement (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JHiYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JHiYsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JIJcMFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JIJdsFMEea5pdrFDq-m2g">
            <body>Explains why this capability statement is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JIJdMFMEea5pdrFDq-m2g">
            <body>Why this capability statement is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5JIJeMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the capability statement (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this capability statement.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JIJccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JIJcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JIJesFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JIwg8FMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the capability statement and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the capability statement.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JIwgcFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5JIwhcFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the capability statement and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JIJe8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JIJfMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JIwh8FMEea5pdrFDq-m2g" name="kind" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JJXlcFMEea5pdrFDq-m2g">
            <body>The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind not instance of software) or a class of implementation (e.g. a desired purchase).</body>
          </ownedComment>
          <ownedComment xmi:id="_5JJXk8FMEea5pdrFDq-m2g">
            <body>instance | capability | requirements</body>
          </ownedComment>
          <ownedComment xmi:id="_5JJ-oMFMEea5pdrFDq-m2g">
            <body>Allow searching the 3 modes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JIwiMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JIwicFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JJ-osFMEea5pdrFDq-m2g" name="instantiates" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JJ-qMFMEea5pdrFDq-m2g">
            <body>Reference to a canonical URL of another CapabilityStatement that this software implements or uses. This capability statement is a published API description that corresponds to a business service. The rest of the capability statement does not need to repeat the details of the referenced resource, but can do so.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JJ-psFMEea5pdrFDq-m2g">
            <body>Canonical URL of another capability statement this implements</body>
          </ownedComment>
          <ownedComment xmi:id="_5JJ-qsFMEea5pdrFDq-m2g">
            <body>HL7 defines the following Services: [Terminology Service](terminology-service.html)  Many [Implementation Guides](http://fhir.org/guides/registry) define additional services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JJ-o8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JJ-pMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JKlssFMEea5pdrFDq-m2g" name="software" type="_5JJ-rMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JLMwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5JLMxsFMEea5pdrFDq-m2g">
            <body>Software that is covered by this capability statement.  It is used when the capability statement describes the capabilities of a particular software version, independent of an installation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JLMxMFMEea5pdrFDq-m2g">
            <body>Software that is covered by this capability statement</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JKls8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JKltMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JNB8cFMEea5pdrFDq-m2g" name="implementation" type="_5JMa5cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JNB9cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5JNB-8FMEea5pdrFDq-m2g">
            <body>Identifies a specific implementation instance that is described by the capability statement - i.e. a particular installation, rather than the capabilities of a software program.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JNB-cFMEea5pdrFDq-m2g">
            <body>If this describes a specific instance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JNB8sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JNB88FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JOQEMFMEea5pdrFDq-m2g" name="fhirVersion" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JOQFsFMEea5pdrFDq-m2g">
            <body>The version of the FHIR specification on which this capability statement is based.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JOQFMFMEea5pdrFDq-m2g">
            <body>FHIR Version the system uses</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JOQEcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JOQEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JOQGMFMEea5pdrFDq-m2g" name="acceptUnknown" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JO3JcFMEea5pdrFDq-m2g">
            <body>A code that indicates whether the application accepts unknown elements or extensions when reading resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JO3I8FMEea5pdrFDq-m2g">
            <body>no | extensions | elements | both</body>
          </ownedComment>
          <ownedComment xmi:id="_5JO3J8FMEea5pdrFDq-m2g">
            <body>Unknown elements in a resource can only arise as later versions of the specification are published, because this is the only place where such elements can be defined. Hence accepting unknown elements is about inter-version compatibility.  Applications are recommended to accept unknown extensions and elements ('both'), but this is not always possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JOQGcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JOQGsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JPeMMFMEea5pdrFDq-m2g" name="format" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JPeN8FMEea5pdrFDq-m2g">
            <body>A list of the formats supported by this implementation using their content types.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JPeNcFMEea5pdrFDq-m2g">
            <body>formats supported (xml | json | ttl | mime type)</body>
          </ownedComment>
          <ownedComment xmi:id="_5JPeOcFMEea5pdrFDq-m2g">
            <body>&quot;xml&quot;, &quot;json&quot; and &quot;ttl&quot; are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JPeMcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JPeMsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JQFQMFMEea5pdrFDq-m2g" name="patchFormat" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JQFR8FMEea5pdrFDq-m2g">
            <body>A list of the patch formats supported by this implementation using their content types.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JQFRcFMEea5pdrFDq-m2g">
            <body>Patch formats supported</body>
          </ownedComment>
          <ownedComment xmi:id="_5JQFScFMEea5pdrFDq-m2g">
            <body>At present, the patch mime types application/json-patch+json and application/xml-patch+xml are legal. Generally, if a server supports PATCH, it would be expected to support the patch formats matching the formats it supports, but this is not always possible or necessary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JQFQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JQFQsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JQsUMFMEea5pdrFDq-m2g" name="implementationGuide" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JQsVsFMEea5pdrFDq-m2g">
            <body>A list of implementation guides that the server does (or should) support in their entirety.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JQsVMFMEea5pdrFDq-m2g">
            <body>Implementation Guide supported</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JQsUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JQsUsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JQsWMFMEea5pdrFDq-m2g" name="profile" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_5JRTYMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5JRTZsFMEea5pdrFDq-m2g">
            <body>A list of profiles that represent different use cases supported by the system. For a server, &quot;supported by the system&quot; means the system hosts/produces a set of resources that are conformant to a particular profile, and allows clients that use its services to search using this profile and to find appropriate data. For a client, it means the system will search by this profile and process data according to the guidance implicit in the profile. See further discussion in [Using Profiles](profiling.html#profile-uses).</body>
          </ownedComment>
          <ownedComment xmi:id="_5JRTZMFMEea5pdrFDq-m2g">
            <body>Profiles for use cases supported</body>
          </ownedComment>
          <ownedComment xmi:id="_5JRTaMFMEea5pdrFDq-m2g">
            <body>Supported profiles are different to the profiles that apply to a particular resource in rest.resource.profile. The resource profile is a general statement of what features of the resource are supported overall by the system - the sum total of the facilities it supports. A supported profile is a deeper statement about the functionality of the data and services provided by the server (or used by the client). A typical case is a laboratory system that produces a set of different reports - this is the list of types of data that it publishes. A key aspect of declaring profiles here is the question of how the client converts knowledge that the server publishes this data into working with the data; the client can inspect individual resources to determine whether they conform to a particular profile, but how does it find the ones that does? It does so by searching using the _profile parameter, so any resources listed here must be valid values for the _profile resource (using the identifier in the target profile).  Typical supported profiles cross resource types to describe a network of related resources, so they are listed here rather than by resource. However, they do not need to describe more than one resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JQsWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JQsWsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JR6ccFMEea5pdrFDq-m2g" name="rest" type="_5JRTasFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JR6dcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5JR6e8FMEea5pdrFDq-m2g">
            <body>A definition of the restful capabilities of the solution, if any.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JR6ecFMEea5pdrFDq-m2g">
            <body>If the endpoint is a RESTful one</body>
          </ownedComment>
          <ownedComment xmi:id="_5JR6fcFMEea5pdrFDq-m2g">
            <body>Multiple repetitions allow definition of both client and / or server behaviors or possibly behaviors under different configuration settings (for software or requirements statements).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JR6csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JR6c8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KDWgcFMEea5pdrFDq-m2g" name="messaging" type="_5KCvdsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5KDWhcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5KDWi8FMEea5pdrFDq-m2g">
            <body>A description of the messaging capabilities of the solution.</body>
          </ownedComment>
          <ownedComment xmi:id="_5KDWicFMEea5pdrFDq-m2g">
            <body>If messaging is supported</body>
          </ownedComment>
          <ownedComment xmi:id="_5KD9kMFMEea5pdrFDq-m2g">
            <body>Multiple repetitions allow the documentation of multiple endpoints per solution.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KDWgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KDWg8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KNukcFMEea5pdrFDq-m2g" name="document" type="_5KNHiMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5KNulcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5KNum8FMEea5pdrFDq-m2g">
            <body>A document definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5KNumcFMEea5pdrFDq-m2g">
            <body>Document definition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KNuksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KNuk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5JJ-rMFMEea5pdrFDq-m2g" name="Software">
          <generalization xmi:id="_5JKlsMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5JLMyMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5JLMzsFMEea5pdrFDq-m2g">
              <body>Name software is known by.</body>
            </ownedComment>
            <ownedComment xmi:id="_5JLMzMFMEea5pdrFDq-m2g">
              <body>A name the software is known by</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JLMycFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5JLz0cFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5JLz18FMEea5pdrFDq-m2g">
              <body>The version identifier for the software covered by this statement.</body>
            </ownedComment>
            <ownedComment xmi:id="_5JLz1cFMEea5pdrFDq-m2g">
              <body>Version covered by this statement</body>
            </ownedComment>
            <ownedComment xmi:id="_5JLz2cFMEea5pdrFDq-m2g">
              <body>If possible, version should be specified, as statements are likely to be different for different versions of software.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JLz0sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JLz08FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5JLz28FMEea5pdrFDq-m2g" name="releaseDate" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5JMa48FMEea5pdrFDq-m2g">
              <body>Date this version of the software released.</body>
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            <ownedComment xmi:id="_5JMa4cFMEea5pdrFDq-m2g">
              <body>Date this version released</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JLz3MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JLz3cFMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5JMa5cFMEea5pdrFDq-m2g" name="Implementation">
          <generalization xmi:id="_5JMa5sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5JNB_cFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>Information about the specific installation that this capability statement relates to.</body>
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            <ownedComment xmi:id="_5JNpAcFMEea5pdrFDq-m2g">
              <body>Describes this specific instance</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JNB_sFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5JNpBcFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>An absolute base URL for the implementation.  This forms the base for REST interfaces as well as the mailbox and document interfaces.</body>
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            <ownedComment xmi:id="_5JNpCcFMEea5pdrFDq-m2g">
              <body>Base URL for the installation</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JNpBsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JNpB8FMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5JRTasFMEea5pdrFDq-m2g" name="Rest">
          <generalization xmi:id="_5JRTa8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5JShgMFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5JTIksFMEea5pdrFDq-m2g">
              <body>Identifies whether this portion of the statement is describing ability to initiate or receive restful operations.</body>
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            <ownedComment xmi:id="_5JTIkMFMEea5pdrFDq-m2g">
              <body>client | server</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JShgcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JShgsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5JTIlMFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5JTvoMFMEea5pdrFDq-m2g">
              <body>Information about the system's restful capabilities that apply across all applications, such as security.</body>
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            <ownedComment xmi:id="_5JTImMFMEea5pdrFDq-m2g">
              <body>General description of implementation</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JTIlcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JTIlsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5JTvpcFMEea5pdrFDq-m2g" name="security" type="_5JTvosFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JUWsMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5JUWtsFMEea5pdrFDq-m2g">
              <body>Information about security implementation from an interface perspective - what a client needs to know.</body>
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            <ownedComment xmi:id="_5JUWtMFMEea5pdrFDq-m2g">
              <body>Information about security of implementation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JTvpsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JTvp8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5JYBE8FMEea5pdrFDq-m2g" name="resource" type="_5JYBEMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JYoIMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5JYoJsFMEea5pdrFDq-m2g">
              <body>A specification of the restful capabilities of the solution for a specific resource type.</body>
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            <ownedComment xmi:id="_5JYoJMFMEea5pdrFDq-m2g">
              <body>Resource served on the REST interface</body>
            </ownedComment>
            <ownedComment xmi:id="_5JYoKMFMEea5pdrFDq-m2g">
              <body>Max of one repetition per resource type.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JYBFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JYBFcFMEea5pdrFDq-m2g" value="*"/>
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          <ownedAttribute xmi:id="_5Jn4s8FMEea5pdrFDq-m2g" name="interaction" type="_5Jn4sMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JofwMFMEea5pdrFDq-m2g">
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              <body>A specification of restful operations supported by the system.</body>
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            <ownedComment xmi:id="_5JofxMFMEea5pdrFDq-m2g">
              <body>What operations are supported?</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jn4tMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jn4tcFMEea5pdrFDq-m2g" value="*"/>
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          <ownedAttribute xmi:id="_5JqU-MFMEea5pdrFDq-m2g" name="searchParam" type="_5JkOVsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Jq8AMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Jq8BsFMEea5pdrFDq-m2g">
              <body>Search parameters that are supported for searching all resources for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Jq8BMFMEea5pdrFDq-m2g">
              <body>Search params for searching all resources</body>
            </ownedComment>
            <ownedComment xmi:id="_5Jq8CMFMEea5pdrFDq-m2g">
              <body>Typically, the only search parameters supported for all parameters are search parameters that apply to all resources - tags, profiles, text search etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JqU-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JqU-sFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5JrjEcFMEea5pdrFDq-m2g" name="operation" type="_5Jq8CsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JrjFcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5JrjG8FMEea5pdrFDq-m2g">
              <body>Definition of an operation or a named query and with its parameters and their meaning and type.</body>
            </ownedComment>
            <ownedComment xmi:id="_5JrjGcFMEea5pdrFDq-m2g">
              <body>Definition of an operation or a custom query</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JrjEsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JrjE8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5KCIasFMEea5pdrFDq-m2g" name="compartment" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5KCvcsFMEea5pdrFDq-m2g">
              <body>An absolute URI which is a reference to the definition of a compartment that the system supports. The reference is to a CompartmentDefinition resource by it's canonical URL.</body>
            </ownedComment>
            <ownedComment xmi:id="_5KCvcMFMEea5pdrFDq-m2g">
              <body>Compartments served/used by system</body>
            </ownedComment>
            <ownedComment xmi:id="_5KCvdMFMEea5pdrFDq-m2g">
              <body>At present, the only defined compartments are at [CompartmentDefinition](compartmentdefinition.html).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KCIa8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KCIbMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5JTvosFMEea5pdrFDq-m2g" name="Security">
            <generalization xmi:id="_5JTvo8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5JUWuMFMEea5pdrFDq-m2g" name="cors" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JU9wMFMEea5pdrFDq-m2g">
                <body>Server adds CORS headers when responding to requests - this enables javascript applications to use the server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JUWvMFMEea5pdrFDq-m2g">
                <body>Adds CORS Headers (http://enable-cors.org/)</body>
              </ownedComment>
              <ownedComment xmi:id="_5JU9wsFMEea5pdrFDq-m2g">
                <body>The easiest CORS headers to add are Access-Control-Allow-Origin: * &amp; Access-Control-Request-Method: GET, POST, PUT, DELETE. All servers SHOULD support CORS.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JUWucFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JUWusFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JU9xMFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JVk08FMEea5pdrFDq-m2g">
                <body>Types of security services are supported/required by the system.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JVk0cFMEea5pdrFDq-m2g">
                <body>OAuth | SMART-on-FHIR | NTLM | Basic | Kerberos | Certificates</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JU9xcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JU9xsFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JVk1cFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JWL4MFMEea5pdrFDq-m2g">
                <body>General description of how security works.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JVk2cFMEea5pdrFDq-m2g">
                <body>General description of how security works</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JVk1sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JVk18FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JWL5cFMEea5pdrFDq-m2g" name="certificate" type="_5JWL4sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JWy8cFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5JWy98FMEea5pdrFDq-m2g">
                <body>Certificates associated with security profiles.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JWy9cFMEea5pdrFDq-m2g">
                <body>Certificates associated with security profiles</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JWL5sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JWL58FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5JWL4sFMEea5pdrFDq-m2g" name="Certificate">
              <generalization xmi:id="_5JWL48FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5JWy-cFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JXaA8FMEea5pdrFDq-m2g">
                  <body>Mime type for certificate.</body>
                </ownedComment>
                <ownedComment xmi:id="_5JXaAcFMEea5pdrFDq-m2g">
                  <body>Mime type for certificate</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JWy-sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JWy-8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5JXaBcFMEea5pdrFDq-m2g" name="blob" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JXaC8FMEea5pdrFDq-m2g">
                  <body>Actual certificate.</body>
                </ownedComment>
                <ownedComment xmi:id="_5JXaCcFMEea5pdrFDq-m2g">
                  <body>Actual certificate</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JXaBsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JXaB8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5JYBEMFMEea5pdrFDq-m2g" name="Resource">
            <generalization xmi:id="_5JYBEcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5JYoKsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JZPMsFMEea5pdrFDq-m2g">
                <body>A type of resource exposed via the restful interface.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JZPMMFMEea5pdrFDq-m2g">
                <body>A resource type that is supported</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JYoK8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JYoLMFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5JZPNMFMEea5pdrFDq-m2g" name="profile" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_5JZPOMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5JZ2RcFMEea5pdrFDq-m2g">
                <body>A specification of the profile that describes the solution's overall support for the resource, including any constraints on cardinality, bindings, lengths or other limitations. See further discussion in [Using Profiles]{profiling.html#profile-uses}.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JZ2Q8FMEea5pdrFDq-m2g">
                <body>Base System profile for all uses of resource</body>
              </ownedComment>
              <ownedComment xmi:id="_5JZ2R8FMEea5pdrFDq-m2g">
                <body>The profile applies to all  resources of this type - i.e. it is the superset of what is supported by the system.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JZPNcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JZPNsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JZ2ScFMEea5pdrFDq-m2g" name="documentation" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JZ2T8FMEea5pdrFDq-m2g">
                <body>Additional information about the resource type is used by the system.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JZ2TcFMEea5pdrFDq-m2g">
                <body>Additional information about the use of the resource type</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JZ2SsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JZ2S8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JadU8FMEea5pdrFDq-m2g" name="interaction" type="_5JadUMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5JbEYMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5JbEZsFMEea5pdrFDq-m2g">
                <body>Identifies a restful operation supported by the solution.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JbEZMFMEea5pdrFDq-m2g">
                <body>What operations are supported?</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JadVMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JadVcFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JeHs8FMEea5pdrFDq-m2g" name="versioning" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JeuwsFMEea5pdrFDq-m2g">
                <body>This field is set to no-version to specify that the system does not support (server) or use (client) versioning for this resource type. If this has some other value, the server must at least correctly track and populate the versionId meta-property on resources. If the value is 'versioned-update', then the server supports all the versioning features, including using e-tags for version integrity in the API.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JeuwMFMEea5pdrFDq-m2g">
                <body>no-version | versioned | versioned-update</body>
              </ownedComment>
              <ownedComment xmi:id="_5JeuxMFMEea5pdrFDq-m2g">
                <body>If a server supports versionIds correctly, it SHOULD support vread too, but is not required to do so.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JeHtMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JeHtcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JeuxsFMEea5pdrFDq-m2g" name="readHistory" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JfV0sFMEea5pdrFDq-m2g">
                <body>A flag for whether the server is able to return past versions as part of the vRead operation.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JfV0MFMEea5pdrFDq-m2g">
                <body>Whether vRead can return past versions</body>
              </ownedComment>
              <ownedComment xmi:id="_5JfV1MFMEea5pdrFDq-m2g">
                <body>It is useful to support the vRead operation for current operations, even if past versions aren't available.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jeux8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JeuyMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5JfV1sFMEea5pdrFDq-m2g" name="updateCreate" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JfV3MFMEea5pdrFDq-m2g">
                <body>A flag to indicate that the server allows or needs to allow the client to create new identities on the server (e.g. that is, the client PUTs to a location where there is no existing resource). Allowing this operation means that the server allows the client to create new identities on the server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JfV2sFMEea5pdrFDq-m2g">
                <body>If update can commit to a new identity</body>
              </ownedComment>
              <ownedComment xmi:id="_5Jf84MFMEea5pdrFDq-m2g">
                <body>Allowing the clients to create new identities on the server means that the system administrator needs to have confidence that the clients do not create clashing identities between them. Obviously, if there is only one client, this won't happen. While creating identities on the client means that the clients need to be managed, it's much more convenient for many scenarios if such management can be put in place.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JfV18FMEea5pdrFDq-m2g"/>
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            <ownedAttribute xmi:id="_5Jf84sFMEea5pdrFDq-m2g" name="conditionalCreate" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Jf86MFMEea5pdrFDq-m2g">
                <body>A flag that indicates that the server supports conditional create.</body>
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              <ownedComment xmi:id="_5Jf85sFMEea5pdrFDq-m2g">
                <body>If allows/uses conditional create</body>
              </ownedComment>
              <ownedComment xmi:id="_5Jf86sFMEea5pdrFDq-m2g">
                <body>Conditional Create is mainly appropriate for interface engine scripts converting from other formats, such as v2.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jf848FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jf85MFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5Jf87MFMEea5pdrFDq-m2g" name="conditionalRead" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JhLAcFMEea5pdrFDq-m2g">
                <body>A code that indicates how the server supports conditional read.</body>
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              <ownedComment xmi:id="_5Jgj9sFMEea5pdrFDq-m2g">
                <body>not-supported | modified-since | not-match | full-support</body>
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              <ownedComment xmi:id="_5JhLA8FMEea5pdrFDq-m2g">
                <body>Conditional Read is mainly appropriate for interface engine scripts converting from other formats, such as v2.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jgj8MFMEea5pdrFDq-m2g"/>
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                <body>A flag that indicates that the server supports conditional update.</body>
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              <ownedComment xmi:id="_5JhLCcFMEea5pdrFDq-m2g">
                <body>If allows/uses conditional update</body>
              </ownedComment>
              <ownedComment xmi:id="_5JhyEcFMEea5pdrFDq-m2g">
                <body>Conditional Update is mainly appropriate for interface engine scripts converting from other formats, such as v2.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JhLBsFMEea5pdrFDq-m2g"/>
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            <ownedAttribute xmi:id="_5JhyE8FMEea5pdrFDq-m2g" name="conditionalDelete" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JiZIsFMEea5pdrFDq-m2g">
                <body>A code that indicates how the server supports conditional delete.</body>
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              <ownedComment xmi:id="_5JiZIMFMEea5pdrFDq-m2g">
                <body>not-supported | single | multiple - how conditional delete is supported</body>
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              <ownedComment xmi:id="_5JiZJMFMEea5pdrFDq-m2g">
                <body>Conditional Delete is mainly appropriate for interface engine scripts converting from other formats, such as v2.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JhyFMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JhyFcFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5JiZJsFMEea5pdrFDq-m2g" name="referencePolicy" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JjANcFMEea5pdrFDq-m2g">
                <body>A set of flags that defines how references are supported.</body>
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              <ownedComment xmi:id="_5JjAM8FMEea5pdrFDq-m2g">
                <body>literal | logical | resolves | enforced | local</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JiZJ8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JiZKMFMEea5pdrFDq-m2g" value="*"/>
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            <ownedAttribute xmi:id="_5JjnQMFMEea5pdrFDq-m2g" name="searchInclude" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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                <body>A list of _include values supported by the server.</body>
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              <ownedComment xmi:id="_5JjnRMFMEea5pdrFDq-m2g">
                <body>_include values supported by the server</body>
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              <ownedComment xmi:id="_5JjnSMFMEea5pdrFDq-m2g">
                <body>If this list is empty, the server does not support includes.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JjnQcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JjnQsFMEea5pdrFDq-m2g" value="*"/>
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            <ownedAttribute xmi:id="_5JjnSsFMEea5pdrFDq-m2g" name="searchRevInclude" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JkOUsFMEea5pdrFDq-m2g">
                <body>A list of _revinclude (reverse include) values supported by the server.</body>
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              <ownedComment xmi:id="_5JkOUMFMEea5pdrFDq-m2g">
                <body>_revinclude values supported by the server</body>
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              <ownedComment xmi:id="_5JkOVMFMEea5pdrFDq-m2g">
                <body>If this list is empty, the server does not support includes.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JjnS8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JjnTMFMEea5pdrFDq-m2g" value="*"/>
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            <ownedAttribute xmi:id="_5Jk1YcFMEea5pdrFDq-m2g" name="searchParam" type="_5JkOVsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Jk1ZcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Jk1a8FMEea5pdrFDq-m2g">
                <body>Search parameters for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Jk1acFMEea5pdrFDq-m2g">
                <body>Search params supported by implementation</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jk1YsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jk1Y8FMEea5pdrFDq-m2g" value="*"/>
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            <nestedClassifier xmi:type="uml:Class" xmi:id="_5JadUMFMEea5pdrFDq-m2g" name="ResourceInteraction">
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              <ownedAttribute xmi:id="_5JbEaMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JdgocFMEea5pdrFDq-m2g">
                  <body>Coded identifier of the operation, supported by the system resource.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Jc5lcFMEea5pdrFDq-m2g">
                  <body>read | vread | update | patch | delete | history-instance | history-type | create | search-type</body>
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                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JbEacFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JbEasFMEea5pdrFDq-m2g" value="1"/>
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              <ownedAttribute xmi:id="_5Jdgo8FMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JdgqcFMEea5pdrFDq-m2g">
                  <body>Guidance specific to the implementation of this operation, such as 'delete is a logical delete' or 'updates are only allowed with version id' or 'creates permitted from pre-authorized certificates only'.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Jdgp8FMEea5pdrFDq-m2g">
                  <body>Anything special about operation behavior</body>
                </ownedComment>
                <ownedComment xmi:id="_5JeHscFMEea5pdrFDq-m2g">
                  <body>REST allows a degree of variability in the implementation of RESTful solutions that is useful for exchange partners to be aware of.</body>
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                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JdgpMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JdgpcFMEea5pdrFDq-m2g" value="1"/>
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            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5JkOVsFMEea5pdrFDq-m2g" name="SearchParam">
              <generalization xmi:id="_5JkOV8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5JlccMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JlcdsFMEea5pdrFDq-m2g">
                  <body>The name of the search parameter used in the interface.</body>
                </ownedComment>
                <ownedComment xmi:id="_5JlcdMFMEea5pdrFDq-m2g">
                  <body>Name of search parameter</body>
                </ownedComment>
                <ownedComment xmi:id="_5JlceMFMEea5pdrFDq-m2g">
                  <body>Parameter names cannot overlap with standard parameter names, and standard parameters cannot be redefined.</body>
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                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JlcccFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JlccsFMEea5pdrFDq-m2g" value="1"/>
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              <ownedAttribute xmi:id="_5JlcesFMEea5pdrFDq-m2g" name="definition" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JmDgsFMEea5pdrFDq-m2g">
                  <body>An absolute URI that is a formal reference to where this parameter was first defined, so that a client can be confident of the meaning of the search parameter (a reference to [SearchParameter.url]()).</body>
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                <ownedComment xmi:id="_5JmDgMFMEea5pdrFDq-m2g">
                  <body>Source of definition for parameter</body>
                </ownedComment>
                <ownedComment xmi:id="_5JmDhMFMEea5pdrFDq-m2g">
                  <body>This SHOULD be present, and matches refers to a SearchParameter by it's canonical url. If systems wish to document their support for modifiers, comparators, target resource types, and chained parameters, they should do using a search parameter resource.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jlce8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JlcfMFMEea5pdrFDq-m2g" value="1"/>
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              <ownedAttribute xmi:id="_5JmDhsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
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                  <body>The type of value a search parameter refers to, and how the content is interpreted.</body>
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                <ownedComment xmi:id="_5JmqksFMEea5pdrFDq-m2g">
                  <body>number | date | string | token | reference | composite | quantity | uri</body>
                </ownedComment>
                <ownedComment xmi:id="_5JmqlsFMEea5pdrFDq-m2g">
                  <body>While this can be looked up from the definition, it is included here as a convenience for systems that autogenerate a query interface based on the server capability statement.  It SHALL be the same as the type in the search parameter definition.</body>
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                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JmDh8FMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JmDiMFMEea5pdrFDq-m2g" value="1"/>
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              <ownedAttribute xmi:id="_5JnRoMFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5JnRpsFMEea5pdrFDq-m2g">
                  <body>This allows documentation of any distinct behaviors about how the search parameter is used.  For example, text matching algorithms.</body>
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                <ownedComment xmi:id="_5JnRpMFMEea5pdrFDq-m2g">
                  <body>Server-specific usage</body>
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                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JnRocFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JnRosFMEea5pdrFDq-m2g" value="1"/>
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            </nestedClassifier>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Jn4sMFMEea5pdrFDq-m2g" name="SystemInteraction">
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            <ownedAttribute xmi:id="_5JofyMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
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                <body>A coded identifier of the operation, supported by the system.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Jpt5MFMEea5pdrFDq-m2g">
                <body>transaction | batch | search-system | history-system</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JofycFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JofysFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5JqU8MFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5JqU9sFMEea5pdrFDq-m2g">
                <body>Guidance specific to the implementation of this operation, such as limitations on the kind of transactions allowed, or information about system wide search is implemented.</body>
              </ownedComment>
              <ownedComment xmi:id="_5JqU9MFMEea5pdrFDq-m2g">
                <body>Anything special about operation behavior</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JqU8cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JqU8sFMEea5pdrFDq-m2g" value="1"/>
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          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Jq8CsFMEea5pdrFDq-m2g" name="Operation">
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            <ownedAttribute xmi:id="_5JsKIMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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                <body>The name of the operation or query. For an operation, this is the name  prefixed with $ and used in the url. For a query, this is the name used in the _query parameter when the query is called.</body>
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              <ownedComment xmi:id="_5JsKJMFMEea5pdrFDq-m2g">
                <body>Name by which the operation/query is invoked</body>
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              <ownedComment xmi:id="_5JsKKMFMEea5pdrFDq-m2g">
                <body>The name here SHOULD be the same as the name in the definition, unless there is a name clash and the name cannot be used. The name does not include the &quot;$&quot; portion that is always included in the URL.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JsKIcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JsKIsFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5KBhWcFMEea5pdrFDq-m2g" name="definition" type="_5JsKKsFMEea5pdrFDq-m2g" isOrdered="true" association="_5KCIYMFMEea5pdrFDq-m2g">
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                <body>Where the formal definition can be found.</body>
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              <ownedComment xmi:id="_5KCIZMFMEea5pdrFDq-m2g">
                <body>The defined operation/query</body>
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              <ownedComment xmi:id="_5KCIaMFMEea5pdrFDq-m2g">
                <body>This can be used to build an HTML form to invoke the operation, for instance.</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KBhWsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KBhW8FMEea5pdrFDq-m2g" value="1"/>
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          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5KCvdsFMEea5pdrFDq-m2g" name="Messaging">
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              <body>An endpoint (network accessible address) to which messages and/or replies are to be sent.</body>
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            <ownedComment xmi:id="_5KEkqMFMEea5pdrFDq-m2g">
              <body>Where messages should be sent</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KEkocFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KEkosFMEea5pdrFDq-m2g" value="*"/>
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          <ownedAttribute xmi:id="_5KGZ0cFMEea5pdrFDq-m2g" name="reliableCache" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>Length if the receiver's reliable messaging cache in minutes (if a receiver) or how long the cache length on the receiver should be (if a sender).</body>
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            <ownedComment xmi:id="_5KGZ1cFMEea5pdrFDq-m2g">
              <body>Reliable Message Cache Length (min)</body>
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            <ownedComment xmi:id="_5KGZ2cFMEea5pdrFDq-m2g">
              <body>If this value is missing then the application does not implement (receiver) or depend on (sender) reliable messaging.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KGZ0sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KGZ08FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5KGZ28FMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>Documentation about the system's messaging capabilities for this endpoint not otherwise documented by the capability statement.  For example, process for becoming an authorized messaging exchange partner.</body>
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            <ownedComment xmi:id="_5KHA4MFMEea5pdrFDq-m2g">
              <body>Messaging interface behavior details</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KGZ3MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KGZ3cFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5KHn8cFMEea5pdrFDq-m2g" name="event" type="_5KHA5MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5KHn9cFMEea5pdrFDq-m2g">
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              <body>A description of the solution's support for an event at this end-point.</body>
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            <ownedComment xmi:id="_5KIPAMFMEea5pdrFDq-m2g">
              <body>Declare support for this event</body>
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            <ownedComment xmi:id="_5KIPBMFMEea5pdrFDq-m2g">
              <body>The same event may be listed up to two times - once as sender and once as receiver.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KHn8sFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KHn88FMEea5pdrFDq-m2g" value="*"/>
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          <nestedClassifier xmi:type="uml:Class" xmi:id="_5KD9ksFMEea5pdrFDq-m2g" name="Endpoint">
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                <body>A list of the messaging transport protocol(s) identifiers, supported by this endpoint.</body>
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              <ownedComment xmi:id="_5KFLtMFMEea5pdrFDq-m2g">
                <body>http | ftp | mllp +</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KEkrcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KEkrsFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5KFyw8FMEea5pdrFDq-m2g" name="address" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
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                <body>The network address of the end-point. For solutions that do not use network addresses for routing, it can be just an identifier.</body>
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              <ownedComment xmi:id="_5KFyx8FMEea5pdrFDq-m2g">
                <body>Address of end-point</body>
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              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KFyxcFMEea5pdrFDq-m2g" value="1"/>
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                <body>A coded identifier of a supported messaging event.</body>
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              <ownedComment xmi:id="_5KI2E8FMEea5pdrFDq-m2g">
                <body>Event type</body>
              </ownedComment>
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              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KIPCMFMEea5pdrFDq-m2g" value="1"/>
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                <body>The impact of the content of the message.</body>
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              <ownedComment xmi:id="_5KKEMMFMEea5pdrFDq-m2g">
                <body>Consequence | Currency | Notification</body>
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                <body>The mode of this event declaration - whether application is sender or receiver.</body>
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              <ownedComment xmi:id="_5KKrQsFMEea5pdrFDq-m2g">
                <body>sender | receiver</body>
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              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KKENsFMEea5pdrFDq-m2g" value="1"/>
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                <body>A resource associated with the event.  This is the resource that defines the event.</body>
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              <ownedComment xmi:id="_5KLSUcFMEea5pdrFDq-m2g">
                <body>Resource that's focus of message</body>
              </ownedComment>
              <ownedComment xmi:id="_5KLSVcFMEea5pdrFDq-m2g">
                <body>This SHALL be provided if the event type supports multiple different resource types.</body>
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            <ownedAttribute xmi:id="_5KL5YMFMEea5pdrFDq-m2g" name="request" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_5KL5ZMFMEea5pdrFDq-m2g">
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                <body>Information about the request for this event.</body>
              </ownedComment>
              <ownedComment xmi:id="_5KL5aMFMEea5pdrFDq-m2g">
                <body>Profile that describes the request</body>
              </ownedComment>
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              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KL5YsFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5KMgccFMEea5pdrFDq-m2g" name="response" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_5KMgdcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5KMge8FMEea5pdrFDq-m2g">
                <body>Information about the response for this event.</body>
              </ownedComment>
              <ownedComment xmi:id="_5KMgecFMEea5pdrFDq-m2g">
                <body>Profile that describes the response</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KMgcsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KMgc8FMEea5pdrFDq-m2g" value="1"/>
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              <ownedComment xmi:id="_5KNHhsFMEea5pdrFDq-m2g">
                <body>Guidance on how this event is handled, such as internal system trigger points, business rules, etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5KNHhMFMEea5pdrFDq-m2g">
                <body>Endpoint-specific event documentation</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KNHgcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KNHgsFMEea5pdrFDq-m2g" value="1"/>
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          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5KNHiMFMEea5pdrFDq-m2g" name="Document">
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              <body>Mode of this document declaration - whether application is producer or consumer.</body>
            </ownedComment>
            <ownedComment xmi:id="_5KO8sMFMEea5pdrFDq-m2g">
              <body>producer | consumer</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KOVocFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KOVosFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5KO8tMFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>A description of how the application supports or uses the specified document profile.  For example, when are documents created, what action is taken with consumed documents, etc.</body>
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            <ownedComment xmi:id="_5KO8uMFMEea5pdrFDq-m2g">
              <body>Description of document support</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KO8tcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KO8tsFMEea5pdrFDq-m2g" value="1"/>
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              <body>A constraint on a resource used in the document.</body>
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              <body>Constraint on a resource used in the document</body>
            </ownedComment>
            <ownedComment xmi:id="_5KPjysFMEea5pdrFDq-m2g">
              <body>The first resource is the document resource.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KO8vcFMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
      </packagedElement>
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          <body>A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction).</body>
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        <ownedComment xmi:id="_5Jt_UsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for OperationDefinition Resource</body>
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        <ownedComment xmi:id="_5Jt_VcFMEea5pdrFDq-m2g">
          <body>Definition of an operation or a named query</body>
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            <language>XPath</language>
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            <language>XPath</language>
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            <body>An absolute URL that is used to identify this operation definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this operation definition is (or will be) published. The URL SHOULD include the major version of the operation definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
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            <body>Logical uri to reference this operation definition (globally unique)</body>
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          <ownedComment xmi:id="_5JumZMFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
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            <body>Allows the operation definition to be referenced by a single globally unique identifier.</body>
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            <body>The identifier that is used to identify this version of the operation definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the operation definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
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            <body>Business version of the operation definition</body>
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            <body>There may be multiple different instances of a operation definition that have the same identifier but different versions.</body>
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            <body>A natural language name identifying the operation definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
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          <ownedComment xmi:id="_5JvNdsFMEea5pdrFDq-m2g">
            <body>Name for this operation definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5JvNesFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JvNfMFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JvNc8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JvNdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Jv0gMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Jv0h8FMEea5pdrFDq-m2g">
            <body>The status of this operation definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jv0hcFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5JwbkMFMEea5pdrFDq-m2g">
            <body>Allows filtering of operation definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jv0gcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jv0gsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JwbksFMEea5pdrFDq-m2g" name="kind" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JxCosFMEea5pdrFDq-m2g">
            <body>Whether this is an operation or a named query.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JxCoMFMEea5pdrFDq-m2g">
            <body>operation | query</body>
          </ownedComment>
          <ownedComment xmi:id="_5JxCpMFMEea5pdrFDq-m2g">
            <body>Named queries are invoked differently, and have different capabilities.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jwbk8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JwblMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JxCpsFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JxpssFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this operation definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JxpsMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5JxptMFMEea5pdrFDq-m2g">
            <body>Allows filtering of operation definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JxptsFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level operation definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JxCp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JxCqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JxpuMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JyQw8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the operation definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the operation definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JyQwcFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5JyQxcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the operation definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JxpucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JxpusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JyQx8FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5JyQzcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the operation definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5JyQy8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jy30MFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the operation definition is the organization or individual primarily responsible for the maintenance and upkeep of the operation definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the operation definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jy30sFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the operation definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JyQyMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JyQycFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Jy31MFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Jy32sFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jy32MFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jy33MFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jy31cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jy31sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Jze4MFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Jze5sFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the operation definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jze5MFMEea5pdrFDq-m2g">
            <body>Natural language description of the operation definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jze6MFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the operation definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jze4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jze4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Jze6sFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J0F8MFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Jze7sFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5J0F8sFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J0F9MFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Jze68FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Jze7MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J0F9sFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J0tAsFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the operation definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J0tAMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for operation definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J0F98FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J0F-MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J0tBMFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J0tCsFMEea5pdrFDq-m2g">
            <body>Explains why this operation definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J0tCMFMEea5pdrFDq-m2g">
            <body>Why this operation definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5J0tDMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the operation definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this operation definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J0tBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J0tBsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J1UEMFMEea5pdrFDq-m2g" name="idempotent" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J1UFsFMEea5pdrFDq-m2g">
            <body>Operations that are idempotent (see [HTTP specification definition of idempotent](http://www.w3.org/Protocols/rfc2616/rfc2616-sec9.html)) may be invoked by performing an HTTP GET operation instead of a POST.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J1UFMFMEea5pdrFDq-m2g">
            <body>Whether content is unchanged by the operation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J1UEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J1UEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J1UGMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J1UHsFMEea5pdrFDq-m2g">
            <body>The name used to invoke the operation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J1UHMFMEea5pdrFDq-m2g">
            <body>Name used to invoke the operation</body>
          </ownedComment>
          <ownedComment xmi:id="_5J17IcFMEea5pdrFDq-m2g">
            <body>The code does not include the '$' prefix that is always included in the URL when the operation is invoked.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J1UGcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J1UGsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J17I8FMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J17KcFMEea5pdrFDq-m2g">
            <body>Additional information about how to use this operation or named query.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J17J8FMEea5pdrFDq-m2g">
            <body>Additional information about use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J17JMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J17JcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J17K8FMEea5pdrFDq-m2g" name="base" type="_5JsKKsFMEea5pdrFDq-m2g" isOrdered="true" association="_5J2iMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5J2iNsFMEea5pdrFDq-m2g">
            <body>Indicates that this operation definition is a constraining profile on the base.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J2iNMFMEea5pdrFDq-m2g">
            <body>Marks this as a profile of the base</body>
          </ownedComment>
          <ownedComment xmi:id="_5J2iOMFMEea5pdrFDq-m2g">
            <body>A constrained profile can make optional parameters required or not used and clarify documentation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J17LMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J17LcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J2iOsFMEea5pdrFDq-m2g" name="resource" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J3JQ8FMEea5pdrFDq-m2g">
            <body>The types on which this operation can be executed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J3JQcFMEea5pdrFDq-m2g">
            <body>Types this operation applies to</body>
          </ownedComment>
          <ownedComment xmi:id="_5J3JRcFMEea5pdrFDq-m2g">
            <body>If the type is an abstract resource (&quot;Resource&quot; or &quot;DomainResource&quot;) then the operation can be invoked on any concrete specialization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J2iO8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J2iPMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J3JR8FMEea5pdrFDq-m2g" name="system" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J3wVMFMEea5pdrFDq-m2g">
            <body>Indicates whether this operation or named query can be invoked at the system level (e.g. without needing to choose a resource type for the context).</body>
          </ownedComment>
          <ownedComment xmi:id="_5J3wUsFMEea5pdrFDq-m2g">
            <body>Invoke at the system level?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J3JSMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J3wUMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J3wVsFMEea5pdrFDq-m2g" name="type" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J3wXMFMEea5pdrFDq-m2g">
            <body>Indicates whether this operation or named query can be invoked at the resource type level for any given resource type level (e.g. without needing to choose a specific resource id for the context).</body>
          </ownedComment>
          <ownedComment xmi:id="_5J3wWsFMEea5pdrFDq-m2g">
            <body>Invole at the type level?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J3wV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J3wWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J4XYMFMEea5pdrFDq-m2g" name="instance" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5J4XZsFMEea5pdrFDq-m2g">
            <body>Indicates whether this operation can be invoked on a particular instance of one of the given types.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J4XZMFMEea5pdrFDq-m2g">
            <body>Invoke on an instance?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J4XYcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J4XYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5J4-ccFMEea5pdrFDq-m2g" name="parameter" type="_5J4XaMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5J4-dcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5J4-e8FMEea5pdrFDq-m2g">
            <body>The parameters for the operation/query.</body>
          </ownedComment>
          <ownedComment xmi:id="_5J4-ecFMEea5pdrFDq-m2g">
            <body>Parameters for the operation/query</body>
          </ownedComment>
          <ownedComment xmi:id="_5J4-fcFMEea5pdrFDq-m2g">
            <body>Query Definitions only have one output parameter, named &quot;result&quot;. This may not be described, but can be to allow a profile to be defined.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J4-csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J4-c8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KATM8FMEea5pdrFDq-m2g" name="overload" type="_5KATMMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5KA6QMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5KA6RsFMEea5pdrFDq-m2g">
            <body>Defines an appropriate combination of parameters to use when invoking this operation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5KA6RMFMEea5pdrFDq-m2g">
            <body>For generating overloaded methods in code</body>
          </ownedComment>
          <ownedComment xmi:id="_5KA6SMFMEea5pdrFDq-m2g">
            <body>This element is intended for generating overloaded methods in code, and the combinations are not authoritative.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KATNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KATNcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5J4XaMFMEea5pdrFDq-m2g" name="Parameter">
          <generalization xmi:id="_5J4XacFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5J5lgMFMEea5pdrFDq-m2g" name="name" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5J5lhsFMEea5pdrFDq-m2g">
              <body>The name of used to identify the parameter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5J5lhMFMEea5pdrFDq-m2g">
              <body>Name in Parameters.parameter.name or in URL</body>
            </ownedComment>
            <ownedComment xmi:id="_5J5liMFMEea5pdrFDq-m2g">
              <body>This name must be a token (start with a letter in a..z, and only contain letters, numerals, and underscore. Note that for search parameters (type = string, with a search type), the name may be altered by the search modifiers.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J5lgcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J5lgsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5J5lisFMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5J6Mk8FMEea5pdrFDq-m2g">
              <body>Whether this is an input or an output parameter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5J6MkcFMEea5pdrFDq-m2g">
              <body>in | out</body>
            </ownedComment>
            <ownedComment xmi:id="_5J6MlcFMEea5pdrFDq-m2g">
              <body>If a parameter name is used for both an input and an output parameter, the parameter should be defined twice.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J5li8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J5ljMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5J6Ml8FMEea5pdrFDq-m2g" name="min" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5J6zo8FMEea5pdrFDq-m2g">
              <body>The minimum number of times this parameter SHALL appear in the request or response.</body>
            </ownedComment>
            <ownedComment xmi:id="_5J6zocFMEea5pdrFDq-m2g">
              <body>Minimum Cardinality</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5J6MmMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J6MmcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5J6zpcFMEea5pdrFDq-m2g" name="max" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5J6zq8FMEea5pdrFDq-m2g">
              <body>The maximum number of times this element is permitted to appear in the request or response.</body>
            </ownedComment>
            <ownedComment xmi:id="_5J6zqcFMEea5pdrFDq-m2g">
              <body>Maximum Cardinality (a number or *)</body>
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                <body>For further discussion, see [Using Terminologies](terminologies.html).</body>
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        <ownedComment xmi:id="_5MY418FMEea5pdrFDq-m2g">
          <body>The formal description of a single piece of information that can be gathered and reported.</body>
        </ownedComment>
        <ownedComment xmi:id="_5MY40sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DataElement Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5MY41cFMEea5pdrFDq-m2g">
          <body>Resource data element</body>
        </ownedComment>
        <ownedComment xmi:id="_5MZf4cFMEea5pdrFDq-m2g">
          <body>Often called a clinical template.</body>
        </ownedComment>
        <ownedRule xmi:id="_5MXqsMFMEea5pdrFDq-m2g" name="dae-1" constrainedElement="_5MjQ6MFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>not(exists(f:base))</body>
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        </ownedRule>
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            <language>XPath</language>
            <body>not(exists(f:slicing))</body>
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        </ownedRule>
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          <ownedComment xmi:id="_5MZf6cFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this data element when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this data element is (or will be) published. The URL SHOULD include the major version of the data element. For more information see [Technical and Business Versions](resource.html#versions).</body>
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          <ownedComment xmi:id="_5MZf58FMEea5pdrFDq-m2g">
            <body>Logical uri to reference this data element (globally unique)</body>
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          <ownedComment xmi:id="_5MZf68FMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
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          <ownedComment xmi:id="_5MZf7cFMEea5pdrFDq-m2g">
            <body>Allows the data element to be referenced by a single globally unique identifier.</body>
          </ownedComment>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MZf5cFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5MaG8MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MaG9sFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this data element when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MaG9MFMEea5pdrFDq-m2g">
            <body>Additional identifier for the data element</body>
          </ownedComment>
          <ownedComment xmi:id="_5MaG-MFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this data element outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MaG-sFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MaG8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MaG8sFMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5MaG_MFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MauA8FMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the data element when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the data element author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MauAcFMEea5pdrFDq-m2g">
            <body>Business version of the data element</body>
          </ownedComment>
          <ownedComment xmi:id="_5MauBcFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a data element that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MaG_cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MaG_sFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5MauB8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MbVEsFMEea5pdrFDq-m2g">
            <body>The status of this data element. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MbVEMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5MbVFMFMEea5pdrFDq-m2g">
            <body>Allows filtering of data element that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MauCMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MauCcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MbVFsFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Mb8IcFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this data element is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MbVGsFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mb8I8FMEea5pdrFDq-m2g">
            <body>Allows filtering of data element that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mb8JcFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level data element would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MbVF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MbVGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Mb8J8FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Mb8LcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the data element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mb8K8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5McjMMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the data element is the organization or individual primarily responsible for the maintenance and upkeep of the data element. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the data element. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5McjMsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the data element.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mb8KMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mb8KcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5McjNMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5McjOsFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the data element was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the data element changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5McjOMFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5McjPMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the data element. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5McjNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5McjNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MdKQMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MdKRsFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the data element. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdKRMFMEea5pdrFDq-m2g">
            <body>Name for this data element (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdKSMFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdKSsFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MdKQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MdKQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MdKTMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MdxUsFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the data element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdxUMFMEea5pdrFDq-m2g">
            <body>Name for this data element (Human friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdxVMFMEea5pdrFDq-m2g">
            <body>null This may be similar to the question used to prompt someone for a data element value, but the purpose is communicating about the data element, not asking the question.  (Refer to the 'question' element for the latter.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MdKTcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MdKTsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MdxVsFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MdxXMFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdxWsFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5MdxXsFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MdxV8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MdxWMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MeYYcFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MeYZ8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MeYZcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5MeYacFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MeYa8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MeYYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MeYY8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MeYbcFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Me_dsFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the data element is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Me_dMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for data element (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Me_cMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Me_ccFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Me_eMFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MfmhMFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the data element and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the data element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MfmgsFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5MfmhsFMEea5pdrFDq-m2g">
            <body>null The copyright statement does not apply to values for the data element, only to its definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MfmiMFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the data element and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Me_ecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MfmgMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MfmisFMEea5pdrFDq-m2g" name="stringency" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MgNlcFMEea5pdrFDq-m2g">
            <body>Identifies how precise the data element is in its definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MgNk8FMEea5pdrFDq-m2g">
            <body>comparable | fully-specified | equivalent | convertable | scaleable | flexible</body>
          </ownedComment>
          <ownedComment xmi:id="_5MgNl8FMEea5pdrFDq-m2g">
            <body>Allows determining the degree of comparability of data element instances. Less granular data elements result in data that is less comparable (or at least requires more work to compare).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mfmi8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MfmjMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Mg0pMFMEea5pdrFDq-m2g" name="mapping" type="_5Mg0ocFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MhbscFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Mhbt8FMEea5pdrFDq-m2g">
            <body>Identifies a specification (other than a terminology) that the elements which make up the DataElement have some correspondence with.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MhbtcFMEea5pdrFDq-m2g">
            <body>External specification mapped to</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mg0pcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mg0psFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MjQ6MFMEea5pdrFDq-m2g" name="element" type="_4mhLrMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MjQ7sFMEea5pdrFDq-m2g">
            <body>Defines the structure, type, allowed values and other constraining characteristics of the data element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MjQ7MFMEea5pdrFDq-m2g">
            <body>Definition of element</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mj38MFMEea5pdrFDq-m2g">
            <body>For simple data types there will only be one repetition.  For complex data types, multiple repetitions will be present defining a nested structure using the &quot;path&quot; element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mj38sFMEea5pdrFDq-m2g">
            <body>1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MjQ6cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MjQ6sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Mg0ocFMEea5pdrFDq-m2g" name="Mapping">
          <generalization xmi:id="_5Mg0osFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5MhbucFMEea5pdrFDq-m2g" name="identity" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MiCwcFMEea5pdrFDq-m2g">
              <body>An internal id that is used to identify this mapping set when specific mappings are made on a per-element basis.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MhbvcFMEea5pdrFDq-m2g">
              <body>Internal id when this mapping is used</body>
            </ownedComment>
            <ownedComment xmi:id="_5MiCw8FMEea5pdrFDq-m2g">
              <body>The specification is described once, with general comments, and then specific mappings are made that reference this declaration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MhbusFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mhbu8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MiCxcFMEea5pdrFDq-m2g" name="uri" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MiCy8FMEea5pdrFDq-m2g">
              <body>An absolute URI that identifies the specification that this mapping is expressed to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MiCycFMEea5pdrFDq-m2g">
              <body>Identifies what this mapping refers to</body>
            </ownedComment>
            <ownedComment xmi:id="_5MiCzcFMEea5pdrFDq-m2g">
              <body>A formal identity for the specification being mapped to helps with identifying maps consistently.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MiCxsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MiCx8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Mip0MFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Mip1sFMEea5pdrFDq-m2g">
              <body>A name for the specification that is being mapped to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mip1MFMEea5pdrFDq-m2g">
              <body>Names what this mapping refers to</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mip0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mip0sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MjQ4MFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MjQ5sFMEea5pdrFDq-m2g">
              <body>Comments about this mapping, including version notes, issues, scope limitations, and other important notes for usage.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MjQ5MFMEea5pdrFDq-m2g">
              <body>Versions, Issues, Scope limitations etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MjQ4cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MjQ4sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5MhbscFMEea5pdrFDq-m2g" memberEnd="_5MhbssFMEea5pdrFDq-m2g _5Mg0pMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5MhbssFMEea5pdrFDq-m2g" type="_5MXDqMFMEea5pdrFDq-m2g" association="_5MhbscFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mhbs8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MhbtMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Mj39MFMEea5pdrFDq-m2g" name="MessageHeader">
        <ownedComment xmi:id="_5MlGEMFMEea5pdrFDq-m2g">
          <body>The header for a message exchange that is either requesting or responding to an action.  The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.</body>
        </ownedComment>
        <ownedComment xmi:id="_5MkfAsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MessageHeader Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5MkfBMFMEea5pdrFDq-m2g">
          <body>Many implementations are not prepared to use REST and need a messaging based infrastructure.</body>
        </ownedComment>
        <ownedComment xmi:id="_5MkfB8FMEea5pdrFDq-m2g">
          <body>A resource that describes a message that is exchanged between systems</body>
        </ownedComment>
        <generalization xmi:id="_5MkfBsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5MlGEsFMEea5pdrFDq-m2g" name="timestamp" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MlGGMFMEea5pdrFDq-m2g">
            <body>The time that the message was sent.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MlGFsFMEea5pdrFDq-m2g">
            <body>Time that the message was sent</body>
          </ownedComment>
          <ownedComment xmi:id="_5MlGGsFMEea5pdrFDq-m2g">
            <body>Allows limited detection of out-of-order and delayed transmission.  Also supports audit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MlGE8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MlGFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MlGHMFMEea5pdrFDq-m2g" name="event" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5MltJMFMEea5pdrFDq-m2g">
            <body>Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value &quot;http://hl7.org/fhir/message-events&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MltIsFMEea5pdrFDq-m2g">
            <body>Code for the event this message represents</body>
          </ownedComment>
          <ownedComment xmi:id="_5MltJsFMEea5pdrFDq-m2g">
            <body>Drives the behavior associated with this message.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MlGHcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MlGHsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MmUMcFMEea5pdrFDq-m2g" name="response" type="_5MltKMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MmUNcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Mm7QsFMEea5pdrFDq-m2g">
            <body>Information about the message that this message is a response to.  Only present if this message is a response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mm7QMFMEea5pdrFDq-m2g">
            <body>If this is a reply to prior message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MmUMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MmUM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MwFNMFMEea5pdrFDq-m2g" name="source" type="_5MwFMcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MwsQcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5MwsR8FMEea5pdrFDq-m2g">
            <body>The source application from which this message originated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MwsRcFMEea5pdrFDq-m2g">
            <body>Message Source Application</body>
          </ownedComment>
          <ownedComment xmi:id="_5MwsScFMEea5pdrFDq-m2g">
            <body>Allows replies, supports audit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MwFNcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MwFNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5MzvkcFMEea5pdrFDq-m2g" name="destination" type="_5MzIhMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5MzvlcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Mzvm8FMEea5pdrFDq-m2g">
            <body>The destination application which the message is intended for.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MzvmcFMEea5pdrFDq-m2g">
            <body>Message Destination Application(s)</body>
          </ownedComment>
          <ownedComment xmi:id="_5MzvncFMEea5pdrFDq-m2g">
            <body>There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Mzvn8FMEea5pdrFDq-m2g">
            <body>Indicates where message is to be sent for routing purposes.  Allows verification of &quot;am I the intended recipient&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MzvksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mzvk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M1ky8FMEea5pdrFDq-m2g" name="enterer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5M2L0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5M2L1sFMEea5pdrFDq-m2g">
            <body>The person or device that performed the data entry leading to this message. Where there is more than one candidate, pick the most proximal to the message. Can provide other enterers in extensions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M2L1MFMEea5pdrFDq-m2g">
            <body>The source of the data entry</body>
          </ownedComment>
          <ownedComment xmi:id="_5M2L2MFMEea5pdrFDq-m2g">
            <body>Usually only for the request, but can be used in a response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M2L2sFMEea5pdrFDq-m2g">
            <body>Need to know for audit/traceback requirements and possibly for authorization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M1kzMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M1kzcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M2L3MFMEea5pdrFDq-m2g" name="author" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5M2y4cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5M2y58FMEea5pdrFDq-m2g">
            <body>The logical author of the message - the person or device that decided the described event should happen. Where there is more than one candidate, pick the most proximal to the MessageHeader. Can provide other authors in extensions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M2y5cFMEea5pdrFDq-m2g">
            <body>The source of the decision</body>
          </ownedComment>
          <ownedComment xmi:id="_5M2y6cFMEea5pdrFDq-m2g">
            <body>Usually only for the request, but can be used in a response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M2y68FMEea5pdrFDq-m2g">
            <body>Need to know for audit/traceback requirements and possibly for authorization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M2L3cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M2L3sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M3Z8MFMEea5pdrFDq-m2g" name="receiver" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5M3Z9MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5M3Z-sFMEea5pdrFDq-m2g">
            <body>Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M3Z-MFMEea5pdrFDq-m2g">
            <body>Intended &quot;real-world&quot; recipient for the data</body>
          </ownedComment>
          <ownedComment xmi:id="_5M3Z_MFMEea5pdrFDq-m2g">
            <body>Allows routing beyond just the application level.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M3Z8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M3Z8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M4BAMFMEea5pdrFDq-m2g" name="responsible" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5M4BBMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5M4BCsFMEea5pdrFDq-m2g">
            <body>The person or organization that accepts overall responsibility for the contents of the message. The implication is that the message event happened under the policies of the responsible party.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M4BCMFMEea5pdrFDq-m2g">
            <body>Final responsibility for event</body>
          </ownedComment>
          <ownedComment xmi:id="_5M4oEcFMEea5pdrFDq-m2g">
            <body>Usually only for the request, but can be used in a response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M4oE8FMEea5pdrFDq-m2g">
            <body>Need to know for audit/traceback requirements and possibly for authorization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M4BAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M4BAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M4oFsFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5M5PJMFMEea5pdrFDq-m2g">
            <body>Coded indication of the cause for the event - indicates  a reason for the occurrence of the event that is a focus of this message.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M5PIsFMEea5pdrFDq-m2g">
            <body>Cause of event</body>
          </ownedComment>
          <ownedComment xmi:id="_5M5PJsFMEea5pdrFDq-m2g">
            <body>Need to be able to track why resources are being changed and report in the audit log/history of the resource.  May affect authorization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M4oF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M4oGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M52MMFMEea5pdrFDq-m2g" name="data" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5M52NMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5M52OsFMEea5pdrFDq-m2g">
            <body>The actual data of the message - a reference to the root/focus class of the event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M52OMFMEea5pdrFDq-m2g">
            <body>The actual content of the message</body>
          </ownedComment>
          <ownedComment xmi:id="_5M52PMFMEea5pdrFDq-m2g">
            <body>The data is defined where the transaction type is defined. The transaction data is always included in the bundle that is the full message.  Only the root resource is specified.  The resources it references should be contained in the bundle but are not also listed here.  Multiple repetitions are allowed to cater for merges and other situations with multiple focal targets.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M52PsFMEea5pdrFDq-m2g">
            <body>Every message event is about actual data, a single resource, that is identified in the definition of the event, and perhaps some or all linked resources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M52McFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M52MsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5MltKMFMEea5pdrFDq-m2g" name="Response">
          <generalization xmi:id="_5MltKcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Mm7RMFMEea5pdrFDq-m2g" name="identifier" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Mm7SsFMEea5pdrFDq-m2g">
              <body>The id of the message that this message is a response to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mm7SMFMEea5pdrFDq-m2g">
              <body>Id of original message</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mm7TMFMEea5pdrFDq-m2g">
              <body>Allows receiver to know what message is being responded to.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mm7RcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mm7RsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MniUMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MoJYsFMEea5pdrFDq-m2g">
              <body>Code that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MoJYMFMEea5pdrFDq-m2g">
              <body>ok | transient-error | fatal-error</body>
            </ownedComment>
            <ownedComment xmi:id="_5MoJZMFMEea5pdrFDq-m2g">
              <body>This is a generic response to the request message. Specific data for the response will be found in MessageHeader.data.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MoJZsFMEea5pdrFDq-m2g">
              <body>Allows the sender of the acknowledge message to know if the request was successful or if action is needed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MniUcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MniUsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Mu3HMFMEea5pdrFDq-m2g" name="details" type="_5MowcMFMEea5pdrFDq-m2g" isOrdered="true" association="_5MveI8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5MveKcFMEea5pdrFDq-m2g">
              <body>Full details of any issues found in the message.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MveJ8FMEea5pdrFDq-m2g">
              <body>Specific list of hints/warnings/errors</body>
            </ownedComment>
            <ownedComment xmi:id="_5MveK8FMEea5pdrFDq-m2g">
              <body>This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MveLcFMEea5pdrFDq-m2g">
              <body>Allows the sender of the message to determine what the specific issues are.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MveIMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MveIcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5MwFMcFMEea5pdrFDq-m2g" name="MessageSource">
          <generalization xmi:id="_5MwFMsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5MwsS8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MxTUsFMEea5pdrFDq-m2g">
              <body>Human-readable name for the source system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MxTUMFMEea5pdrFDq-m2g">
              <body>Name of system</body>
            </ownedComment>
            <ownedComment xmi:id="_5MxTVMFMEea5pdrFDq-m2g">
              <body>May be used to support audit.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MwsTMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MwsTcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MxTVsFMEea5pdrFDq-m2g" name="software" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MxTXMFMEea5pdrFDq-m2g">
              <body>May include configuration or other information useful in debugging.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MxTWsFMEea5pdrFDq-m2g">
              <body>Name of software running the system</body>
            </ownedComment>
            <ownedComment xmi:id="_5MxTXsFMEea5pdrFDq-m2g">
              <body>Supports audit and possibly interface engine behavior.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MxTV8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MxTWMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Mx6YcFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Mx6Z8FMEea5pdrFDq-m2g">
              <body>Can convey versions of multiple systems in situations where a message passes through multiple hands.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mx6ZcFMEea5pdrFDq-m2g">
              <body>Version of software running</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mx6acFMEea5pdrFDq-m2g">
              <body>Supports audit and possibly interface engine behavior.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mx6YsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mx6Y8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Mx6a8FMEea5pdrFDq-m2g" name="contact" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Myhc8FMEea5pdrFDq-m2g">
              <body>An e-mail, phone, website or other contact point to use to resolve issues with message communications.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MyhccFMEea5pdrFDq-m2g">
              <body>Human contact for problems</body>
            </ownedComment>
            <ownedComment xmi:id="_5MyhdcFMEea5pdrFDq-m2g">
              <body>Allows escalation of technical issues.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mx6bMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mx6bcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Myhd8FMEea5pdrFDq-m2g" name="endpoint" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MyhfcFMEea5pdrFDq-m2g">
              <body>Identifies the routing target to send acknowledgements to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Myhe8FMEea5pdrFDq-m2g">
              <body>Actual message source address or id</body>
            </ownedComment>
            <ownedComment xmi:id="_5MzIgMFMEea5pdrFDq-m2g">
              <body>The id may be a non-resolvable URI for systems that do not use standard network-based addresses.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MzIgsFMEea5pdrFDq-m2g">
              <body>Identifies where to send responses, may influence security permissions.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MyheMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MyhecFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5MzIhMFMEea5pdrFDq-m2g" name="MessageDestination">
          <generalization xmi:id="_5MzIhcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5M0WocFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5M0Wp8FMEea5pdrFDq-m2g">
              <body>Human-readable name for the target system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M0WpcFMEea5pdrFDq-m2g">
              <body>Name of system</body>
            </ownedComment>
            <ownedComment xmi:id="_5M0WqcFMEea5pdrFDq-m2g">
              <body>May be used for routing of response and/or to support audit.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M0WosFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M0Wo8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5M09sMFMEea5pdrFDq-m2g" name="target" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5M09tMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5M09usFMEea5pdrFDq-m2g">
              <body>Identifies the target end system in situations where the initial message transmission is to an intermediary system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M09uMFMEea5pdrFDq-m2g">
              <body>Particular delivery destination within the destination</body>
            </ownedComment>
            <ownedComment xmi:id="_5M09vMFMEea5pdrFDq-m2g">
              <body>Supports multi-hop routing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M09scFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M09ssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5M09vsFMEea5pdrFDq-m2g" name="endpoint" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5M1kxcFMEea5pdrFDq-m2g">
              <body>Indicates where the message should be routed to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M1kw8FMEea5pdrFDq-m2g">
              <body>Actual destination address or id</body>
            </ownedComment>
            <ownedComment xmi:id="_5M1kx8FMEea5pdrFDq-m2g">
              <body>The id may be a non-resolvable URI for systems that do not use standard network-based addresses.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M1kycFMEea5pdrFDq-m2g">
              <body>Identifies where to route the message.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M1kwMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M1kwcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5MmUNcFMEea5pdrFDq-m2g" memberEnd="_5MmUNsFMEea5pdrFDq-m2g _5MmUMcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5MmUNsFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5MmUNcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MmUN8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MmUOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5MowcMFMEea5pdrFDq-m2g" name="OperationOutcome">
        <ownedComment xmi:id="_5MpXhsFMEea5pdrFDq-m2g">
          <body>A collection of error, warning or information messages that result from a system action.</body>
        </ownedComment>
        <ownedComment xmi:id="_5MpXgcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for OperationOutcome Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5MpXhMFMEea5pdrFDq-m2g">
          <body>Information about the success/failure of an action</body>
        </ownedComment>
        <ownedComment xmi:id="_5MpXiMFMEea5pdrFDq-m2g">
          <body>Can result from the failure of a REST call or be part of the response message returned from a request message.  If sent with extensions overriding particular issues, might even appear as part of a request message.</body>
        </ownedComment>
        <generalization xmi:id="_5MpXg8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5Mp-kcFMEea5pdrFDq-m2g" name="issue" type="_5MpXisFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Mp-lcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5MqlpMFMEea5pdrFDq-m2g">
            <body>An error, warning or information message that results from a system action.</body>
          </ownedComment>
          <ownedComment xmi:id="_5MqlosFMEea5pdrFDq-m2g">
            <body>A single issue associated with the action</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mp-ksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mp-k8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5MpXisFMEea5pdrFDq-m2g" name="Issue">
          <generalization xmi:id="_5MpXi8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5MqlpsFMEea5pdrFDq-m2g" name="severity" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MrMtMFMEea5pdrFDq-m2g">
              <body>Indicates whether the issue indicates a variation from successful processing.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MrMssFMEea5pdrFDq-m2g">
              <body>fatal | error | warning | information</body>
            </ownedComment>
            <ownedComment xmi:id="_5MrMtsFMEea5pdrFDq-m2g">
              <body>This is labeled as &quot;Is Modifier&quot; because applications should not confuse hints and warnings with errors.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MrMuMFMEea5pdrFDq-m2g">
              <body>Indicates how relevant the issue is to the overall success of the action.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mqlp8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MqlqMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MrzwcFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Msa0sFMEea5pdrFDq-m2g">
              <body>Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Msa0MFMEea5pdrFDq-m2g">
              <body>Error or warning code</body>
            </ownedComment>
            <ownedComment xmi:id="_5Msa1MFMEea5pdrFDq-m2g">
              <body>Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MrzwsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mrzw8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Msa1sFMEea5pdrFDq-m2g" name="details" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Mto8MFMEea5pdrFDq-m2g">
              <body>Additional details about the error. This may be a text description of the error, or a system code that identifies the error.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MtB48FMEea5pdrFDq-m2g">
              <body>Additional details about the error</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mto8sFMEea5pdrFDq-m2g">
              <body>A human readable description of the error issue SHOULD be placed in details.text.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Msa18FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Msa2MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Mto9MFMEea5pdrFDq-m2g" name="diagnostics" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Mto-sFMEea5pdrFDq-m2g">
              <body>Additional diagnostic information about the issue.  Typically, this may be a description of how a value is erroneous, or a stack dump to help trace the issue.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mto-MFMEea5pdrFDq-m2g">
              <body>Additional diagnostic information about the issue</body>
            </ownedComment>
            <ownedComment xmi:id="_5MuQAMFMEea5pdrFDq-m2g">
              <body>Typically this field is used to provide troubleshooting information about the error.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mto9cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mto9sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5MuQAsFMEea5pdrFDq-m2g" name="location" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5MuQCMFMEea5pdrFDq-m2g">
              <body>A simple XPath limited to element names, repetition indicators and the default child access that identifies one of the elements in the resource that caused this issue to be raised.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MuQBsFMEea5pdrFDq-m2g">
              <body>XPath of element(s) related to issue</body>
            </ownedComment>
            <ownedComment xmi:id="_5MuQCsFMEea5pdrFDq-m2g">
              <body>The root of the XPath is the resource or bundle that generated OperationOutcome.  Each XPath SHALL resolve to a single node.  The XPath syntax is used whether the referenced instance is expressed in XML or JSON. Note that expression is being trialed as an alternative to XPath.</body>
            </ownedComment>
            <ownedComment xmi:id="_5MuQDMFMEea5pdrFDq-m2g">
              <body>Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MuQA8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MuQBMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Mu3EMFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Mu3FsFMEea5pdrFDq-m2g">
              <body>A simple FluentPath limited to element names, repetition indicators and the default child access that identifies one of the elements in the resource that caused this issue to be raised.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mu3FMFMEea5pdrFDq-m2g">
              <body>FluentPath of element(s) related to issue</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mu3GMFMEea5pdrFDq-m2g">
              <body>The root of the FluentPath is the resource or bundle that generated OperationOutcome.  Each FluentPath SHALL resolve to a single node.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Mu3GsFMEea5pdrFDq-m2g">
              <body>Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mu3EcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Mu3EsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Mp-lcFMEea5pdrFDq-m2g" memberEnd="_5Mp-lsFMEea5pdrFDq-m2g _5Mp-kcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Mp-lsFMEea5pdrFDq-m2g" type="_5MowcMFMEea5pdrFDq-m2g" association="_5Mp-lcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MqloMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MqlocFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5MveI8FMEea5pdrFDq-m2g" memberEnd="_5MveJMFMEea5pdrFDq-m2g _5Mu3HMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5MveJMFMEea5pdrFDq-m2g" type="_5MltKMFMEea5pdrFDq-m2g" association="_5MveI8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MveJcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MveJsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5MwsQcFMEea5pdrFDq-m2g" memberEnd="_5MwsQsFMEea5pdrFDq-m2g _5MwFNMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5MwsQsFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5MwsQcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5MwsQ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MwsRMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5MzvlcFMEea5pdrFDq-m2g" memberEnd="_5MzvlsFMEea5pdrFDq-m2g _5MzvkcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5MzvlsFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5MzvlcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Mzvl8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5MzvmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M09tMFMEea5pdrFDq-m2g" memberEnd="_5M09tcFMEea5pdrFDq-m2g _5M09sMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M09tcFMEea5pdrFDq-m2g" type="_5MzIhMFMEea5pdrFDq-m2g" association="_5M09tMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M09tsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M09t8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M2L0MFMEea5pdrFDq-m2g" memberEnd="_5M2L0cFMEea5pdrFDq-m2g _5M1ky8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M2L0cFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5M2L0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M2L0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M2L08FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M2y4cFMEea5pdrFDq-m2g" memberEnd="_5M2y4sFMEea5pdrFDq-m2g _5M2L3MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M2y4sFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5M2y4cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M2y48FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M2y5MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M3Z9MFMEea5pdrFDq-m2g" memberEnd="_5M3Z9cFMEea5pdrFDq-m2g _5M3Z8MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M3Z9cFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5M3Z9MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M3Z9sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M3Z98FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M4BBMFMEea5pdrFDq-m2g" memberEnd="_5M4BBcFMEea5pdrFDq-m2g _5M4BAMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M4BBcFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5M4BBMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M4BBsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M4BB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M52NMFMEea5pdrFDq-m2g" memberEnd="_5M52NcFMEea5pdrFDq-m2g _5M52MMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M52NcFMEea5pdrFDq-m2g" type="_5Mj39MFMEea5pdrFDq-m2g" association="_5M52NMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M52NsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M52N8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5M6dQMFMEea5pdrFDq-m2g" name="Subscription">
        <ownedComment xmi:id="_5M7EVsFMEea5pdrFDq-m2g">
          <body>The subscription resource is used to define a push based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined &quot;channel&quot; so that another system is able to take an appropriate action.</body>
        </ownedComment>
        <ownedComment xmi:id="_5M7EUcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Subscription Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5M7EVMFMEea5pdrFDq-m2g">
          <body>A server push subscription criteria</body>
        </ownedComment>
        <generalization xmi:id="_5M7EU8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5M7EWMFMEea5pdrFDq-m2g" name="criteria" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5M7rYMFMEea5pdrFDq-m2g">
            <body>The rules that the server should use to determine when to generate notifications for this subscription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M7EXMFMEea5pdrFDq-m2g">
            <body>Rule for server push criteria</body>
          </ownedComment>
          <ownedComment xmi:id="_5M7rYsFMEea5pdrFDq-m2g">
            <body>The rules are a search criteria (without the [base] part). Like Bundle.entry.request.url, it has no leading &quot;/&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M7EWcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M7EWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M7rZMFMEea5pdrFDq-m2g" name="contact" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5M7rasFMEea5pdrFDq-m2g">
            <body>Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M7raMFMEea5pdrFDq-m2g">
            <body>Contact details for source (e.g. troubleshooting)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M7rZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M7rZsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M7rbMFMEea5pdrFDq-m2g" name="reason" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5M8Sc8FMEea5pdrFDq-m2g">
            <body>A description of why this subscription is defined.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M8SccFMEea5pdrFDq-m2g">
            <body>Description of why this subscription was created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M7rbcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M7rbsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M8SdcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5M85g8FMEea5pdrFDq-m2g">
            <body>The status of the subscription, which marks the server state for managing the subscription.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M85gcFMEea5pdrFDq-m2g">
            <body>requested | active | error | off</body>
          </ownedComment>
          <ownedComment xmi:id="_5M85hcFMEea5pdrFDq-m2g">
            <body>A client can only submit subscription resources in the requested or off state. Only the server can  move a subscription from requested to active, and then to error. Either the server or the client can turn a subscription off.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M8SdsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M8Sd8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M85h8FMEea5pdrFDq-m2g" name="error" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5M9gksFMEea5pdrFDq-m2g">
            <body>A record of the last error that occurred when the server processed a notification.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M9gkMFMEea5pdrFDq-m2g">
            <body>Latest error note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M85iMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M85icFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5M-HocFMEea5pdrFDq-m2g" name="channel" type="_5M9glMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5M-HpcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5M-Hq8FMEea5pdrFDq-m2g">
            <body>Details where to send notifications when resources are received that meet the criteria.</body>
          </ownedComment>
          <ownedComment xmi:id="_5M-HqcFMEea5pdrFDq-m2g">
            <body>The channel on which to report matches to the criteria</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M-HosFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M-Ho8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NAj4sFMEea5pdrFDq-m2g" name="end" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NAj6MFMEea5pdrFDq-m2g">
            <body>The time for the server to turn the subscription off.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NAj5sFMEea5pdrFDq-m2g">
            <body>When to automatically delete the subscription</body>
          </ownedComment>
          <ownedComment xmi:id="_5NAj6sFMEea5pdrFDq-m2g">
            <body>The server is permitted to deviate from this time, but should observe it.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NAj48FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NAj5MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NAj7MFMEea5pdrFDq-m2g" name="tag" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NByAMFMEea5pdrFDq-m2g">
            <body>A tag to add to any resource that matches the criteria, after the subscription is processed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NBK9cFMEea5pdrFDq-m2g">
            <body>A tag to add to matching resources</body>
          </ownedComment>
          <ownedComment xmi:id="_5NByAsFMEea5pdrFDq-m2g">
            <body>So that other systems can tell which resources have been the subject of a notification.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NAj7cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NBK8MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5M9glMFMEea5pdrFDq-m2g" name="Channel">
          <generalization xmi:id="_5M9glcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5M-HrcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5M-utsFMEea5pdrFDq-m2g">
              <body>The type of channel to send notifications on.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M-utMFMEea5pdrFDq-m2g">
              <body>rest-hook | websocket | email | sms | message</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M-HrsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M-Hr8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5M_VwcFMEea5pdrFDq-m2g" name="endpoint" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5M_Vx8FMEea5pdrFDq-m2g">
              <body>The uri that describes the actual end-point to send messages to.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M_VxcFMEea5pdrFDq-m2g">
              <body>Where the channel points to</body>
            </ownedComment>
            <ownedComment xmi:id="_5M_VycFMEea5pdrFDq-m2g">
              <body>For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since their may be more than one, clients should avoid using relative URIs).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M_VwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M_Vw8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5M_Vy8FMEea5pdrFDq-m2g" name="payload" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5M_808FMEea5pdrFDq-m2g">
              <body>The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. If the payload is not present, then there is no payload in the notification, just a notification.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M_80cFMEea5pdrFDq-m2g">
              <body>Mimetype to send, or omit for no payload</body>
            </ownedComment>
            <ownedComment xmi:id="_5M_81cFMEea5pdrFDq-m2g">
              <body>Sending the payload has obvious security implications. The server is responsible for ensuring that the content is appropriately secured.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M_VzMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M_VzcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5M_818FMEea5pdrFDq-m2g" name="header" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5M_83cFMEea5pdrFDq-m2g">
              <body>Additional headers / information to send as part of the notification.</body>
            </ownedComment>
            <ownedComment xmi:id="_5M_828FMEea5pdrFDq-m2g">
              <body>Usage depends on the channel type</body>
            </ownedComment>
            <ownedComment xmi:id="_5NAj4MFMEea5pdrFDq-m2g">
              <body>Exactly what these mean depend on the channel type. The can convey additional information to the recipient and/or meet security requirements.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M_82MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M_82cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5M-HpcFMEea5pdrFDq-m2g" memberEnd="_5M-HpsFMEea5pdrFDq-m2g _5M-HocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5M-HpsFMEea5pdrFDq-m2g" type="_5M6dQMFMEea5pdrFDq-m2g" association="_5M-HpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5M-Hp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5M-HqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5NByBMFMEea5pdrFDq-m2g" name="BodySite">
        <ownedComment xmi:id="_5NCZF8FMEea5pdrFDq-m2g">
          <body>Record details about the anatomical location of a specimen or body part.  This resource may be used when a coded concept does not provide the necessary detail needed for the use case.</body>
        </ownedComment>
        <ownedComment xmi:id="_5NCZEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for BodySite Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5NCZFcFMEea5pdrFDq-m2g">
          <body>Specific and identified anatomical location</body>
        </ownedComment>
        <generalization xmi:id="_5NCZFMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5NDAIMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NDAJMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NDAKsFMEea5pdrFDq-m2g">
            <body>The person to which the body site belongs.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NDAKMFMEea5pdrFDq-m2g">
            <body>Patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NDAIcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NDAIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NDALMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NDnM8FMEea5pdrFDq-m2g">
            <body>Identifier for this instance of the anatomical location.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NDnMcFMEea5pdrFDq-m2g">
            <body>Bodysite identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NDALcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NDALsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NDnNcFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NEOQsFMEea5pdrFDq-m2g">
            <body>Named anatomical location - ideally coded where possible.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NEOQMFMEea5pdrFDq-m2g">
            <body>Named anatomical location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NDnNsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NDnN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NEORMFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NGqhMFMEea5pdrFDq-m2g">
            <body>Modifier to refine the anatomical location.  These include modifiers for laterality, relative location, directionality, number, and plane.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NGqgsFMEea5pdrFDq-m2g">
            <body>Modification to location code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NEORcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NEORsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NGqhsFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NHRkMFMEea5pdrFDq-m2g">
            <body>Description of anatomical location.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NGqisFMEea5pdrFDq-m2g">
            <body>The Description of anatomical location</body>
          </ownedComment>
          <ownedComment xmi:id="_5NHRksFMEea5pdrFDq-m2g">
            <body>This Description  could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NGqh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NGqiMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NHRlMFMEea5pdrFDq-m2g" name="image" type="_4dVacMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NHRmsFMEea5pdrFDq-m2g">
            <body>Image or images used to identify a location.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NHRmMFMEea5pdrFDq-m2g">
            <body>Attached images</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NHRlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NHRlsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5NDAJMFMEea5pdrFDq-m2g" memberEnd="_5NDAJcFMEea5pdrFDq-m2g _5NDAIMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5NDAJcFMEea5pdrFDq-m2g" type="_5NByBMFMEea5pdrFDq-m2g" association="_5NDAJMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NDAJsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NDAJ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5NH4oMFMEea5pdrFDq-m2g" name="ServiceDefinition">
        <ownedComment xmi:id="_5NIftMFMEea5pdrFDq-m2g">
          <body>The ServiceDefinition describes a unit of decision support functionality that is made available as a service, such as immunization modules or drug-drug interaction checking.</body>
        </ownedComment>
        <ownedComment xmi:id="_5NH4o8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ServiceDefinition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5NIfssFMEea5pdrFDq-m2g">
          <body>A description of decision support service functionality</body>
        </ownedComment>
        <generalization xmi:id="_5NIfscFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5NIftsFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NIfvMFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this service definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this service definition is (or will be) published. The URL SHOULD include the major version of the service definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5NIfusFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this service definition (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5NIfvsFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJGwMFMEea5pdrFDq-m2g">
            <body>Allows the service definition to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NIft8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NIfuMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NJGwsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NJGyMFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this service definition when it is represented in other formats, or referenced in a specification, model, design or an instance. This is used for CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJGxsFMEea5pdrFDq-m2g">
            <body>Additional identifier for the service definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJGysFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this service definition outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJGzMFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NJGw8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NJGxMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NJGzsFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NJt1cFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the service definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the service definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJt08FMEea5pdrFDq-m2g">
            <body>Business version of the service definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJt18FMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a service definition that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NJt0MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NJt0cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NJt2cFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NJt38FMEea5pdrFDq-m2g">
            <body>A natural language name identifying the service definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NJt3cFMEea5pdrFDq-m2g">
            <body>Name for this service definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5NKU4MFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NKU4sFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NJt2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NJt28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NKU5MFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NKU6sFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the service definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NKU6MFMEea5pdrFDq-m2g">
            <body>Name for this service definition (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NKU5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NKU5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NKU7MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NK788FMEea5pdrFDq-m2g">
            <body>The status of this service definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NK78cFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5NK79cFMEea5pdrFDq-m2g">
            <body>Allows filtering of service definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NKU7cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NKU7sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NLjAMFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NLjBsFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this service definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NLjBMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5NLjCMFMEea5pdrFDq-m2g">
            <body>Allows filtering of service definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NLjCsFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level service definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NLjAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NLjAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NLjDMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NMKFMFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the service definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the service definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NMKEsFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5NMKFsFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the service definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NLjDcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NMKEMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NMKGMFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NMKHsFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the service definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NMKHMFMEea5pdrFDq-m2g">
            <body>Natural language description of the service definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5NMxIMFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the service definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NMKGcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NMKGsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NMxIsFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NMxKMFMEea5pdrFDq-m2g">
            <body>Explains why this service definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NMxJsFMEea5pdrFDq-m2g">
            <body>Why this service definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5NMxKsFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the service definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this service definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NMxI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NMxJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NNYMMFMEea5pdrFDq-m2g" name="usage" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NNYNsFMEea5pdrFDq-m2g">
            <body>A detailed description of how the module is used from a clinical perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NNYNMFMEea5pdrFDq-m2g">
            <body>Describes the clinical usage of the module</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NNYMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NNYMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NNYOMFMEea5pdrFDq-m2g" name="approvalDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NN_QMFMEea5pdrFDq-m2g">
            <body>The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NNYPMFMEea5pdrFDq-m2g">
            <body>When service definition approved by publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5NN_QsFMEea5pdrFDq-m2g">
            <body>The date may be more recent than the approval date because of minor changes / editorial corrections.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NNYOcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NNYOsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NN_RMFMEea5pdrFDq-m2g" name="lastReviewDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NN_SsFMEea5pdrFDq-m2g">
            <body>The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NN_SMFMEea5pdrFDq-m2g">
            <body>Last review date for the service definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5NN_TMFMEea5pdrFDq-m2g">
            <body>If specified, this is usually after the approval date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NN_RcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NN_RsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NN_TsFMEea5pdrFDq-m2g" name="effectivePeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NOmVcFMEea5pdrFDq-m2g">
            <body>The period during which the service definition content was or is planned to be effective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NOmU8FMEea5pdrFDq-m2g">
            <body>The effective date range for the service definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5NOmV8FMEea5pdrFDq-m2g">
            <body>The effective period for a service definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NOmUMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NOmUcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NOmWcFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NOmX8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NOmXcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5NPNYMFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NPNYsFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NOmWsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NOmW8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NPNZMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NP0ccFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the service definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NPNacFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for service definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NPNZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NPNZsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NP0c8FMEea5pdrFDq-m2g" name="topic" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NP0ecFMEea5pdrFDq-m2g">
            <body>Clinical topics related to the content of the module.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NP0d8FMEea5pdrFDq-m2g">
            <body>Descriptional topics for the module</body>
          </ownedComment>
          <ownedComment xmi:id="_5NP0e8FMEea5pdrFDq-m2g">
            <body>Repositories must be able to determine how to categorize the module so that it can be found by topical searches.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NP0dMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NP0dcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NQbgMFMEea5pdrFDq-m2g" name="contributor" type="_4l2dTMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NQbhsFMEea5pdrFDq-m2g">
            <body>A contributor to the content of the module, including authors, editors, reviewers, and endorsers.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NQbhMFMEea5pdrFDq-m2g">
            <body>A content contributor</body>
          </ownedComment>
          <ownedComment xmi:id="_5NQbiMFMEea5pdrFDq-m2g">
            <body>Consumers of the content must be able to quickly determine who contributed to the content of the knowledge module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NQbgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NQbgsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NQbisFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NRClcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the service definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NRCk8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5NRCl8FMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the service definition is the organization or individual primarily responsible for the maintenance and upkeep of the service definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the service definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NRCmcFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the service definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NRCkMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NRCkcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NRCm8FMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NRppMFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NRposFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5NRppsFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NRCnMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NRpoMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NSQsMFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NSQtsFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the service definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the service definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NSQtMFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5NSQuMFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the service definition and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NSQscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NSQssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NSQusFMEea5pdrFDq-m2g" name="relatedArtifact" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NS3w8FMEea5pdrFDq-m2g">
            <body>Related resources such as additional documentation, justification, or bibliographic references.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NS3wcFMEea5pdrFDq-m2g">
            <body>Related resources for the module</body>
          </ownedComment>
          <ownedComment xmi:id="_5NS3xcFMEea5pdrFDq-m2g">
            <body>Each related resource is either an attachment, or a reference to another resource, but not both.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NS3x8FMEea5pdrFDq-m2g">
            <body>Modules must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NSQu8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NSQvMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NS3ycFMEea5pdrFDq-m2g" name="trigger" type="_4oIVMMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NTe0cFMEea5pdrFDq-m2g">
            <body>The trigger element defines when the rule should be invoked. This information is used by consumers of the rule to determine how to integrate the rule into a specific workflow.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NS3zcFMEea5pdrFDq-m2g">
            <body>&quot;when&quot; the module should be invoked</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NS3ysFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NS3y8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NTe08FMEea5pdrFDq-m2g" name="dataRequirement" type="_4nteeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NTe2cFMEea5pdrFDq-m2g">
            <body>Data requirements are a machine processable description of the data required by the module in order to perform a successful evaluation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NTe18FMEea5pdrFDq-m2g">
            <body>Data requirements for the module</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NTe1MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NTe1cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NTe28FMEea5pdrFDq-m2g" name="operationDefinition" type="_5JsKKsFMEea5pdrFDq-m2g" isOrdered="true" association="_5NUF4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NUF5sFMEea5pdrFDq-m2g">
            <body>A reference to the operation that is used to invoke this service.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NUF5MFMEea5pdrFDq-m2g">
            <body>Operation to invoke</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NTe3MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NTe3cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5NUF4MFMEea5pdrFDq-m2g" memberEnd="_5NUF4cFMEea5pdrFDq-m2g _5NTe28FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5NUF4cFMEea5pdrFDq-m2g" type="_5NH4oMFMEea5pdrFDq-m2g" association="_5NUF4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NUF4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NUF48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5NUF6MFMEea5pdrFDq-m2g" name="EnrollmentResponse">
        <ownedComment xmi:id="_5NUs98FMEea5pdrFDq-m2g">
          <body>This resource provides enrollment and plan details from the processing of an Enrollment resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_5NUs8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for EnrollmentResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5NUs9cFMEea5pdrFDq-m2g">
          <body>EnrollmentResponse resource</body>
        </ownedComment>
        <generalization xmi:id="_5NUs9MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5NVUAcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NVUB8FMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NVUBcFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NVUAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NVUA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NVUCcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NV7EsFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NV7EMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NVUCsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NVUC8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NazlcFMEea5pdrFDq-m2g" name="request" type="_5NV7FMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NazmcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Nazn8FMEea5pdrFDq-m2g">
            <body>Original request resource reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NazncFMEea5pdrFDq-m2g">
            <body>Claim reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NazlsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nazl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NbaocFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NbaqMFMEea5pdrFDq-m2g">
            <body>Processing status: error, complete.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NbapsFMEea5pdrFDq-m2g">
            <body>complete | error | partial</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NbaosFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nbao8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NcBsMFMEea5pdrFDq-m2g" name="disposition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NcBtsFMEea5pdrFDq-m2g">
            <body>A description of the status of the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NcBtMFMEea5pdrFDq-m2g">
            <body>Disposition Message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NcBscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NcBssFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NcBuMFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NcBvsFMEea5pdrFDq-m2g">
            <body>The date when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NcBvMFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NcBucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NcBusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NcowMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NcoxMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NcoysFMEea5pdrFDq-m2g">
            <body>The Insurer who produced this adjudicated response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NcoyMFMEea5pdrFDq-m2g">
            <body>Insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NcowcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NcowsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NcozMFMEea5pdrFDq-m2g" name="requestProvider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NdP0cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NdP18FMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NdP1cFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NcozcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NcozsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NdP2cFMEea5pdrFDq-m2g" name="requestOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Nd24MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Nd25sFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nd25MFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NdP2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NdP28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5NV7FMFMEea5pdrFDq-m2g" name="EnrollmentRequest">
        <ownedComment xmi:id="_5NWiJ8FMEea5pdrFDq-m2g">
          <body>This resource provides the insurance enrollment details to the insurer regarding a specified coverage.</body>
        </ownedComment>
        <ownedComment xmi:id="_5NWiIsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for EnrollmentRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5NWiJcFMEea5pdrFDq-m2g">
          <body>Enrollment request</body>
        </ownedComment>
        <generalization xmi:id="_5NWiJMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5NXJMMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NXJNsFMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NXJNMFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NXJMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NXJMsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NXJOMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NXwQ8FMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NXwQcFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NXJOcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NXJOsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NXwRcFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NYXUcFMEea5pdrFDq-m2g">
            <body>The date when this resource was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NXwScFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NXwRsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NXwR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NYXU8FMEea5pdrFDq-m2g" name="insurer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NYXV8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NYXXcFMEea5pdrFDq-m2g">
            <body>The Insurer who is target  of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NYXW8FMEea5pdrFDq-m2g">
            <body>Target</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NYXVMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NYXVcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NY-YMFMEea5pdrFDq-m2g" name="provider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NY-ZMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NY-asFMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NY-aMFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NY-YcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NY-YsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NY-bMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NZlcMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NZldsFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NZldMFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NY-bcFMEea5pdrFDq-m2g"/>
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        </ownedAttribute>
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            <body>Patient Resource.</body>
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          <ownedComment xmi:id="_5NaMhMFMEea5pdrFDq-m2g">
            <body>The subject of the Products and Services</body>
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            <body>Reference to the program or plan identification, underwriter or payor.</body>
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            <body>Insurance information</body>
          </ownedComment>
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            <body>Need to identify the issuer to target for processing and for coordination of benefit processing.</body>
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          <body>A patient's point-in-time immunization and recommendation (i.e. forecasting a patient's immunization eligibility according to a published schedule) with optional supporting justification.</body>
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        <ownedComment xmi:id="_5Ned8sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ImmunizationRecommendation Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5NfFAcFMEea5pdrFDq-m2g">
          <body>Guidance or advice relating to an immunization</body>
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            <body>A unique identifier assigned to this particular recommendation record.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NfFCcFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
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            <body>The patient for whom the recommendations are for.</body>
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          <ownedComment xmi:id="_5NfsGMFMEea5pdrFDq-m2g">
            <body>Who this profile is for</body>
          </ownedComment>
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          <ownedComment xmi:id="_5Ng6MsFMEea5pdrFDq-m2g">
            <body>Vaccine administration recommendations.</body>
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          <ownedComment xmi:id="_5Ng6MMFMEea5pdrFDq-m2g">
            <body>Vaccine administration recommendations</body>
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        <nestedClassifier xmi:type="uml:Class" xmi:id="_5NfsHMFMEea5pdrFDq-m2g" name="Recommendation">
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              <body>The date the immunization recommendation was created.</body>
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            <ownedComment xmi:id="_5Ng6OMFMEea5pdrFDq-m2g">
              <body>Date recommendation created</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ng6NcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5Ng6PMFMEea5pdrFDq-m2g" name="vaccineCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>Vaccine that pertains to the recommendation.</body>
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            <ownedComment xmi:id="_5NhhQ8FMEea5pdrFDq-m2g">
              <body>Vaccine recommendation applies to</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ng6PcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ng6PsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5NiIU8FMEea5pdrFDq-m2g" name="doseNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5NiIWcFMEea5pdrFDq-m2g">
              <body>This indicates the next recommended dose number (e.g. dose 2 is the next recommended dose).</body>
            </ownedComment>
            <ownedComment xmi:id="_5NiIV8FMEea5pdrFDq-m2g">
              <body>Recommended dose number</body>
            </ownedComment>
            <ownedComment xmi:id="_5NiIW8FMEea5pdrFDq-m2g">
              <body>May need other dose concepts such as administered vs. valid.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NiIVMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NiIVcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5NivYcFMEea5pdrFDq-m2g" name="forecastStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5NjWcsFMEea5pdrFDq-m2g">
              <body>Vaccine administration status.</body>
            </ownedComment>
            <ownedComment xmi:id="_5NjWcMFMEea5pdrFDq-m2g">
              <body>Vaccine administration status</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NivYsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NivY8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Nj9gcFMEea5pdrFDq-m2g" name="dateCriterion" type="_5NjWdMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Nj9hcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Nj9i8FMEea5pdrFDq-m2g">
              <body>Vaccine date recommendations.  For example, earliest date to administer, latest date to administer, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Nj9icFMEea5pdrFDq-m2g">
              <body>Dates governing proposed immunization</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nj9gsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nj9g8FMEea5pdrFDq-m2g" value="*"/>
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          <ownedAttribute xmi:id="_5NlyscFMEea5pdrFDq-m2g" name="protocol" type="_5NlLq8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5NlytcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5NmZwsFMEea5pdrFDq-m2g">
              <body>Contains information about the protocol under which the vaccine was administered.</body>
            </ownedComment>
            <ownedComment xmi:id="_5NmZwMFMEea5pdrFDq-m2g">
              <body>Protocol used by recommendation</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NlyssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nlys8FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5OBQgMFMEea5pdrFDq-m2g" name="supportingImmunization" type="_5Nnn6sFMEea5pdrFDq-m2g" isOrdered="true" association="_5OBQhMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OBQisFMEea5pdrFDq-m2g">
              <body>Immunization event history that supports the status and recommendation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OBQiMFMEea5pdrFDq-m2g">
              <body>Past immunizations supporting recommendation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OBQgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OBQgsFMEea5pdrFDq-m2g" value="*"/>
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            <ownedComment xmi:id="_5OB3l8FMEea5pdrFDq-m2g">
              <body>Patient Information that supports the status and recommendation.  This includes patient observations, adverse reactions and allergy/intolerance information.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OB3lcFMEea5pdrFDq-m2g">
              <body>Patient observations supporting recommendation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OBQjcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OBQjsFMEea5pdrFDq-m2g" value="*"/>
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            <generalization xmi:id="_5NjWdcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5NkkkMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5NlLocFMEea5pdrFDq-m2g">
                <body>Date classification of recommendation.  For example, earliest date to give, latest date to give, etc.</body>
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              <ownedComment xmi:id="_5Nkkl8FMEea5pdrFDq-m2g">
                <body>Type of date</body>
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              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NkkkcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NkkksFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5NlLo8FMEea5pdrFDq-m2g" name="value" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5NlLqcFMEea5pdrFDq-m2g">
                <body>The date whose meaning is specified by dateCriterion.code.</body>
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              <ownedComment xmi:id="_5NlLp8FMEea5pdrFDq-m2g">
                <body>Recommended date</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NlLpMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NlLpcFMEea5pdrFDq-m2g" value="1"/>
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          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5NlLq8FMEea5pdrFDq-m2g" name="Protocol">
            <generalization xmi:id="_5NlLrMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
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              <ownedComment xmi:id="_5NmZysFMEea5pdrFDq-m2g">
                <body>Indicates the nominal position in a series of the next dose.  This is the recommended dose number as per a specified protocol.</body>
              </ownedComment>
              <ownedComment xmi:id="_5NmZyMFMEea5pdrFDq-m2g">
                <body>Dose number within sequence</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NmZxcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NmZxsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5NmZzMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5NnA08FMEea5pdrFDq-m2g">
                <body>Contains the description about the protocol under which the vaccine was administered.</body>
              </ownedComment>
              <ownedComment xmi:id="_5NnA0cFMEea5pdrFDq-m2g">
                <body>Protocol details</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NmZzcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NmZzsFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5NnA1cFMEea5pdrFDq-m2g" name="authority" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5NnA2cFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Nnn4MFMEea5pdrFDq-m2g">
                <body>Indicates the authority who published the protocol.  For example, ACIP.</body>
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              <ownedComment xmi:id="_5NnA3cFMEea5pdrFDq-m2g">
                <body>Who is responsible for protocol</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NnA1sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NnA18FMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5Nnn4sFMEea5pdrFDq-m2g" name="series" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Nnn6MFMEea5pdrFDq-m2g">
                <body>One possible path to achieve presumed immunity against a disease - within the context of an authority.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Nnn5sFMEea5pdrFDq-m2g">
                <body>Name of vaccination series</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nnn48FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nnn5MFMEea5pdrFDq-m2g" value="1"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NfsF8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5NgTJcFMEea5pdrFDq-m2g" memberEnd="_5NgTJsFMEea5pdrFDq-m2g _5NgTIcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NgTKMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
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        <ownedEnd xmi:id="_5Nj9hsFMEea5pdrFDq-m2g" type="_5NfsHMFMEea5pdrFDq-m2g" association="_5Nj9hcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nj9iMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5NlytcFMEea5pdrFDq-m2g" memberEnd="_5NlytsFMEea5pdrFDq-m2g _5NlyscFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NlyuMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5NnA2cFMEea5pdrFDq-m2g" memberEnd="_5NnA2sFMEea5pdrFDq-m2g _5NnA1cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5NnA2sFMEea5pdrFDq-m2g" type="_5NlLq8FMEea5pdrFDq-m2g" association="_5NnA2cFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NnA3MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Nnn6sFMEea5pdrFDq-m2g" name="Immunization">
        <ownedComment xmi:id="_5NpdFsFMEea5pdrFDq-m2g">
          <body>Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed.</body>
        </ownedComment>
        <ownedComment xmi:id="_5NpdEcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Immunization Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5NpdFMFMEea5pdrFDq-m2g">
          <body>Immunization event information</body>
        </ownedComment>
        <ownedRule xmi:id="_5Nnn68FMEea5pdrFDq-m2g" name="imm-2" constrainedElement="_5Nnn6sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5NoO8MFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:wasNotGiven/@value=false() and exists(f:explanation/f:reasonNotGiven))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5NoO8sFMEea5pdrFDq-m2g" name="imm-1" constrainedElement="_5Nnn6sFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5NoO88FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:wasNotGiven/@value=true() and (count(f:reaction) > 0 or exists(f:explanation/f:reason)))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5NpdE8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5NpdGMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NpdHsFMEea5pdrFDq-m2g">
            <body>A unique identifier assigned to this immunization record.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NpdHMFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NpdGcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NpdGsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NqEIcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NqrNcFMEea5pdrFDq-m2g">
            <body>Indicates the current status of the vaccination event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NqrM8FMEea5pdrFDq-m2g">
            <body>completed | entered-in-error</body>
          </ownedComment>
          <ownedComment xmi:id="_5NqrN8FMEea5pdrFDq-m2g">
            <body>Will generally be set to show that the immunization has been completed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NqEIsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NqEI8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NrSQMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NrSRsFMEea5pdrFDq-m2g">
            <body>Date vaccine administered or was to be administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NrSRMFMEea5pdrFDq-m2g">
            <body>Vaccination administration date</body>
          </ownedComment>
          <ownedComment xmi:id="_5NrSSMFMEea5pdrFDq-m2g">
            <body>When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NrSQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NrSQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NrSSsFMEea5pdrFDq-m2g" name="vaccineCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Nr5U8FMEea5pdrFDq-m2g">
            <body>Vaccine that was administered or was to be administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nr5UcFMEea5pdrFDq-m2g">
            <body>Vaccine product administered</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NrSS8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NrSTMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Nr5VcFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Nr5WcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NsgZcFMEea5pdrFDq-m2g">
            <body>The patient who either received or did not receive the immunization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NsgY8FMEea5pdrFDq-m2g">
            <body>Who was immunized</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nr5VsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nr5V8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NsgZ8FMEea5pdrFDq-m2g" name="wasNotGiven" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NtHccFMEea5pdrFDq-m2g">
            <body>Indicates if the vaccination was or was not given.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nsga8FMEea5pdrFDq-m2g">
            <body>Flag for whether immunization was given</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NsgaMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NsgacFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NtHc8FMEea5pdrFDq-m2g" name="primarySource" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NtHecFMEea5pdrFDq-m2g">
            <body>An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NtHd8FMEea5pdrFDq-m2g">
            <body>Indicates context the data was recorded in</body>
          </ownedComment>
          <ownedComment xmi:id="_5NtHe8FMEea5pdrFDq-m2g">
            <body>Reflects the “reliability” of the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NtHdMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NtHdcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NtugMFMEea5pdrFDq-m2g" name="reportOrigin" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Nu8oMFMEea5pdrFDq-m2g">
            <body>The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NuVlsFMEea5pdrFDq-m2g">
            <body>Indicates the source of a secondarily reported record</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nu8osFMEea5pdrFDq-m2g">
            <body>Should not be populated if primarySource = True, will not be required even if primarySource = False.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NtugcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NtugsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Nu8pMFMEea5pdrFDq-m2g" name="performer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Nu8qMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Nu8rsFMEea5pdrFDq-m2g">
            <body>Clinician who administered the vaccine.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nu8rMFMEea5pdrFDq-m2g">
            <body>Who administered vaccine</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nu8pcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nu8psFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NwKwMFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5NwKxMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NwKysFMEea5pdrFDq-m2g">
            <body>The visit or admission or other contact between patient and health care provider the immunization was performed as part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NwKyMFMEea5pdrFDq-m2g">
            <body>Encounter administered as part of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NwKwcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NwKwsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Nwx2cFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5NxY4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5NxY5sFMEea5pdrFDq-m2g">
            <body>The service delivery location where the vaccine administration occurred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NxY5MFMEea5pdrFDq-m2g">
            <body>Where vaccination occurred</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nwx2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nwx28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NxY6MFMEea5pdrFDq-m2g" name="lotNumber" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NxY7sFMEea5pdrFDq-m2g">
            <body>Lot number of the  vaccine product.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NxY7MFMEea5pdrFDq-m2g">
            <body>Vaccine lot number</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NxY6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NxY6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Nx_8MFMEea5pdrFDq-m2g" name="expirationDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Nx_9sFMEea5pdrFDq-m2g">
            <body>Date vaccine batch expires.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nx_9MFMEea5pdrFDq-m2g">
            <body>Vaccine expiration date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nx_8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nx_8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Nx_-MFMEea5pdrFDq-m2g" name="site" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5NzOEsFMEea5pdrFDq-m2g">
            <body>Body site where vaccine was administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5NzOEMFMEea5pdrFDq-m2g">
            <body>Body site vaccine  was administered</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Nx_-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Nx_-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5NzOFMFMEea5pdrFDq-m2g" name="route" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5N0cMcFMEea5pdrFDq-m2g">
            <body>The path by which the vaccine product is taken into the body.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Nz1JsFMEea5pdrFDq-m2g">
            <body>How vaccine entered body</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5NzOFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NzOFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5N0cM8FMEea5pdrFDq-m2g" name="doseQuantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5N0cOcFMEea5pdrFDq-m2g">
            <body>The quantity of vaccine product that was administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5N0cN8FMEea5pdrFDq-m2g">
            <body>Amount of vaccine administered</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N0cNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N0cNcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5N0cO8FMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5N1DQsFMEea5pdrFDq-m2g">
            <body>Extra information about the immunization that is not conveyed by the other attributes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5N1DQMFMEea5pdrFDq-m2g">
            <body>Vaccination notes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N0cPMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N0cPcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5N7J4cFMEea5pdrFDq-m2g" name="vaccinationProtocol" type="_5N6i1cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5N7J5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5N7J68FMEea5pdrFDq-m2g">
            <body>Contains information about the protocol(s) under which the vaccine was administered.</body>
          </ownedComment>
          <ownedComment xmi:id="_5N7J6cFMEea5pdrFDq-m2g">
            <body>What protocol was followed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N7J4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N7J48FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5N1DRMFMEea5pdrFDq-m2g" name="Explanation">
          <generalization xmi:id="_5N1DRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5N1qXMFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N24csFMEea5pdrFDq-m2g">
              <body>Reasons why a vaccine was administered.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N24cMFMEea5pdrFDq-m2g">
              <body>Why immunization occurred</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N1qXcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N1qXsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5N24dMFMEea5pdrFDq-m2g" name="reasonNotGiven" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N4GlcFMEea5pdrFDq-m2g">
              <body>Reason why a vaccine was not administered.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N4Gk8FMEea5pdrFDq-m2g">
              <body>Why immunization did not occur</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N24dcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N24dsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5N4Gl8FMEea5pdrFDq-m2g" name="Reaction">
          <generalization xmi:id="_5N4GmMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5N5UtsFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N5UvMFMEea5pdrFDq-m2g">
              <body>Date of reaction to the immunization.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N5UusFMEea5pdrFDq-m2g">
              <body>When reaction started</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N5Ut8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N5UuMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5N57wMFMEea5pdrFDq-m2g" name="detail" type="_47eH8MFMEea5pdrFDq-m2g" isOrdered="true" association="_5N57xMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5N57ysFMEea5pdrFDq-m2g">
              <body>Details of the reaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N57yMFMEea5pdrFDq-m2g">
              <body>Additional information on reaction</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N57wcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N57wsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5N57zMFMEea5pdrFDq-m2g" name="reported" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N6i08FMEea5pdrFDq-m2g">
              <body>Self-reported indicator.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N6i0cFMEea5pdrFDq-m2g">
              <body>Indicates self-reported reaction</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N57zcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N57zsFMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5N6i1cFMEea5pdrFDq-m2g" name="VaccinationProtocol">
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          <ownedAttribute xmi:id="_5N7J7cFMEea5pdrFDq-m2g" name="doseSequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N7w88FMEea5pdrFDq-m2g">
              <body>Nominal position in a series.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N7w8cFMEea5pdrFDq-m2g">
              <body>Dose number within series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N7J7sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N7J78FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5N7w9cFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N7w-8FMEea5pdrFDq-m2g">
              <body>Contains the description about the protocol under which the vaccine was administered.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N7w-cFMEea5pdrFDq-m2g">
              <body>Details of vaccine protocol</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N7w9sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N7w98FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5N7w_cFMEea5pdrFDq-m2g" name="authority" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5N8YAcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5N8YB8FMEea5pdrFDq-m2g">
              <body>Indicates the authority who published the protocol.  E.g. ACIP.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N8YBcFMEea5pdrFDq-m2g">
              <body>Who is responsible for protocol</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N7w_sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N7w_8FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5N8YCcFMEea5pdrFDq-m2g" name="series" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N8_EcFMEea5pdrFDq-m2g">
              <body>One possible path to achieve presumed immunity against a disease - within the context of an authority.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N8YDcFMEea5pdrFDq-m2g">
              <body>Name of vaccine series</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N8YCsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N8YC8FMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5N8_E8FMEea5pdrFDq-m2g" name="seriesDoses" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N8_GcFMEea5pdrFDq-m2g">
              <body>The recommended number of doses to achieve immunity.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N8_F8FMEea5pdrFDq-m2g">
              <body>Recommended number of doses for immunity</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N8_FMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N8_FcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5N8_G8FMEea5pdrFDq-m2g" name="targetDisease" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5N_bUcFMEea5pdrFDq-m2g">
              <body>The targeted disease.</body>
            </ownedComment>
            <ownedComment xmi:id="_5N-0RsFMEea5pdrFDq-m2g">
              <body>Disease immunized against</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N8_HMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N8_HcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5N_bU8FMEea5pdrFDq-m2g" name="doseStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OACYsFMEea5pdrFDq-m2g">
              <body>Indicates if the immunization event should &quot;count&quot; against  the protocol.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OACYMFMEea5pdrFDq-m2g">
              <body>Indicates if dose counts towards immunity</body>
            </ownedComment>
            <ownedComment xmi:id="_5OACZMFMEea5pdrFDq-m2g">
              <body>May need to differentiate between status declarations by a provider vs. a CDS engine.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N_bVMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N_bVcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5OACZsFMEea5pdrFDq-m2g" name="doseStatusReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OApdcFMEea5pdrFDq-m2g">
              <body>Provides an explanation as to why an immunization event should or should not count against the protocol.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OApc8FMEea5pdrFDq-m2g">
              <body>Why dose does (not) count</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OACZ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OACaMFMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Nr5WcFMEea5pdrFDq-m2g" memberEnd="_5NsgYMFMEea5pdrFDq-m2g _5Nr5VcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5NsgYsFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
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      </packagedElement>
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      </packagedElement>
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      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5N7J5cFMEea5pdrFDq-m2g" memberEnd="_5N7J5sFMEea5pdrFDq-m2g _5N7J4cFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5N8YAcFMEea5pdrFDq-m2g" memberEnd="_5N8YAsFMEea5pdrFDq-m2g _5N7w_cFMEea5pdrFDq-m2g">
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5N8YA8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5N8YBMFMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OBQhMFMEea5pdrFDq-m2g" memberEnd="_5OBQhcFMEea5pdrFDq-m2g _5OBQgMFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OB3kcFMEea5pdrFDq-m2g" memberEnd="_5OB3ksFMEea5pdrFDq-m2g _5OBQjMFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5OCeocFMEea5pdrFDq-m2g" name="Bundle">
        <ownedComment xmi:id="_5OGJB8FMEea5pdrFDq-m2g">
          <body>A container for a collection of resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_5OGJAsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Bundle Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5OGJBcFMEea5pdrFDq-m2g">
          <body>Contains a collection of resources</body>
        </ownedComment>
        <ownedRule xmi:id="_5OCeosFMEea5pdrFDq-m2g" name="bdl-7" constrainedElement="_5OCeocFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5OCeo8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>count(for $entry in f:entry[f:resource] return $entry[count(parent::f:Bundle/f:entry[f:fullUrl/@value=$entry/f:fullUrl/@value and ((not(f:resource/*/f:meta/f:versionId/@value) and not($entry/f:resource/*/f:meta/f:versionId/@value)) or f:resource/*/f:meta/f:versionId/@value=$entry/f:resource/*/f:meta/f:versionId/@value)])!=1])=0</body>
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        </ownedRule>
        <ownedRule xmi:id="_5ODFsMFMEea5pdrFDq-m2g" name="bdl-9" constrainedElement="_5OCeocFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5ODFscFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:type/@value = 'document') or exists(f:identifier/f:system) or exists(f:identifier/f:value)</body>
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        </ownedRule>
        <ownedRule xmi:id="_5ODFs8FMEea5pdrFDq-m2g" name="bdl-3" constrainedElement="_5OCeocFMEea5pdrFDq-m2g _5OPS8cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5ODFtMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:entry/f:request) or (f:type/@value = 'batch') or (f:type/@value = 'transaction') or (f:type/@value = 'history')</body>
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        </ownedRule>
        <ownedRule xmi:id="_5ODswcFMEea5pdrFDq-m2g" name="bdl-4" constrainedElement="_5OCeocFMEea5pdrFDq-m2g _5OS9UMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5ODswsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:entry/f:response) or (f:type/@value = 'batch-response') or (f:type/@value = 'transaction-response')</body>
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        </ownedRule>
        <ownedRule xmi:id="_5ODsxMFMEea5pdrFDq-m2g" name="bdl-1" constrainedElement="_5OCeocFMEea5pdrFDq-m2g _5OH-MsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5ODsxcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:total) or (f:type/@value = 'searchset') or (f:type/@value = 'history')</body>
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        </ownedRule>
        <ownedRule xmi:id="_5OET0cFMEea5pdrFDq-m2g" name="bdl-2" constrainedElement="_5OCeocFMEea5pdrFDq-m2g _5OM2scFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5OET0sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(f:entry/f:search) or (f:type/@value = 'searchset')</body>
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        </ownedRule>
        <ownedRule xmi:id="_5OE64cFMEea5pdrFDq-m2g" name="bdl-8" constrainedElement="_5OKaccFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5OE64sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:fullUrl[contains(@value, '/_history/')]))</body>
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        </ownedRule>
        <ownedRule xmi:id="_5OE65MFMEea5pdrFDq-m2g" name="bdl-5" constrainedElement="_5OKaccFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5OE65cFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:resource) or exists(f:request) or exists(f:response)</body>
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        </ownedRule>
        <generalization xmi:id="_5OGJBMFMEea5pdrFDq-m2g" general="_4a-C9MFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5OGJCcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OHXIsFMEea5pdrFDq-m2g">
            <body>Indicates the purpose of this bundle- how it was intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OHXIMFMEea5pdrFDq-m2g">
            <body>document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection</body>
          </ownedComment>
          <ownedComment xmi:id="_5OHXJMFMEea5pdrFDq-m2g">
            <body>It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OGJCsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5OHXJsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OHXLMFMEea5pdrFDq-m2g">
            <body>A persistent identifier for the batch that won't change as a batch is copied from server to server.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OHXKsFMEea5pdrFDq-m2g">
            <body>Persistent identifier for the bundle</body>
          </ownedComment>
          <ownedComment xmi:id="_5OH-MMFMEea5pdrFDq-m2g">
            <body>Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results, and servers ignore Bundle.identifier when processing batches and transactions. For Documents, the .identifier SHALL be populated such that the .identifier is globally unique.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OHXJ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OHXKMFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_5OH-OMFMEea5pdrFDq-m2g">
            <body>If a set of search matches, this is the total number of matches for the search (as opposed to the number of results in this bundle).</body>
          </ownedComment>
          <ownedComment xmi:id="_5OH-NsFMEea5pdrFDq-m2g">
            <body>If search, the total number of matches</body>
          </ownedComment>
          <ownedComment xmi:id="_5OH-OsFMEea5pdrFDq-m2g">
            <body>Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OH-M8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OH-NMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OIlQcFMEea5pdrFDq-m2g" name="link" type="_5OH-PMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OIlRcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OJMUsFMEea5pdrFDq-m2g">
            <body>A series of links that provide context to this bundle.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OJMUMFMEea5pdrFDq-m2g">
            <body>Links related to this Bundle</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OIlQsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OIlQ8FMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5OKaccFMEea5pdrFDq-m2g" name="entry" type="_5OJzZ8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OKadcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OKae8FMEea5pdrFDq-m2g">
            <body>An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).</body>
          </ownedComment>
          <ownedComment xmi:id="_5OKaecFMEea5pdrFDq-m2g">
            <body>Entry in the bundle - will have a resource, or information</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OKacsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OKac8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OVZlMFMEea5pdrFDq-m2g" name="signature" type="_4lJSoMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OVZmsFMEea5pdrFDq-m2g">
            <body>Digital Signature - base64 encoded. XML DigSIg or a JWT.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OVZmMFMEea5pdrFDq-m2g">
            <body>Digital Signature</body>
          </ownedComment>
          <ownedComment xmi:id="_5OVZnMFMEea5pdrFDq-m2g">
            <body>The signature could be created by the &quot;author&quot; of the bundle or by the originating device.   Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OWAoMFMEea5pdrFDq-m2g">
            <body>This element allows capturing signatures on documents. It also allows signatures on messages, transactions or even query responses. It may support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OVZlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OVZlsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5OH-PMFMEea5pdrFDq-m2g" name="Link">
          <generalization xmi:id="_5OH-PcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5OJMVMFMEea5pdrFDq-m2g" name="relation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OJMWsFMEea5pdrFDq-m2g">
              <body>A name which details the functional use for this link - see [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).</body>
            </ownedComment>
            <ownedComment xmi:id="_5OJMWMFMEea5pdrFDq-m2g">
              <body>See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OJMVcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OJMVsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OJMXMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OJzZcFMEea5pdrFDq-m2g">
              <body>The reference details for the link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OJzY8FMEea5pdrFDq-m2g">
              <body>Reference details for the link</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OJzYMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OJzYcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5OJzZ8FMEea5pdrFDq-m2g" name="Entry">
          <generalization xmi:id="_5OJzaMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5OLBgMFMEea5pdrFDq-m2g" name="link" type="_5OH-PMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OLBhMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OLBisFMEea5pdrFDq-m2g">
              <body>A series of links that provide context to this entry.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OLBiMFMEea5pdrFDq-m2g">
              <body>Links related to this entry</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OLBgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OLBgsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OLokMFMEea5pdrFDq-m2g" name="fullUrl" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OLolsFMEea5pdrFDq-m2g">
              <body>The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:  * fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) * Results from operations might involve resources that are not identified.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OLolMFMEea5pdrFDq-m2g">
              <body>Absolute URL for resource (server address, or UUID/OID)</body>
            </ownedComment>
            <ownedComment xmi:id="_5OLomMFMEea5pdrFDq-m2g">
              <body>fullUrl may not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](references.html#regex), then it SHALL end with the Resource.id.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OLokcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OLoksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OLomsFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5OMPoMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OMPpsFMEea5pdrFDq-m2g">
              <body>The Resources for the entry.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OMPpMFMEea5pdrFDq-m2g">
              <body>A resource in the bundle</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OLom8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OLonMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OM2scFMEea5pdrFDq-m2g" name="search" type="_5OMPqMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OM2tcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5ONdwsFMEea5pdrFDq-m2g">
              <body>Information about the search process that lead to the creation of this entry.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ONdwMFMEea5pdrFDq-m2g">
              <body>Search related information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OM2ssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OM2s8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OPS8cFMEea5pdrFDq-m2g" name="request" type="_5OOr5sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OPS9cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OPS-8FMEea5pdrFDq-m2g">
              <body>Additional information about how this entry should be processed as part of a transaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OPS-cFMEea5pdrFDq-m2g">
              <body>Transaction Related Information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OPS8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OPS88FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OS9UMFMEea5pdrFDq-m2g" name="response" type="_5OSWRMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OS9VMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OS9WsFMEea5pdrFDq-m2g">
              <body>Additional information about how this entry should be processed as part of a transaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OS9WMFMEea5pdrFDq-m2g">
              <body>Transaction Related Information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OS9UcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OS9UsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5OMPqMFMEea5pdrFDq-m2g" name="Search">
            <generalization xmi:id="_5OMPqcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5ONdxMFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OOE08FMEea5pdrFDq-m2g">
                <body>Why this entry is in the result set - whether it's included as a match or because of an _include requirement.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OOE0cFMEea5pdrFDq-m2g">
                <body>match | include | outcome - why this is in the result set</body>
              </ownedComment>
              <ownedComment xmi:id="_5OOE1cFMEea5pdrFDq-m2g">
                <body>There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ONdxcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ONdxsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OOE18FMEea5pdrFDq-m2g" name="score" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OOr4sFMEea5pdrFDq-m2g">
                <body>When searching, the server's search ranking score for the entry.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OOr4MFMEea5pdrFDq-m2g">
                <body>Search ranking (between 0 and 1)</body>
              </ownedComment>
              <ownedComment xmi:id="_5OOr5MFMEea5pdrFDq-m2g">
                <body>Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OOE2MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OOE2cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5OOr5sFMEea5pdrFDq-m2g" name="Request">
            <generalization xmi:id="_5OOr58FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5OP6AMFMEea5pdrFDq-m2g" name="method" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OQhEsFMEea5pdrFDq-m2g">
                <body>The HTTP verb for this entry in either a change history, or a transaction/ transaction response.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OQhEMFMEea5pdrFDq-m2g">
                <body>GET | POST | PUT | DELETE</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OP6AcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OP6AsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OQhFMFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OQhGsFMEea5pdrFDq-m2g">
                <body>The URL for this entry, relative to the root (the address to which the request is posted).</body>
              </ownedComment>
              <ownedComment xmi:id="_5OQhGMFMEea5pdrFDq-m2g">
                <body>URL for HTTP equivalent of this entry</body>
              </ownedComment>
              <ownedComment xmi:id="_5OQhHMFMEea5pdrFDq-m2g">
                <body>E.g. for a Patient Create, the method would be &quot;POST&quot; and the URL would be &quot;Patient&quot;. For a Patient Update, the method would be PUT, and the URL would be &quot;Patient/[id]&quot;.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OQhFcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OQhFsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ORIIMFMEea5pdrFDq-m2g" name="ifNoneMatch" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ORIJsFMEea5pdrFDq-m2g">
                <body>If the ETag values match, return a 304 Not modified status. See the API documentation for [&quot;Conditional Read&quot;](http.html#cread).</body>
              </ownedComment>
              <ownedComment xmi:id="_5ORIJMFMEea5pdrFDq-m2g">
                <body>For managing cache currency</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ORIIcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ORIIsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ORIKMFMEea5pdrFDq-m2g" name="ifModifiedSince" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ORvMMFMEea5pdrFDq-m2g">
                <body>Only perform the operation if the last updated date matches. See the API documentation for [&quot;Conditional Read&quot;](http.html#cread).</body>
              </ownedComment>
              <ownedComment xmi:id="_5ORILMFMEea5pdrFDq-m2g">
                <body>For managing update contention</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ORIKcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ORIKsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ORvMsFMEea5pdrFDq-m2g" name="ifMatch" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ORvOMFMEea5pdrFDq-m2g">
                <body>Only perform the operation if the Etag value matches. For more information, see the API section [&quot;Managing Resource Contention&quot;](http.html#concurrency).</body>
              </ownedComment>
              <ownedComment xmi:id="_5ORvNsFMEea5pdrFDq-m2g">
                <body>For managing update contention</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ORvM8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ORvNMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ORvOsFMEea5pdrFDq-m2g" name="ifNoneExist" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OSWQsFMEea5pdrFDq-m2g">
                <body>Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [&quot;Conditional Create&quot;](http.html#ccreate). This is just the query portion of the URL - what follows the &quot;?&quot; (not including the &quot;?&quot;).</body>
              </ownedComment>
              <ownedComment xmi:id="_5OSWQMFMEea5pdrFDq-m2g">
                <body>For conditional creates</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ORvO8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ORvPMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5OSWRMFMEea5pdrFDq-m2g" name="Response">
            <generalization xmi:id="_5OSWRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5OS9XMFMEea5pdrFDq-m2g" name="status" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OTkY8FMEea5pdrFDq-m2g">
                <body>The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OTkYcFMEea5pdrFDq-m2g">
                <body>Status response code (text optional)</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OS9XcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OS9XsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OTkZcFMEea5pdrFDq-m2g" name="location" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OTka8FMEea5pdrFDq-m2g">
                <body>The location header created by processing this operation.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OTkacFMEea5pdrFDq-m2g">
                <body>The location, if the operation returns a location</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OTkZsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OTkZ8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OTkbcFMEea5pdrFDq-m2g" name="etag" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OULdcFMEea5pdrFDq-m2g">
                <body>The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)).</body>
              </ownedComment>
              <ownedComment xmi:id="_5OULc8FMEea5pdrFDq-m2g">
                <body>The etag for the resource (if relevant)</body>
              </ownedComment>
              <ownedComment xmi:id="_5OULd8FMEea5pdrFDq-m2g">
                <body>Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OULcMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OULccFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OULecFMEea5pdrFDq-m2g" name="lastModified" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5OUygMFMEea5pdrFDq-m2g">
                <body>The date/time that the resource was modified on the server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OULfcFMEea5pdrFDq-m2g">
                <body>Server's date time modified</body>
              </ownedComment>
              <ownedComment xmi:id="_5OUygsFMEea5pdrFDq-m2g">
                <body>This has to match the same time in the meta header if a resource is included.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OULesFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OULe8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OUyhMFMEea5pdrFDq-m2g" name="outcome" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5OUyiMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5OVZkMFMEea5pdrFDq-m2g">
                <body>An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OUyjMFMEea5pdrFDq-m2g">
                <body>OperationOutcome with hints and warnings (for batch/transaction)</body>
              </ownedComment>
              <ownedComment xmi:id="_5OVZksFMEea5pdrFDq-m2g">
                <body>For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = oprationoutcome - except that the resource is always returned whether or not the outcome is returned.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OUyhcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OUyhsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OIlRcFMEea5pdrFDq-m2g" memberEnd="_5OIlRsFMEea5pdrFDq-m2g _5OIlQcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OIlRsFMEea5pdrFDq-m2g" type="_5OCeocFMEea5pdrFDq-m2g" association="_5OIlRcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OIlR8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OIlSMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OKadcFMEea5pdrFDq-m2g" memberEnd="_5OKadsFMEea5pdrFDq-m2g _5OKaccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OKadsFMEea5pdrFDq-m2g" type="_5OCeocFMEea5pdrFDq-m2g" association="_5OKadcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OKad8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OKaeMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OLBhMFMEea5pdrFDq-m2g" memberEnd="_5OLBhcFMEea5pdrFDq-m2g _5OLBgMFMEea5pdrFDq-m2g">
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      </packagedElement>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OS9V8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OUyiMFMEea5pdrFDq-m2g" memberEnd="_5OUyicFMEea5pdrFDq-m2g _5OUyhMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OUyi8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5OWAosFMEea5pdrFDq-m2g" name="TestReport">
        <ownedComment xmi:id="_5OX10MFMEea5pdrFDq-m2g">
          <body>TestReport is a resource that includes summary information on the results of executing a TestScript.</body>
        </ownedComment>
        <ownedComment xmi:id="_5OXOwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for TestReport Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5OXOxcFMEea5pdrFDq-m2g">
          <body>Describes a set of tests</body>
        </ownedComment>
        <ownedRule xmi:id="_5OWAo8FMEea5pdrFDq-m2g" name="inv-1" constrainedElement="_5Oejg8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5OWApMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:operation or f:assert) and not(f:operation and f:assert)</body>
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        </ownedRule>
        <ownedRule xmi:id="_5OWnscFMEea5pdrFDq-m2g" name="inv-2" constrainedElement="_5Ol4QcFMEea5pdrFDq-m2g">
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            <language>XPath</language>
            <body>(f:operation or f:assert) and not(f:operation and f:assert)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5OXOxMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5OX10sFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OX12MFMEea5pdrFDq-m2g">
            <body>Identifier for the TestScript assigned for external purposes outside the context of FHIR.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OX11sFMEea5pdrFDq-m2g">
            <body>External identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OX108FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OX11MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OX12sFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OYc4cFMEea5pdrFDq-m2g">
            <body>A free text natural language name identifying the executed TestScript.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OX13sFMEea5pdrFDq-m2g">
            <body>Informal name of the executed TestScript</body>
          </ownedComment>
          <ownedComment xmi:id="_5OYc48FMEea5pdrFDq-m2g">
            <body>Not expected to be globally unique.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OX128FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OX13MFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5OYc5cFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OZD88FMEea5pdrFDq-m2g">
            <body>The status of the TestReport.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OZD8cFMEea5pdrFDq-m2g">
            <body>complete | pending | error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OYc5sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OYc58FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OZD9cFMEea5pdrFDq-m2g" name="score" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OZrAMFMEea5pdrFDq-m2g">
            <body>The final score (percentage of tests passed) resulting from the execution of the TestScript.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OZD-cFMEea5pdrFDq-m2g">
            <body>The final score (percentage of tests passed) resulting from the execution of the TestScript</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OZD9sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OZD98FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OZrAsFMEea5pdrFDq-m2g" name="tester" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OZrCMFMEea5pdrFDq-m2g">
            <body>Name of the tester producing this report (Organization or individual).</body>
          </ownedComment>
          <ownedComment xmi:id="_5OZrBsFMEea5pdrFDq-m2g">
            <body>Name of the tester producing this report (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5OZrCsFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OZrDMFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the TestReport.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OZrA8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OZrBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OaSEMFMEea5pdrFDq-m2g" name="testScript" type="_5IlW4MFMEea5pdrFDq-m2g" isOrdered="true" association="_5OaSFMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OaSGsFMEea5pdrFDq-m2g">
            <body>Ideally this is an absolute URL that is used to identify the version-specific TestScript that was executed, matching the `TestScript.url`.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OaSGMFMEea5pdrFDq-m2g">
            <body>Reference to the  version-specific TestScript that was executed to produce this TestReport</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OaSEcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OaSEsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5OaSHMFMEea5pdrFDq-m2g" name="issued" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Oa5IsFMEea5pdrFDq-m2g">
            <body>When the TestScript was executed and this TestReport was generated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Oa5IMFMEea5pdrFDq-m2g">
            <body>When the TestScript was executed and this TestReport was generated</body>
          </ownedComment>
          <ownedComment xmi:id="_5Oa5JMFMEea5pdrFDq-m2g">
            <body>Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OaSHcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OaSHsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ObgMcFMEea5pdrFDq-m2g" name="participant" type="_5Oa5JsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5ObgNcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5ObgO8FMEea5pdrFDq-m2g">
            <body>A participant in the test execution, either the execution engine, a client, or a server.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ObgOcFMEea5pdrFDq-m2g">
            <body>A participant in the test execution, either the execution engine, a client, or a server</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ObgMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ObgM8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Od8ccFMEea5pdrFDq-m2g" name="setup" type="_5OdVaMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Od8dcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Od8e8FMEea5pdrFDq-m2g">
            <body>The results of the series of required setup operations before the tests were executed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Od8ecFMEea5pdrFDq-m2g">
            <body>The results of the series of required setup operations before the tests were executed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Od8csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Od8c8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OkDFcFMEea5pdrFDq-m2g" name="test" type="_5OkDEsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OkqIcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OkqJ8FMEea5pdrFDq-m2g">
            <body>A test executed from the test script.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OkqJcFMEea5pdrFDq-m2g">
            <body>A test executed from the test script</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OkDFsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OkDF8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OntdcFMEea5pdrFDq-m2g" name="teardown" type="_5OntcsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OoUgcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OoUh8FMEea5pdrFDq-m2g">
            <body>The results of the series of operations required to clean up after the all the tests were executed (successfully or otherwise).</body>
          </ownedComment>
          <ownedComment xmi:id="_5OoUhcFMEea5pdrFDq-m2g">
            <body>The results of running the series of required clean up steps</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OntdsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ontd8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Oa5JsFMEea5pdrFDq-m2g" name="Participant">
          <generalization xmi:id="_5Oa5J8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5OcHQcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OcuUsFMEea5pdrFDq-m2g">
              <body>The type of participant.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OcuUMFMEea5pdrFDq-m2g">
              <body>test-engine | client | server</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OcHQsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OcHQ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OcuVMFMEea5pdrFDq-m2g" name="uri" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OcuWsFMEea5pdrFDq-m2g">
              <body>The uri of the participant. An absolute URL is preferred.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OcuWMFMEea5pdrFDq-m2g">
              <body>The uri of the participant. An absolute URL is preferred</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OcuVcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OcuVsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OdVYMFMEea5pdrFDq-m2g" name="display" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OdVZsFMEea5pdrFDq-m2g">
              <body>The display name of the participant.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OdVZMFMEea5pdrFDq-m2g">
              <body>The display name of the participant</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OdVYcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OdVYsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5OdVaMFMEea5pdrFDq-m2g" name="Setup">
          <generalization xmi:id="_5OdVacFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Oejg8FMEea5pdrFDq-m2g" name="action" type="_5OejgMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OfKkMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OfKlsFMEea5pdrFDq-m2g">
              <body>Action would contain either an operation or an assertion.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OfKlMFMEea5pdrFDq-m2g">
              <body>A setup operation or assert that was executed</body>
            </ownedComment>
            <ownedComment xmi:id="_5OfKmMFMEea5pdrFDq-m2g">
              <body>An action should contain either an operation or an assertion but not both.  It can contain any number of variables.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OejhMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OejhcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5OejgMFMEea5pdrFDq-m2g" name="SetupAction">
            <generalization xmi:id="_5OejgcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5OfxocFMEea5pdrFDq-m2g" name="operation" type="_5OfKmsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OfxpcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Ofxq8FMEea5pdrFDq-m2g">
                <body>The operation performed.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OfxqcFMEea5pdrFDq-m2g">
                <body>The operation to perform</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OfxosFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ofxo8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OiN4cFMEea5pdrFDq-m2g" name="assert" type="_5Ohm2cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OiN5cFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5OiN68FMEea5pdrFDq-m2g">
                <body>The results of the assertion performed on the previous operations.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OiN6cFMEea5pdrFDq-m2g">
                <body>The assertion to perform</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OiN4sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OiN48FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5OfKmsFMEea5pdrFDq-m2g" name="Operation">
              <generalization xmi:id="_5OfKm8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5OgYsMFMEea5pdrFDq-m2g" name="result" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Og_wsFMEea5pdrFDq-m2g">
                  <body>The result of this operation.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Og_wMFMEea5pdrFDq-m2g">
                  <body>pass | skip | fail | warning | error</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OgYscFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OgYssFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Og_xMFMEea5pdrFDq-m2g" name="message" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Og_ysFMEea5pdrFDq-m2g">
                  <body>An explanatory message associated with the result.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Og_yMFMEea5pdrFDq-m2g">
                  <body>A message associated with the result</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Og_xcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Og_xsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Ohm0cFMEea5pdrFDq-m2g" name="detail" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Ohm18FMEea5pdrFDq-m2g">
                  <body>A link to further details on the result.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Ohm1cFMEea5pdrFDq-m2g">
                  <body>A link to further details on the result</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ohm0sFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ohm08FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5Ohm2cFMEea5pdrFDq-m2g" name="Assert">
              <generalization xmi:id="_5Ohm2sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5Oi08cFMEea5pdrFDq-m2g" name="result" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Oi0-MFMEea5pdrFDq-m2g">
                  <body>The result of this assertion.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Oi09sFMEea5pdrFDq-m2g">
                  <body>pass | skip | fail | warning | error</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Oi08sFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oi088FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5OjcAcFMEea5pdrFDq-m2g" name="message" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5OjcB8FMEea5pdrFDq-m2g">
                  <body>An explanatory message associated with the result.</body>
                </ownedComment>
                <ownedComment xmi:id="_5OjcBcFMEea5pdrFDq-m2g">
                  <body>A message associated with the result</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OjcAsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OjcA8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5OjcCcFMEea5pdrFDq-m2g" name="detail" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5OkDEMFMEea5pdrFDq-m2g">
                  <body>A link to further details on the result.</body>
                </ownedComment>
                <ownedComment xmi:id="_5OjcDcFMEea5pdrFDq-m2g">
                  <body>A link to further details on the result</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OjcCsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OjcC8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5OkDEsFMEea5pdrFDq-m2g" name="Test">
          <generalization xmi:id="_5OkDE8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5OkqKcFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OlRMsFMEea5pdrFDq-m2g">
              <body>The name of this test used for tracking/logging purposes by test engines.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OlRMMFMEea5pdrFDq-m2g">
              <body>Tracking/logging name of this test</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OkqKsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OkqK8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5OlRNMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5OlROsFMEea5pdrFDq-m2g">
              <body>A short description of the test used by test engines for tracking and reporting purposes.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OlROMFMEea5pdrFDq-m2g">
              <body>Tracking/reporting short description of the test</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OlRNcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OlRNsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ol4QcFMEea5pdrFDq-m2g" name="action" type="_5OlRPMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OmfUMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5OmfVsFMEea5pdrFDq-m2g">
              <body>Action would contain either an operation or an assertion.</body>
            </ownedComment>
            <ownedComment xmi:id="_5OmfVMFMEea5pdrFDq-m2g">
              <body>A test operation or assert that was performed</body>
            </ownedComment>
            <ownedComment xmi:id="_5OmfWMFMEea5pdrFDq-m2g">
              <body>An action should contain either an operation or an assertion but not both.  It can contain any number of variables.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ol4QsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ol4Q8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5OlRPMFMEea5pdrFDq-m2g" name="TestAction">
            <generalization xmi:id="_5OlRPcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5OmfWsFMEea5pdrFDq-m2g" name="operation" type="_5OfKmsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OmfXsFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5OnGZcFMEea5pdrFDq-m2g">
                <body>An operation would involve a REST request to a server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OnGY8FMEea5pdrFDq-m2g">
                <body>The operation performed</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OmfW8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OmfXMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5OnGZ8FMEea5pdrFDq-m2g" name="assert" type="_5Ohm2cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5OnGa8FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5OntcMFMEea5pdrFDq-m2g">
                <body>The results of the assertion performed on the previous operations.</body>
              </ownedComment>
              <ownedComment xmi:id="_5OnGb8FMEea5pdrFDq-m2g">
                <body>The assertion performed</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OnGaMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OnGacFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5OntcsFMEea5pdrFDq-m2g" name="Teardown">
          <generalization xmi:id="_5Ontc8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Oo7kcFMEea5pdrFDq-m2g" name="action" type="_5OoUicFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Oo7lcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Oo7m8FMEea5pdrFDq-m2g">
              <body>The teardown action will only contain an operation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Oo7mcFMEea5pdrFDq-m2g">
              <body>One or more teardown operations performed</body>
            </ownedComment>
            <ownedComment xmi:id="_5OpiocFMEea5pdrFDq-m2g">
              <body>An action should contain either an operation or an assertion but not both.  It can contain any number of variables.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Oo7ksFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oo7k8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5OoUicFMEea5pdrFDq-m2g" name="TeardownAction">
            <generalization xmi:id="_5OoUisFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5Opio8FMEea5pdrFDq-m2g" name="operation" type="_5OfKmsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Opip8FMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5OpircFMEea5pdrFDq-m2g">
                <body>An operation would involve a REST request to a server.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Opiq8FMEea5pdrFDq-m2g">
                <body>The teardown operation performed</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OpipMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OpipcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OaSFMFMEea5pdrFDq-m2g" memberEnd="_5OaSFcFMEea5pdrFDq-m2g _5OaSEMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OaSFcFMEea5pdrFDq-m2g" type="_5OWAosFMEea5pdrFDq-m2g" association="_5OaSFMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OaSFsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OaSF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5ObgNcFMEea5pdrFDq-m2g" memberEnd="_5ObgNsFMEea5pdrFDq-m2g _5ObgMcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5ObgNsFMEea5pdrFDq-m2g" type="_5OWAosFMEea5pdrFDq-m2g" association="_5ObgNcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ObgN8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ObgOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Od8dcFMEea5pdrFDq-m2g" memberEnd="_5Od8dsFMEea5pdrFDq-m2g _5Od8ccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Od8dsFMEea5pdrFDq-m2g" type="_5OWAosFMEea5pdrFDq-m2g" association="_5Od8dcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Od8d8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Od8eMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OfKkMFMEea5pdrFDq-m2g" memberEnd="_5OfKkcFMEea5pdrFDq-m2g _5Oejg8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OfKkcFMEea5pdrFDq-m2g" type="_5OdVaMFMEea5pdrFDq-m2g" association="_5OfKkMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OfKksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OfKk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OfxpcFMEea5pdrFDq-m2g" memberEnd="_5OfxpsFMEea5pdrFDq-m2g _5OfxocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OfxpsFMEea5pdrFDq-m2g" type="_5OejgMFMEea5pdrFDq-m2g" association="_5OfxpcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ofxp8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OfxqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OiN5cFMEea5pdrFDq-m2g" memberEnd="_5OiN5sFMEea5pdrFDq-m2g _5OiN4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OiN5sFMEea5pdrFDq-m2g" type="_5OejgMFMEea5pdrFDq-m2g" association="_5OiN5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OiN58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OiN6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OkqIcFMEea5pdrFDq-m2g" memberEnd="_5OkqIsFMEea5pdrFDq-m2g _5OkDFcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OkqIsFMEea5pdrFDq-m2g" type="_5OWAosFMEea5pdrFDq-m2g" association="_5OkqIcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OkqI8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OkqJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OmfUMFMEea5pdrFDq-m2g" memberEnd="_5OmfUcFMEea5pdrFDq-m2g _5Ol4QcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OmfUcFMEea5pdrFDq-m2g" type="_5OkDEsFMEea5pdrFDq-m2g" association="_5OmfUMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OmfUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OmfU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OmfXsFMEea5pdrFDq-m2g" memberEnd="_5OnGYMFMEea5pdrFDq-m2g _5OmfWsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OnGYMFMEea5pdrFDq-m2g" type="_5OlRPMFMEea5pdrFDq-m2g" association="_5OmfXsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OnGYcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OnGYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OnGa8FMEea5pdrFDq-m2g" memberEnd="_5OnGbMFMEea5pdrFDq-m2g _5OnGZ8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OnGbMFMEea5pdrFDq-m2g" type="_5OlRPMFMEea5pdrFDq-m2g" association="_5OnGa8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OnGbcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OnGbsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OoUgcFMEea5pdrFDq-m2g" memberEnd="_5OoUgsFMEea5pdrFDq-m2g _5OntdcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OoUgsFMEea5pdrFDq-m2g" type="_5OWAosFMEea5pdrFDq-m2g" association="_5OoUgcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OoUg8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OoUhMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Oo7lcFMEea5pdrFDq-m2g" memberEnd="_5Oo7lsFMEea5pdrFDq-m2g _5Oo7kcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Oo7lsFMEea5pdrFDq-m2g" type="_5OntcsFMEea5pdrFDq-m2g" association="_5Oo7lcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Oo7l8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oo7mMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Opip8FMEea5pdrFDq-m2g" memberEnd="_5OpiqMFMEea5pdrFDq-m2g _5Opio8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OpiqMFMEea5pdrFDq-m2g" type="_5OoUicFMEea5pdrFDq-m2g" association="_5Opip8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OpiqcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OpiqsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5OqJscFMEea5pdrFDq-m2g" name="EligibilityResponse">
        <ownedComment xmi:id="_5Oqwx8FMEea5pdrFDq-m2g">
          <body>This resource provides eligibility and plan details from the processing of an Eligibility resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_5OqwwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for EligibilityResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5OqwxcFMEea5pdrFDq-m2g">
          <body>EligibilityResponse resource</body>
        </ownedComment>
        <generalization xmi:id="_5OqwxMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5OqwycFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OrX0MFMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OqwzcFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OqwysFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oqwy8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OrX0sFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OrX2cFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OrX18FMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OrX08FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OrX1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Or-4MFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Or-5sFMEea5pdrFDq-m2g">
            <body>The date when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Or-5MFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Or-4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Or-4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Or-6MFMEea5pdrFDq-m2g" name="requestProvider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Osl8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Osl98FMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Osl9cFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Or-6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Or-6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Osl-cFMEea5pdrFDq-m2g" name="requestOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5OtNAMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OtNBsFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OtNBMFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Osl-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Osl-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O2-AMFMEea5pdrFDq-m2g" name="request" type="_5OtNCMFMEea5pdrFDq-m2g" isOrdered="true" association="_5O2-BMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5O2-CsFMEea5pdrFDq-m2g">
            <body>Original request resource reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O2-CMFMEea5pdrFDq-m2g">
            <body>Eligibility reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O2-AcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O2-AsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O3lEMFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5O3lF8FMEea5pdrFDq-m2g">
            <body>Transaction status: error, complete.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O3lFcFMEea5pdrFDq-m2g">
            <body>complete | error | partial</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O3lEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O3lEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O4MIMFMEea5pdrFDq-m2g" name="disposition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5O4MJsFMEea5pdrFDq-m2g">
            <body>A description of the status of the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O4MJMFMEea5pdrFDq-m2g">
            <body>Disposition Message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O4MIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O4MIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O4MKMFMEea5pdrFDq-m2g" name="insurer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5O4zMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5O4zNsFMEea5pdrFDq-m2g">
            <body>The Insurer who produced this adjudicated response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O4zNMFMEea5pdrFDq-m2g">
            <body>Insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O4MKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O4MKsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O4zOMFMEea5pdrFDq-m2g" name="inforce" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5O4zPsFMEea5pdrFDq-m2g">
            <body>Flag indicating if the coverage provided is inforce currently  if no service date(s) specified or for the whole duration of the service dates.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O4zPMFMEea5pdrFDq-m2g">
            <body>Coverage inforce</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O4zOcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O4zOsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O5aQ8FMEea5pdrFDq-m2g" name="insurance" type="_5O5aQMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5O6BUMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5O6BVsFMEea5pdrFDq-m2g">
            <body>The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O6BVMFMEea5pdrFDq-m2g">
            <body>Details by insurance coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O5aRMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O5aRcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PDyWcFMEea5pdrFDq-m2g" name="form" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PEZY8FMEea5pdrFDq-m2g">
            <body>The form to be used for printing the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PEZYcFMEea5pdrFDq-m2g">
            <body>Printed Form Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PDyWsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PDyW8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PFAccFMEea5pdrFDq-m2g" name="error" type="_5PEZZcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PFAdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PFngMFMEea5pdrFDq-m2g">
            <body>Mutually exclusive with Services Provided (Item).</body>
          </ownedComment>
          <ownedComment xmi:id="_5PFAecFMEea5pdrFDq-m2g">
            <body>Processing errors</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PFAcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PFAc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5O5aQMFMEea5pdrFDq-m2g" name="Insurance">
          <generalization xmi:id="_5O5aQcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5O6BWMFMEea5pdrFDq-m2g" name="coverage" type="_5ENNNMFMEea5pdrFDq-m2g" isOrdered="true" association="_5O6oYMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5O6oZsFMEea5pdrFDq-m2g">
              <body>A suite of updated or additional Coverages from the Insurer.</body>
            </ownedComment>
            <ownedComment xmi:id="_5O6oZMFMEea5pdrFDq-m2g">
              <body>Updated Coverage details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O6BWcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O6BWsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5O6oaMFMEea5pdrFDq-m2g" name="contract" type="_5EaBgsFMEea5pdrFDq-m2g" isOrdered="true" association="_5O7PcMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5O7PdsFMEea5pdrFDq-m2g">
              <body>The contract resource which may provide more detailed information.</body>
            </ownedComment>
            <ownedComment xmi:id="_5O7PdMFMEea5pdrFDq-m2g">
              <body>Contract details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O6oacFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O6oasFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5O72gcFMEea5pdrFDq-m2g" name="benefitBalance" type="_5O7PeMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5O72hcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5O8dkcFMEea5pdrFDq-m2g">
              <body>Benefits and optionally current balances by Category.</body>
            </ownedComment>
            <ownedComment xmi:id="_5O72icFMEea5pdrFDq-m2g">
              <body>Benefits by Category</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O72gsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O72g8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5O7PeMFMEea5pdrFDq-m2g" name="Benefits">
            <generalization xmi:id="_5O7PecFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5O8dk8FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5O9EocFMEea5pdrFDq-m2g">
                <body>Dental, Vision, Medical, Pharmacy, Rehab etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5O8dmMFMEea5pdrFDq-m2g">
                <body>Benefit Category</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O8dlMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O8dlcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5O9Eo8FMEea5pdrFDq-m2g" name="subCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5O9rscFMEea5pdrFDq-m2g">
                <body>Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5O9EqMFMEea5pdrFDq-m2g">
                <body>Benefit SubCategory</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O9EpMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O9EpcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5O9rs8FMEea5pdrFDq-m2g" name="excluded" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5O9rucFMEea5pdrFDq-m2g">
                <body>True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.</body>
              </ownedComment>
              <ownedComment xmi:id="_5O9rt8FMEea5pdrFDq-m2g">
                <body>Excluded from the plan</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O9rtMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O9rtcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5O9ru8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5O-Sw8FMEea5pdrFDq-m2g">
                <body>A short name or tag for the benefit, for example MED01, or DENT2.</body>
              </ownedComment>
              <ownedComment xmi:id="_5O-SwcFMEea5pdrFDq-m2g">
                <body>Short name for the benefit</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O9rvMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O9rvcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5O-SxcFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5O-Sy8FMEea5pdrFDq-m2g">
                <body>A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.</body>
              </ownedComment>
              <ownedComment xmi:id="_5O-SycFMEea5pdrFDq-m2g">
                <body>Description of the benefit</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O-SxsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O-Sx8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5O-50MFMEea5pdrFDq-m2g" name="network" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5O_g4sFMEea5pdrFDq-m2g">
                <body>Network designation.</body>
              </ownedComment>
              <ownedComment xmi:id="_5O_g4MFMEea5pdrFDq-m2g">
                <body>In or out of network</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O-50cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O-50sFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5O_g5MFMEea5pdrFDq-m2g" name="unit" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5PAH88FMEea5pdrFDq-m2g">
                <body>Unit designation: individual or family.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PAH8cFMEea5pdrFDq-m2g">
                <body>Individual or family</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O_g5cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O_g5sFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5PAH9cFMEea5pdrFDq-m2g" name="term" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5PBWEcFMEea5pdrFDq-m2g">
                <body>The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PAvAsFMEea5pdrFDq-m2g">
                <body>Annual or lifetime</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PAH9sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PAH98FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5PB9IMFMEea5pdrFDq-m2g" name="financial" type="_5PBWE8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PB9JMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5PB9KsFMEea5pdrFDq-m2g">
                <body>Benefits Used to date.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PB9KMFMEea5pdrFDq-m2g">
                <body>Benefit Summary</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PB9IcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PB9IsFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5PBWE8FMEea5pdrFDq-m2g" name="Benefit">
              <generalization xmi:id="_5PBWFMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5PB9LMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5PDLQcFMEea5pdrFDq-m2g">
                  <body>Deductable, visits, benefit amount.</body>
                </ownedComment>
                <ownedComment xmi:id="_5PCkNsFMEea5pdrFDq-m2g">
                  <body>Deductable, visits, benefit amount</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PCkMMFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PCkMcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5PDLQ8FMEea5pdrFDq-m2g" name="benefit[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5PDLScFMEea5pdrFDq-m2g">
                  <body>Benefits allowed.</body>
                </ownedComment>
                <ownedComment xmi:id="_5PDLR8FMEea5pdrFDq-m2g">
                  <body>Benefits allowed</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PDLRMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PDLRcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5PDyUMFMEea5pdrFDq-m2g" name="benefitUsed[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5PDyVsFMEea5pdrFDq-m2g">
                  <body>Benefits used.</body>
                </ownedComment>
                <ownedComment xmi:id="_5PDyVMFMEea5pdrFDq-m2g">
                  <body>Benefits used</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PDyUcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PDyUsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5PEZZcFMEea5pdrFDq-m2g" name="Errors">
          <generalization xmi:id="_5PEZZsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5PFngsFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5PGOksFMEea5pdrFDq-m2g">
              <body>An error code,from a specified code system, which details why the eligibility check could not be performed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PGOkMFMEea5pdrFDq-m2g">
              <body>Error code detailing processing issues</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PFng8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PFnhMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Osl8cFMEea5pdrFDq-m2g" memberEnd="_5Osl8sFMEea5pdrFDq-m2g _5Or-6MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Osl8sFMEea5pdrFDq-m2g" type="_5OqJscFMEea5pdrFDq-m2g" association="_5Osl8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Osl88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Osl9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OtNAMFMEea5pdrFDq-m2g" memberEnd="_5OtNAcFMEea5pdrFDq-m2g _5Osl-cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OtNAcFMEea5pdrFDq-m2g" type="_5OqJscFMEea5pdrFDq-m2g" association="_5OtNAMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OtNAsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OtNA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5OtNCMFMEea5pdrFDq-m2g" name="EligibilityRequest">
        <ownedComment xmi:id="_5Ot0F8FMEea5pdrFDq-m2g">
          <body>This resource provides the details  from the insurer to identify a specified coverage and optionally some class of service.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Ot0EsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for EligibilityRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5Ot0FcFMEea5pdrFDq-m2g">
          <body>Eligibility request</body>
        </ownedComment>
        <generalization xmi:id="_5Ot0FMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5Ot0GcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OubI8FMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OubIcFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ot0GsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ot0G8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OubJcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OvCMsFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OvCMMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OubJsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OubJ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OvCNMFMEea5pdrFDq-m2g" name="priority" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5OvpQsFMEea5pdrFDq-m2g">
            <body>Immediate (STAT), best effort (NORMAL), deferred (DEFER).</body>
          </ownedComment>
          <ownedComment xmi:id="_5OvpQMFMEea5pdrFDq-m2g">
            <body>Desired processing priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OvCNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OvCNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OvpRMFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5OvpSMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OwQVcFMEea5pdrFDq-m2g">
            <body>Patient Resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OwQU8FMEea5pdrFDq-m2g">
            <body>The subject of the Products and Services</body>
          </ownedComment>
          <ownedComment xmi:id="_5OwQV8FMEea5pdrFDq-m2g">
            <body>1..1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OvpRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OvpRsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OwQWcFMEea5pdrFDq-m2g" name="serviced[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ow3YMFMEea5pdrFDq-m2g">
            <body>The date or dates when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OwQXcFMEea5pdrFDq-m2g">
            <body>Estimated date or dates of Service</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OwQWsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OwQW8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ow3Y8FMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ow3acFMEea5pdrFDq-m2g">
            <body>The date when this resource was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ow3Z8FMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ow3ZMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ow3ZcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OxecMFMEea5pdrFDq-m2g" name="enterer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5OxedMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OxeesFMEea5pdrFDq-m2g">
            <body>Person who created the invoice/claim/pre-determination or pre-authorization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OxeeMFMEea5pdrFDq-m2g">
            <body>Author</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OxeccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OxecsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OyFgMFMEea5pdrFDq-m2g" name="provider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5OyFhMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OyFisFMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OyFiMFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OyFgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OyFgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OyFjMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Oysk8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OysmcFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Oysl8FMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OyskMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OyskcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Oysm8FMEea5pdrFDq-m2g" name="insurer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5OzTocFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5OzTp8FMEea5pdrFDq-m2g">
            <body>The Insurer who is target  of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5OzTpcFMEea5pdrFDq-m2g">
            <body>Target</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OysnMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OysncFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5OzTqcFMEea5pdrFDq-m2g" name="facility" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5Oz6sMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Oz6tsFMEea5pdrFDq-m2g">
            <body>Facility where the services were provided.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Oz6tMFMEea5pdrFDq-m2g">
            <body>Servicing Facility</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OzTqsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OzTq8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Oz6uMFMEea5pdrFDq-m2g" name="coverage" type="_5ENNNMFMEea5pdrFDq-m2g" isOrdered="true" association="_5O0hwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5O0hxsFMEea5pdrFDq-m2g">
            <body>Financial instrument by which payment information for health care.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O0hxMFMEea5pdrFDq-m2g">
            <body>Insurance or medical plan</body>
          </ownedComment>
          <ownedComment xmi:id="_5O0hyMFMEea5pdrFDq-m2g">
            <body>1..1.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O0hysFMEea5pdrFDq-m2g">
            <body>Need to identify the issuer to target for processing and for coordination of benefit processing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Oz6ucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oz6usFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O0hzMFMEea5pdrFDq-m2g" name="businessArrangement" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5O1I0cFMEea5pdrFDq-m2g">
            <body>The contract number of a business agreement which describes the terms and conditions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O0h0MFMEea5pdrFDq-m2g">
            <body>Business agreement</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O0hzcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O0hzsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O1I08FMEea5pdrFDq-m2g" name="benefitCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5O1v4sFMEea5pdrFDq-m2g">
            <body>Dental, Vision, Medical, Pharmacy, Rehab etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O1v4MFMEea5pdrFDq-m2g">
            <body>Benefit Category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O1I1MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O1I1cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5O1v5MFMEea5pdrFDq-m2g" name="benefitSubCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5O2W9MFMEea5pdrFDq-m2g">
            <body>Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5O2W8sFMEea5pdrFDq-m2g">
            <body>Benefit SubCategory</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O1v5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O1v5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OvpSMFMEea5pdrFDq-m2g" memberEnd="_5OwQUMFMEea5pdrFDq-m2g _5OvpRMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OwQUMFMEea5pdrFDq-m2g" type="_5OtNCMFMEea5pdrFDq-m2g" association="_5OvpSMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5OwQUcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OwQUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OxedMFMEea5pdrFDq-m2g" memberEnd="_5OxedcFMEea5pdrFDq-m2g _5OxecMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OxedcFMEea5pdrFDq-m2g" type="_5OtNCMFMEea5pdrFDq-m2g" association="_5OxedMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oxed8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OyFhMFMEea5pdrFDq-m2g" memberEnd="_5OyFhcFMEea5pdrFDq-m2g _5OyFgMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OyFhcFMEea5pdrFDq-m2g" type="_5OtNCMFMEea5pdrFDq-m2g" association="_5OyFhMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OyFh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Oysk8FMEea5pdrFDq-m2g" memberEnd="_5OyslMFMEea5pdrFDq-m2g _5OyFjMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5OyslMFMEea5pdrFDq-m2g" type="_5OtNCMFMEea5pdrFDq-m2g" association="_5Oysk8FMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OyslsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5OzTocFMEea5pdrFDq-m2g" memberEnd="_5OzTosFMEea5pdrFDq-m2g _5Oysm8FMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OzTpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Oz6sMFMEea5pdrFDq-m2g" memberEnd="_5Oz6scFMEea5pdrFDq-m2g _5OzTqcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Oz6scFMEea5pdrFDq-m2g" type="_5OtNCMFMEea5pdrFDq-m2g" association="_5Oz6sMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Oz6s8FMEea5pdrFDq-m2g" value="1"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O0hw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5O2-BMFMEea5pdrFDq-m2g" memberEnd="_5O2-BcFMEea5pdrFDq-m2g _5O2-AMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5O2-BcFMEea5pdrFDq-m2g" type="_5OqJscFMEea5pdrFDq-m2g" association="_5O2-BMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O2-B8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5O4zMMFMEea5pdrFDq-m2g" memberEnd="_5O4zMcFMEea5pdrFDq-m2g _5O4MKMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5O4zMcFMEea5pdrFDq-m2g" type="_5OqJscFMEea5pdrFDq-m2g" association="_5O4zMMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O4zM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5O6BUMFMEea5pdrFDq-m2g" memberEnd="_5O6BUcFMEea5pdrFDq-m2g _5O5aQ8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5O6BUcFMEea5pdrFDq-m2g" type="_5OqJscFMEea5pdrFDq-m2g" association="_5O6BUMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5O6BUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O6BU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5O6oYMFMEea5pdrFDq-m2g" memberEnd="_5O6oYcFMEea5pdrFDq-m2g _5O6BWMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5O6oYcFMEea5pdrFDq-m2g" type="_5O5aQMFMEea5pdrFDq-m2g" association="_5O6oYMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O6oY8FMEea5pdrFDq-m2g" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5O7PcMFMEea5pdrFDq-m2g" memberEnd="_5O7PccFMEea5pdrFDq-m2g _5O6oaMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5O7PccFMEea5pdrFDq-m2g" type="_5O5aQMFMEea5pdrFDq-m2g" association="_5O7PcMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O7Pc8FMEea5pdrFDq-m2g" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_5O72hcFMEea5pdrFDq-m2g" memberEnd="_5O72hsFMEea5pdrFDq-m2g _5O72gcFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5O72iMFMEea5pdrFDq-m2g" value="1"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PB9J8FMEea5pdrFDq-m2g" value="1"/>
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          <body>This special resource type is used to represent an operation request and response (operations.html). It has no other use, and there is no RESTful endpoint associated with it.</body>
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        <ownedComment xmi:id="_5PJR4MFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Parameters Resource</body>
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        <ownedComment xmi:id="_5PJR48FMEea5pdrFDq-m2g">
          <body>Operation Request or Response</body>
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        <ownedComment xmi:id="_5PJR58FMEea5pdrFDq-m2g">
          <body>The parameters that may be used are defined by the OperationDefinition resource.</body>
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            <language>XPath</language>
            <body>exists(f:value) or exists(f:resource) and not(exists(f:value) and exists(f:resource))</body>
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        <generalization xmi:id="_5PJR4sFMEea5pdrFDq-m2g" general="_4a-C9MFMEea5pdrFDq-m2g"/>
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            <body>A parameter passed to or received from the operation.</body>
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          <ownedComment xmi:id="_5PJ4-cFMEea5pdrFDq-m2g">
            <body>Operation Parameter</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PJ48sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PJ488FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5PJR6cFMEea5pdrFDq-m2g" name="Parameter">
          <generalization xmi:id="_5PJR6sFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5PKgAsFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5PKgCMFMEea5pdrFDq-m2g">
              <body>The name of the parameter (reference to the operation definition).</body>
            </ownedComment>
            <ownedComment xmi:id="_5PKgBsFMEea5pdrFDq-m2g">
              <body>Name from the definition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PKgA8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PKgBMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5PKgCsFMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5PLHE8FMEea5pdrFDq-m2g">
              <body>If the parameter is a data type.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PLHEcFMEea5pdrFDq-m2g">
              <body>If parameter is a data type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PKgC8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PKgDMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5PLHFsFMEea5pdrFDq-m2g" name="resource" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5PLuI8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5PLuKcFMEea5pdrFDq-m2g">
              <body>If the parameter is a whole resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PLuJ8FMEea5pdrFDq-m2g">
              <body>If parameter is a whole resource</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PLuIMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PLuIcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5PLuK8FMEea5pdrFDq-m2g" name="part" type="_5PJR6cFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PMVMcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5PMVN8FMEea5pdrFDq-m2g">
              <body>A named part of a multi-part parameter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PMVNcFMEea5pdrFDq-m2g">
              <body>Named part of a multi-part parameter</body>
            </ownedComment>
            <ownedComment xmi:id="_5PMVOcFMEea5pdrFDq-m2g">
              <body>Only one level of nested parameters is allowed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PLuLMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PLuLcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5PJ49cFMEea5pdrFDq-m2g" memberEnd="_5PJ49sFMEea5pdrFDq-m2g _5PJ48cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5PJ49sFMEea5pdrFDq-m2g" type="_5PIDw8FMEea5pdrFDq-m2g" association="_5PJ49cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PJ498FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PJ4-MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5PLuI8FMEea5pdrFDq-m2g" memberEnd="_5PLuJMFMEea5pdrFDq-m2g _5PLHFsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5PLuJMFMEea5pdrFDq-m2g" type="_5PJR6cFMEea5pdrFDq-m2g" association="_5PLuI8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PLuJcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PLuJsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5PMVMcFMEea5pdrFDq-m2g" memberEnd="_5PMVMsFMEea5pdrFDq-m2g _5PLuK8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5PMVMsFMEea5pdrFDq-m2g" type="_5PJR6cFMEea5pdrFDq-m2g" association="_5PMVMcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PMVM8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PMVNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5PM8QMFMEea5pdrFDq-m2g" name="MedicationDispense">
        <ownedComment xmi:id="_5PNjV8FMEea5pdrFDq-m2g">
          <body>Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.</body>
        </ownedComment>
        <ownedComment xmi:id="_5PNjUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MedicationDispense Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5PNjVcFMEea5pdrFDq-m2g">
          <body>Dispensing a medication to a named patient</body>
        </ownedComment>
        <ownedComment xmi:id="_5POKYMFMEea5pdrFDq-m2g">
          <body>The WG will be updating the MedicationDispense resource  to adjust each affected resource to align with the workflow pattern (see workflow.html).</body>
        </ownedComment>
        <ownedRule xmi:id="_5PM8QcFMEea5pdrFDq-m2g" name="mdd-1" constrainedElement="_5PM8QMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5PM8QsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5PNjVMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5POKYsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5POKaMFMEea5pdrFDq-m2g">
            <body>Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.</body>
          </ownedComment>
          <ownedComment xmi:id="_5POKZsFMEea5pdrFDq-m2g">
            <body>External identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5POKY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5POKZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5POKasFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5POxdcFMEea5pdrFDq-m2g">
            <body>A code specifying the state of the set of dispense events.</body>
          </ownedComment>
          <ownedComment xmi:id="_5POxc8FMEea5pdrFDq-m2g">
            <body>in-progress | on-hold | completed | entered-in-error | stopped</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5POKa8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5POKbMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PPYgMFMEea5pdrFDq-m2g" name="medication[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PPYh8FMEea5pdrFDq-m2g">
            <body>Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PPYhcFMEea5pdrFDq-m2g">
            <body>What medication was supplied</body>
          </ownedComment>
          <ownedComment xmi:id="_5PPYicFMEea5pdrFDq-m2g">
            <body>If only a code is specified, then it needs to be a code for a specific product.  If more information is required, then the use of the medication resource is recommended.  Note: do not use Medication.name to describe the dispensed medication. When the only available information is a text description of the medication, Medication.code.text should be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PPYgcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PPYgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PP_kcFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5PP_lcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PQmocFMEea5pdrFDq-m2g">
            <body>A link to a resource representing the person to whom the medication will be given.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PP_mcFMEea5pdrFDq-m2g">
            <body>Who the dispense is for</body>
          </ownedComment>
          <ownedComment xmi:id="_5PQmo8FMEea5pdrFDq-m2g">
            <body>SubstanceAdministration->subject->Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PP_ksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PP_k8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PQmpcFMEea5pdrFDq-m2g" name="supportingInformation" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5PQmqcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PRNsMFMEea5pdrFDq-m2g">
            <body>Additional information that supports the medication being dispensed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PQmrcFMEea5pdrFDq-m2g">
            <body>Information that supports the dispensing of the medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PQmpsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PQmp8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PRNssFMEea5pdrFDq-m2g" name="dispenser" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5PRNtsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PRNvMFMEea5pdrFDq-m2g">
            <body>The individual responsible for dispensing the medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PRNusFMEea5pdrFDq-m2g">
            <body>Practitioner responsible for dispensing medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PRNs8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PRNtMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PR0wMFMEea5pdrFDq-m2g" name="dispensingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5PR0xMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PR0ysFMEea5pdrFDq-m2g">
            <body>The organizaation responsible for the dispense of the medication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PR0yMFMEea5pdrFDq-m2g">
            <body>Organization responsible for the dispense of the medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PR0wcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PR0wsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PR0zMFMEea5pdrFDq-m2g" name="authorizingPrescription" type="_4_8YQMFMEea5pdrFDq-m2g" isOrdered="true" association="_5PSb0cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PSb18FMEea5pdrFDq-m2g">
            <body>Indicates the medication order that is being dispensed against.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PSb1cFMEea5pdrFDq-m2g">
            <body>Medication order that authorizes the dispense</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PR0zcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PR0zsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PSb2cFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PTC5cFMEea5pdrFDq-m2g">
            <body>Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PTC48FMEea5pdrFDq-m2g">
            <body>Trial fill, partial fill, emergency fill, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PSb2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PSb28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PTp8MFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PTp9sFMEea5pdrFDq-m2g">
            <body>The amount of medication that has been dispensed. Includes unit of measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PTp9MFMEea5pdrFDq-m2g">
            <body>Amount dispensed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PTp8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PTp8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PTp-MFMEea5pdrFDq-m2g" name="daysSupply" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PTp_sFMEea5pdrFDq-m2g">
            <body>The amount of medication expressed as a timing amount.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PTp_MFMEea5pdrFDq-m2g">
            <body>Amount of medication expressed as a timing amount</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PTp-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PTp-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PURAMFMEea5pdrFDq-m2g" name="whenPrepared" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PURBsFMEea5pdrFDq-m2g">
            <body>The time when the dispensed product was packaged and reviewed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PURBMFMEea5pdrFDq-m2g">
            <body>When product was packaged and reviewed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PURAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PURAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PU4EMFMEea5pdrFDq-m2g" name="whenHandedOver" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PU4FsFMEea5pdrFDq-m2g">
            <body>The time the dispensed product was provided to the patient or their representative.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PU4FMFMEea5pdrFDq-m2g">
            <body>When product was given out</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PU4EcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PU4EsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PU4GMFMEea5pdrFDq-m2g" name="destination" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5PVfI8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PVfKcFMEea5pdrFDq-m2g">
            <body>Identification of the facility/location where the medication was shipped to, as part of the dispense event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PVfJ8FMEea5pdrFDq-m2g">
            <body>Where the medication was sent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PVfIMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PVfIcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PVfK8FMEea5pdrFDq-m2g" name="receiver" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5PWGMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PWGNsFMEea5pdrFDq-m2g">
            <body>Identifies the person who picked up the medication.  This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PWGNMFMEea5pdrFDq-m2g">
            <body>Who collected the medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PVfLMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PVfLcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PWGOcFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PWtQsFMEea5pdrFDq-m2g">
            <body>Extra information about the dispense that could not be conveyed in the other attributes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PWtQMFMEea5pdrFDq-m2g">
            <body>Information about the dispense</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PWGOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PWGO8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PWtRMFMEea5pdrFDq-m2g" name="dosageInstruction" type="_4pFXeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PWtSsFMEea5pdrFDq-m2g">
            <body>Indicates how the medication is to be used by the patient.  The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PWtSMFMEea5pdrFDq-m2g">
            <body>Medicine administration instructions to the patient/caregiver</body>
          </ownedComment>
          <ownedComment xmi:id="_5PWtTMFMEea5pdrFDq-m2g">
            <body>When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PWtRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PWtRsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PXUU8FMEea5pdrFDq-m2g" name="substitution" type="_5PXUUMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PX7YMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PX7ZsFMEea5pdrFDq-m2g">
            <body>Indicates whether or not substitution was made as part of the dispense.  In some cases substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PX7ZMFMEea5pdrFDq-m2g">
            <body>Deals with substitution of one medicine for another</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PXUVMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PXUVcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PZwmMFMEea5pdrFDq-m2g" name="eventHistory" type="_48ATcMFMEea5pdrFDq-m2g" isOrdered="true" association="_5PZwnMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5PaXpcFMEea5pdrFDq-m2g">
            <body>A summary of the events of interest that have occurred, such as when the dispense was verified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PaXo8FMEea5pdrFDq-m2g">
            <body>A list of events of interest in the lifecycle</body>
          </ownedComment>
          <ownedComment xmi:id="_5PaXp8FMEea5pdrFDq-m2g">
            <body>See usage notes in Request pattern in request history.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PZwmcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PZwmsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5PXUUMFMEea5pdrFDq-m2g" name="Substitution">
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              <body>A code signifying whether a different drug was dispensed from what was prescribed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PYicsFMEea5pdrFDq-m2g">
              <body>Code signifying whether a different drug was dispensed from what was prescribed</body>
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              <body>Indicates the reason for the substitution of (or lack of substitution) from what was prescribed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PZJgcFMEea5pdrFDq-m2g">
              <body>Why was substitution made</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PYid8FMEea5pdrFDq-m2g"/>
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              <body>The person or organization that has primary responsibility for the substitution.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PZwlMFMEea5pdrFDq-m2g">
              <body>Who is responsible for the substitution</body>
            </ownedComment>
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      </packagedElement>
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      <packagedElement xmi:type="uml:Class" xmi:id="_5PaXqcFMEea5pdrFDq-m2g" name="MeasureReport">
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          <body>The MeasureReport resource contains the results of evaluating a measure.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Pa-ssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MeasureReport Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5Pa-tcFMEea5pdrFDq-m2g">
          <body>Results of a measure evaluation</body>
        </ownedComment>
        <generalization xmi:id="_5Pa-tMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5P11ecFMEea5pdrFDq-m2g" name="measure" type="_5PblwMFMEea5pdrFDq-m2g" isOrdered="true" association="_5P2cgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5P2chsFMEea5pdrFDq-m2g">
            <body>A reference to the Measure that was evaluated to produce this report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P2chMFMEea5pdrFDq-m2g">
            <body>Measure that was evaluated</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P11esFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5P2ciMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5P3DlMFMEea5pdrFDq-m2g">
            <body>The type of measure report. This may be an individual report, which provides a single patient's score for the measure, a patient listing, which returns the list of patients that meet the various criteria in the measure, or a summary report, which returns a population count for each criteria in the measure.</body>
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          <ownedComment xmi:id="_5P3DksFMEea5pdrFDq-m2g">
            <body>individual | patient-list | summary</body>
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        <ownedAttribute xmi:id="_5P3DlsFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5P3qoMFMEea5pdrFDq-m2g">
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            <body>Optional Patient if the report was requested for a single patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P3qpMFMEea5pdrFDq-m2g">
            <body>Optional Patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P3Dl8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P3DmMFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5P3qqMFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5P3qrsFMEea5pdrFDq-m2g">
            <body>The reporting period for which the report was calculated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P3qrMFMEea5pdrFDq-m2g">
            <body>Reporting period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P3qqcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P3qqsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5P4RscFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5P44wsFMEea5pdrFDq-m2g">
            <body>The report status. No data will be available until the report status is complete.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P44wMFMEea5pdrFDq-m2g">
            <body>complete | pending | error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P4RssFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P4Rs8FMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5P44xMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5P44ysFMEea5pdrFDq-m2g">
            <body>The date this measure report was generated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P44yMFMEea5pdrFDq-m2g">
            <body>Date the report was generated</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P44xcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P44xsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5P44zMFMEea5pdrFDq-m2g" name="reportingOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5P5f0sFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5P5f2MFMEea5pdrFDq-m2g">
            <body>Reporting Organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P5f1sFMEea5pdrFDq-m2g">
            <body>Reporting Organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P44zcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P5f0MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5P6G4cFMEea5pdrFDq-m2g" name="group" type="_5P5f2sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5P6G5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5P6t8cFMEea5pdrFDq-m2g">
            <body>The results of the calculation, one for each population group in the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P6G6cFMEea5pdrFDq-m2g">
            <body>Measure results for each group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P6G4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P6G48FMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5QTIecFMEea5pdrFDq-m2g" name="evaluatedResources" type="_5OCeocFMEea5pdrFDq-m2g" isOrdered="true" association="_5QTvgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QTvhsFMEea5pdrFDq-m2g">
            <body>A reference to a Bundle containing the Resources that were used in the evaluation of this report.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QTvhMFMEea5pdrFDq-m2g">
            <body>Evaluated Resources</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QTIesFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QTIe8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5P5f2sFMEea5pdrFDq-m2g" name="Group">
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          <ownedAttribute xmi:id="_5P6t88FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5P6t-cFMEea5pdrFDq-m2g">
              <body>The identifier of the population group as defined in the measure definition.</body>
            </ownedComment>
            <ownedComment xmi:id="_5P6t98FMEea5pdrFDq-m2g">
              <body>Identifier of the population group being reported</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P6t9MFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P6t9cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5P7VAcFMEea5pdrFDq-m2g" name="population" type="_5P6t-8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5P7VBcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5P78EMFMEea5pdrFDq-m2g">
              <body>The populations that make up the population group, one for each type of population appropriate for the measure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5P7VCcFMEea5pdrFDq-m2g">
              <body>The populations in the group</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P7VAsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P7VA8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QKlmMFMEea5pdrFDq-m2g" name="measureScore" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QKlnsFMEea5pdrFDq-m2g">
              <body>The measure score.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QKlnMFMEea5pdrFDq-m2g">
              <body>The measure score</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QKlmcFMEea5pdrFDq-m2g"/>
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          </ownedAttribute>
          <ownedAttribute xmi:id="_5QLMosFMEea5pdrFDq-m2g" name="stratifier" type="_5QKloMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QLzsMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5QLztsFMEea5pdrFDq-m2g">
              <body>When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QLztMFMEea5pdrFDq-m2g">
              <body>Stratification results</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QLMo8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QLMpMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QQFJ8FMEea5pdrFDq-m2g" name="supplementalData" type="_5QQFJMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QQsMsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5QQsOMFMEea5pdrFDq-m2g">
              <body>Supplemental data elements for the measure provide additional information requested by the measure for each patient involved in the populations.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QQsNsFMEea5pdrFDq-m2g">
              <body>Supplemental data elements for the measure</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QQFKMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QQsMMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5P6t-8FMEea5pdrFDq-m2g" name="Population">
            <generalization xmi:id="_5P6t_MFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5P78EsFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5P78GcFMEea5pdrFDq-m2g">
                <body>The type of the population.</body>
              </ownedComment>
              <ownedComment xmi:id="_5P78F8FMEea5pdrFDq-m2g">
                <body>initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P78E8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P78FMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5P8jIMFMEea5pdrFDq-m2g" name="count" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5P8jJsFMEea5pdrFDq-m2g">
                <body>The number of members of the population.</body>
              </ownedComment>
              <ownedComment xmi:id="_5P8jJMFMEea5pdrFDq-m2g">
                <body>Size of the population</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P8jIcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P8jIsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5QJ-hMFMEea5pdrFDq-m2g" name="patients" type="_5P8jKMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QKlkMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5QKllsFMEea5pdrFDq-m2g">
                <body>This element refers to a List of patient level MeasureReport resources, one for each patient in this population.</body>
              </ownedComment>
              <ownedComment xmi:id="_5QKllMFMEea5pdrFDq-m2g">
                <body>For patient-list reports, the patients in this population</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QJ-hcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QJ-hsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5QKloMFMEea5pdrFDq-m2g" name="Stratifier">
            <generalization xmi:id="_5QLMoMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5QLzuMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5QLzvsFMEea5pdrFDq-m2g">
                <body>The identifier of this stratifier, as defined in the measure definition.</body>
              </ownedComment>
              <ownedComment xmi:id="_5QLzvMFMEea5pdrFDq-m2g">
                <body>Identifier of the stratifier</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QLzucFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QLzusFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5QMawsFMEea5pdrFDq-m2g" name="group" type="_5QLzwMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QNB0MFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5QNB1sFMEea5pdrFDq-m2g">
                <body>This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.</body>
              </ownedComment>
              <ownedComment xmi:id="_5QNB1MFMEea5pdrFDq-m2g">
                <body>Stratum results, one for each unique value in the stratifier</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QMaw8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QMaxMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5QLzwMFMEea5pdrFDq-m2g" name="StratifierGroup">
              <generalization xmi:id="_5QMawMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5QNB2MFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5QNB3sFMEea5pdrFDq-m2g">
                  <body>The value for this stratum, expressed as a string. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.</body>
                </ownedComment>
                <ownedComment xmi:id="_5QNB3MFMEea5pdrFDq-m2g">
                  <body>The stratum value, e.g. male</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QNB2cFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QNB2sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5QNo48FMEea5pdrFDq-m2g" name="population" type="_5QNo4MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QOP8MFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5QOP9sFMEea5pdrFDq-m2g">
                  <body>The populations that make up the stratum, one for each type of population appropriate to the measure.</body>
                </ownedComment>
                <ownedComment xmi:id="_5QOP9MFMEea5pdrFDq-m2g">
                  <body>Population results in this stratum</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QNo5MFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QNo5cFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5QPeGcFMEea5pdrFDq-m2g" name="measureScore" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5QQFIsFMEea5pdrFDq-m2g">
                  <body>The measure score for this stratum.</body>
                </ownedComment>
                <ownedComment xmi:id="_5QQFIMFMEea5pdrFDq-m2g">
                  <body>The measure score</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QPeGsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QPeG8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <nestedClassifier xmi:type="uml:Class" xmi:id="_5QNo4MFMEea5pdrFDq-m2g" name="StratifierGroupPopulation">
                <generalization xmi:id="_5QNo4cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
                <ownedAttribute xmi:id="_5QOP-MFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5QO3AsFMEea5pdrFDq-m2g">
                    <body>The type of the population.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5QO3AMFMEea5pdrFDq-m2g">
                    <body>initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QOP-cFMEea5pdrFDq-m2g" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QOP-sFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5QO3BMFMEea5pdrFDq-m2g" name="count" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
                  <ownedComment xmi:id="_5QO3CsFMEea5pdrFDq-m2g">
                    <body>The number of members of the population in this stratum.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5QO3CMFMEea5pdrFDq-m2g">
                    <body>Size of the population</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QO3BcFMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QO3BsFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_5QO3DMFMEea5pdrFDq-m2g" name="patients" type="_5P8jKMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QPeEcFMEea5pdrFDq-m2g">
                  <ownedComment xmi:id="_5QPeF8FMEea5pdrFDq-m2g">
                    <body>This element refers to a List of patient level MeasureReport resources, one for each patient in this population in this stratum.</body>
                  </ownedComment>
                  <ownedComment xmi:id="_5QPeFcFMEea5pdrFDq-m2g">
                    <body>For patient-list reports, the patients in this population</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QO3DcFMEea5pdrFDq-m2g"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QO3DsFMEea5pdrFDq-m2g" value="1"/>
                </ownedAttribute>
              </nestedClassifier>
            </nestedClassifier>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5QQFJMFMEea5pdrFDq-m2g" name="SupplementalData">
            <generalization xmi:id="_5QQFJcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5QQsOsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5QRTQsFMEea5pdrFDq-m2g">
                <body>The identifier of the supplemental data element as defined in the measure.</body>
              </ownedComment>
              <ownedComment xmi:id="_5QRTQMFMEea5pdrFDq-m2g">
                <body>Identifier of the supplemental data element</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QQsO8FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QQsPMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5QRTR8FMEea5pdrFDq-m2g" name="group" type="_5QRTRMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QR6UsFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5QR6WMFMEea5pdrFDq-m2g">
                <body>This element contains the results for a single value within the supplemental data. For example, when reporting supplemental data for administrative gender, there will be four groups, one for each possible gender value.</body>
              </ownedComment>
              <ownedComment xmi:id="_5QR6VsFMEea5pdrFDq-m2g">
                <body>Supplemental data results, one for each unique supplemental data value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QRTSMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QR6UMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5QRTRMFMEea5pdrFDq-m2g" name="SupplementalDataGroup">
              <generalization xmi:id="_5QRTRcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5QR6WsFMEea5pdrFDq-m2g" name="value" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5QShYsFMEea5pdrFDq-m2g">
                  <body>The value for this supplemental data element, expressed as a string.  When defining supplemental data  on complex values, the value must be rendered such that the value for each group within the supplemental data element is unique.</body>
                </ownedComment>
                <ownedComment xmi:id="_5QShYMFMEea5pdrFDq-m2g">
                  <body>The data value, e.g. male</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QR6W8FMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QR6XMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5QShZMFMEea5pdrFDq-m2g" name="count" type="_4agv9cFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5QShasFMEea5pdrFDq-m2g">
                  <body>The number of members in the supplemental data group.</body>
                </ownedComment>
                <ownedComment xmi:id="_5QShaMFMEea5pdrFDq-m2g">
                  <body>Number of members in the group</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QShZcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QShZsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5QShbMFMEea5pdrFDq-m2g" name="patients" type="_5P8jKMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QTIccFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5QTId8FMEea5pdrFDq-m2g">
                  <body>This element refers to a List of patient level MeasureReport resources, one for each patient in this population.</body>
                </ownedComment>
                <ownedComment xmi:id="_5QTIdcFMEea5pdrFDq-m2g">
                  <body>For patient-list reports, the patients in this population</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QShbcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QShbsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5PblwMFMEea5pdrFDq-m2g" name="Measure">
        <ownedComment xmi:id="_5PcM18FMEea5pdrFDq-m2g">
          <body>The Measure resource provides the definition of a quality measure.</body>
        </ownedComment>
        <ownedComment xmi:id="_5PcM0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Measure Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5PcM1cFMEea5pdrFDq-m2g">
          <body>A quality measure definition</body>
        </ownedComment>
        <generalization xmi:id="_5PcM1MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5PcM2cFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pcz4sFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this measure when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this measure is (or will be) published. The URL SHOULD include the major version of the measure. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pcz4MFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this measure (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pcz5MFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pcz5sFMEea5pdrFDq-m2g">
            <body>Allows the measure to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PcM2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PcM28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Pcz6MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pcz7sFMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pcz7MFMEea5pdrFDq-m2g">
            <body>Additional identifier for the measure</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pda8MFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this measure outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pda8sFMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pcz6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pcz6sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Pda9MFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pda-sFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pda-MFMEea5pdrFDq-m2g">
            <body>Business version of the measure</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pda_MFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a measure that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pda9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pda9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PeCAMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PeCBsFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PeCBMFMEea5pdrFDq-m2g">
            <body>Name for this measure (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5PeCCMFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PeCCsFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PeCAcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PeCAsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PeCDMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PepEcFMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PeCEMFMEea5pdrFDq-m2g">
            <body>Name for this measure (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PeCDcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PeCDsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PepE8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PepGsFMEea5pdrFDq-m2g">
            <body>The status of this measure. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PepGMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5PfQIcFMEea5pdrFDq-m2g">
            <body>Allows filtering of measure that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PepFMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PepFcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PfQI8FMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PfQKcFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this measure is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PfQJ8FMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5PfQK8FMEea5pdrFDq-m2g">
            <body>Allows filtering of measure that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PfQLcFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level measure would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PfQJMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PfQJcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Pf3MMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pf3NsFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the measure was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the measure changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pf3NMFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pf3OMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pf3McFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pf3MsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Pf3OsFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PgeQ8FMEea5pdrFDq-m2g">
            <body>A free text natural language description of the measure from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PgeQcFMEea5pdrFDq-m2g">
            <body>Natural language description of the measure</body>
          </ownedComment>
          <ownedComment xmi:id="_5PgeRcFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
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          <ownedComment xmi:id="_5PgeTcFMEea5pdrFDq-m2g">
            <body>Explains why this measure is needed and why it has been designed as it has.</body>
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          <ownedComment xmi:id="_5PgeS8FMEea5pdrFDq-m2g">
            <body>Why this measure is defined</body>
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          <ownedComment xmi:id="_5PhFUMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the measure (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this measure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PgeSMFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_5PhFUsFMEea5pdrFDq-m2g" name="usage" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PhFWMFMEea5pdrFDq-m2g">
            <body>A detailed description of how the measure is used from a clinical perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PhFVsFMEea5pdrFDq-m2g">
            <body>Describes the clinical usage of the measure</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PhFU8FMEea5pdrFDq-m2g"/>
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          <ownedComment xmi:id="_5PhsYcFMEea5pdrFDq-m2g">
            <body>The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.</body>
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          <ownedComment xmi:id="_5PhFXsFMEea5pdrFDq-m2g">
            <body>When measure approved by publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5PhsY8FMEea5pdrFDq-m2g">
            <body>The date may be more recent than the approval date because of minor changes / editorial corrections.</body>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PhFXMFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PhsZcFMEea5pdrFDq-m2g" name="lastReviewDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Phsa8FMEea5pdrFDq-m2g">
            <body>The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.</body>
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          <ownedComment xmi:id="_5PhsacFMEea5pdrFDq-m2g">
            <body>Last review date for the measure</body>
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          <ownedComment xmi:id="_5PhsbcFMEea5pdrFDq-m2g">
            <body>If specified, this is usually after the approval date.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PhsZsFMEea5pdrFDq-m2g"/>
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          <ownedComment xmi:id="_5PiTdsFMEea5pdrFDq-m2g">
            <body>The period during which the measure content was or is planned to be effective.</body>
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          <ownedComment xmi:id="_5PiTdMFMEea5pdrFDq-m2g">
            <body>The effective date range for the measure</body>
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          <ownedComment xmi:id="_5PiTeMFMEea5pdrFDq-m2g">
            <body>The effective period for a measure  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PiTccFMEea5pdrFDq-m2g"/>
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          <ownedComment xmi:id="_5Pi6gMFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
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          <ownedComment xmi:id="_5PiTfsFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pi6gsFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pi6hMFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PiTe8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PiTfMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Pi6hsFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PjhksFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the measure is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PjhkMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for measure (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pi6h8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pi6iMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PjhlMFMEea5pdrFDq-m2g" name="topic" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PjhmsFMEea5pdrFDq-m2g">
            <body>Clinical topics related to the content of the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PjhmMFMEea5pdrFDq-m2g">
            <body>Descriptional topics for the measure</body>
          </ownedComment>
          <ownedComment xmi:id="_5PjhnMFMEea5pdrFDq-m2g">
            <body>Repositories must be able to determine how to categorize the measure so that it can be found by topical searches.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PjhlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PjhlsFMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5PkIoMFMEea5pdrFDq-m2g" name="contributor" type="_4l2dTMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PkIpsFMEea5pdrFDq-m2g">
            <body>A contributor to the content of the measure, including authors, editors, reviewers, and endorsers.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkIpMFMEea5pdrFDq-m2g">
            <body>A content contributor</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkIqMFMEea5pdrFDq-m2g">
            <body>Consumers of the content must be able to quickly determine who contributed to the content of the measure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PkIocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PkIosFMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5PkIqsFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PkvsMFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkIrsFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkvssFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkvtMFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the measure.  May also allow for contact.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PkIq8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PkIrMFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PkvtsFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PkvvMFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkvusFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5PkvvsFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pkvt8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PkvuMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PlWwcFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PlWx8FMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PlWxcFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5PlWycFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the measure and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PlWwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PlWw8FMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PlWy8FMEea5pdrFDq-m2g" name="relatedArtifact" type="_4l8j6cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pl908FMEea5pdrFDq-m2g">
            <body>Related artifacts such as additional documentation, justification, or bibliographic references.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pl90cFMEea5pdrFDq-m2g">
            <body>Related artifacts for the measure</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pl91cFMEea5pdrFDq-m2g">
            <body>Each related artifact is either an attachment, or a reference to another resource, but not both.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pl918FMEea5pdrFDq-m2g">
            <body>Measures must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PlWzMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PlWzcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Pl92cFMEea5pdrFDq-m2g" name="library" type="_4lqQBsFMEea5pdrFDq-m2g" isOrdered="true" association="_5Pmk4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Pmk5sFMEea5pdrFDq-m2g">
            <body>A reference to a Library resource containing the formal logic used by the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pmk5MFMEea5pdrFDq-m2g">
            <body>Logic used by the measure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pl92sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pl928FMEea5pdrFDq-m2g" value="*"/>
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        <ownedAttribute xmi:id="_5Pmk6MFMEea5pdrFDq-m2g" name="disclaimer" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pmk7sFMEea5pdrFDq-m2g">
            <body>A disclaimer for the use of the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Pmk7MFMEea5pdrFDq-m2g">
            <body>Disclaimer for the measure</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pmk6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pmk6sFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PnL8MFMEea5pdrFDq-m2g" name="scoring" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PnzAsFMEea5pdrFDq-m2g">
            <body>The measure scoring type, e.g. proportion, CV.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PnzAMFMEea5pdrFDq-m2g">
            <body>proportion | ratio | continuous-variable | cohort</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PnL8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PnL8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PnzBMFMEea5pdrFDq-m2g" name="compositeScoring" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PoaE8FMEea5pdrFDq-m2g">
            <body>If this is a composite measure, the scoring method used to combine the component measures to determine the composite score.</body>
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          <ownedComment xmi:id="_5PoaEcFMEea5pdrFDq-m2g">
            <body>opportunity | all-or-nothing | linear | weighted</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PnzBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PnzBsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PoaFcFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PpBJMFMEea5pdrFDq-m2g">
            <body>The measure type, e.g. process, outcome.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PpBIsFMEea5pdrFDq-m2g">
            <body>process | outcome | structure | patient-reported-outcome | composite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PoaFsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PoaF8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PpBJsFMEea5pdrFDq-m2g" name="riskAdjustment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PpoNcFMEea5pdrFDq-m2g">
            <body>A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PpoM8FMEea5pdrFDq-m2g">
            <body>How is risk adjustment applied for this measure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PpoMMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PpoMcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PpoN8FMEea5pdrFDq-m2g" name="rateAggregation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PpoPcFMEea5pdrFDq-m2g">
            <body>A description of the rate aggregation for the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PpoO8FMEea5pdrFDq-m2g">
            <body>How is rate aggregation performed for this measure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PpoOMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PpoOcFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PqPQMFMEea5pdrFDq-m2g" name="rationale" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PqPRsFMEea5pdrFDq-m2g">
            <body>The rationale for the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PqPRMFMEea5pdrFDq-m2g">
            <body>Why does this measure exist</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PqPQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PqPQsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PqPSMFMEea5pdrFDq-m2g" name="clinicalRecommendationStatement" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PqPTsFMEea5pdrFDq-m2g">
            <body>The clinical recommendation statement for the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PqPTMFMEea5pdrFDq-m2g">
            <body>Clinical recommendation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PqPScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PqPSsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5Pq2UMFMEea5pdrFDq-m2g" name="improvementNotation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Pq2VsFMEea5pdrFDq-m2g">
            <body>Improvement notation for the measure, e.g. higher score indicates better quality.</body>
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          <ownedComment xmi:id="_5Pq2VMFMEea5pdrFDq-m2g">
            <body>Improvement notation for the measure, e.g. higher score indicates better quality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pq2UcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pq2UsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5Pq2WMFMEea5pdrFDq-m2g" name="definition" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PrdY8FMEea5pdrFDq-m2g">
            <body>A narrative description of the complete measure calculation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PrdYcFMEea5pdrFDq-m2g">
            <body>A natural language definition of the measure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pq2WcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pq2WsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PrdZcFMEea5pdrFDq-m2g" name="guidance" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Prda8FMEea5pdrFDq-m2g">
            <body>Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure.</body>
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          <ownedComment xmi:id="_5PrdacFMEea5pdrFDq-m2g">
            <body>The guidance for the measure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PrdZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PrdZ8FMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PsEcMFMEea5pdrFDq-m2g" name="set" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5PsEdsFMEea5pdrFDq-m2g">
            <body>The measure set, e.g. Preventive Care and Screening.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PsEdMFMEea5pdrFDq-m2g">
            <body>The measure set, e.g. Preventive Care and Screening</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PsEccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PsEcsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5PsrgcFMEea5pdrFDq-m2g" name="group" type="_5PsEeMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PsrhcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Psri8FMEea5pdrFDq-m2g">
            <body>A group of population criteria for the measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5PsricFMEea5pdrFDq-m2g">
            <body>Population criteria group</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PsrgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Psrg8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5PzZM8FMEea5pdrFDq-m2g" name="supplementalData" type="_5PzZMMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5P0AQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5P0ARsFMEea5pdrFDq-m2g">
            <body>The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P0ARMFMEea5pdrFDq-m2g">
            <body>Supplemental data</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PzZNMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PzZNcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5PsEeMFMEea5pdrFDq-m2g" name="Group">
          <generalization xmi:id="_5PsEecFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5PtSkMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5PtSlsFMEea5pdrFDq-m2g">
              <body>A unique identifier for the group. This identifier will used to report data for the group in the measure report.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PtSlMFMEea5pdrFDq-m2g">
              <body>Unique identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PtSkcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PtSksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5PtSmMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Pt5oMFMEea5pdrFDq-m2g">
              <body>Optional name or short description of this group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PtSnMFMEea5pdrFDq-m2g">
              <body>Short name</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PtSmcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PtSmsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Pt5osFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Pt5qMFMEea5pdrFDq-m2g">
              <body>The human readable description of this population group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Pt5psFMEea5pdrFDq-m2g">
              <body>Summary description</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pt5o8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pt5pMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5PugscFMEea5pdrFDq-m2g" name="population" type="_5Pt5qsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PugtcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5PvHwsFMEea5pdrFDq-m2g">
              <body>A population criteria for the measure.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PvHwMFMEea5pdrFDq-m2g">
              <body>Population criteria</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PugssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pugs8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5PxkAcFMEea5pdrFDq-m2g" name="stratifier" type="_5Pw8-sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5PxkBcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5PyLEcFMEea5pdrFDq-m2g">
              <body>The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library, or a valid FHIR Resource Path.</body>
            </ownedComment>
            <ownedComment xmi:id="_5PxkCcFMEea5pdrFDq-m2g">
              <body>Stratifier criteria for the measure</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PxkAsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PxkA8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Pt5qsFMEea5pdrFDq-m2g" name="Population">
            <generalization xmi:id="_5Pt5q8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5PvHxMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Pvu08FMEea5pdrFDq-m2g">
                <body>The type of population criteria.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Pvu0cFMEea5pdrFDq-m2g">
                <body>initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PvHxcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PvHxsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Pvu1cFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Pvu28FMEea5pdrFDq-m2g">
                <body>A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Pvu2cFMEea5pdrFDq-m2g">
                <body>Unique identifier</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pvu1sFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pvu18FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5PwV4cFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5PwV58FMEea5pdrFDq-m2g">
                <body>Optional name or short description of this population.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PwV5cFMEea5pdrFDq-m2g">
                <body>Short name</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PwV4sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PwV48FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5PwV6cFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Pw88MFMEea5pdrFDq-m2g">
                <body>The human readable description of this population criteria.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PwV7cFMEea5pdrFDq-m2g">
                <body>The human readable description of this population criteria</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PwV6sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PwV68FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Pw88sFMEea5pdrFDq-m2g" name="criteria" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Pw8-MFMEea5pdrFDq-m2g">
                <body>The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Pw89sFMEea5pdrFDq-m2g">
                <body>The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pw888FMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pw89MFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5Pw8-sFMEea5pdrFDq-m2g" name="Stratifier">
            <generalization xmi:id="_5Pw8-8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5PyLE8FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5PyLGcFMEea5pdrFDq-m2g">
                <body>The identifier for the stratifier used to coordinate the reported data back to this stratifier.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PyLF8FMEea5pdrFDq-m2g">
                <body>The identifier for the stratifier used to coordinate the reported data back to this stratifier</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PyLFMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PyLFcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5PyLG8FMEea5pdrFDq-m2g" name="criteria" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5PyyI8FMEea5pdrFDq-m2g">
                <body>The criteria for the stratifier. This must be the name of an expression defined within a referenced library.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PyyIcFMEea5pdrFDq-m2g">
                <body>Stratifier criteria</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PyLHMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PyLHcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5PyyJcFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5PyyK8FMEea5pdrFDq-m2g">
                <body>The path to an element that defines the stratifier, specified as a valid FHIR resource path.</body>
              </ownedComment>
              <ownedComment xmi:id="_5PyyKcFMEea5pdrFDq-m2g">
                <body>Path to the stratifier</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PyyJsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PyyJ8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5PzZMMFMEea5pdrFDq-m2g" name="SupplementalData">
          <generalization xmi:id="_5PzZMcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5P0ASMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5P0ATsFMEea5pdrFDq-m2g">
              <body>An identifier for the supplemental data.</body>
            </ownedComment>
            <ownedComment xmi:id="_5P0ATMFMEea5pdrFDq-m2g">
              <body>Identifier, unique within the measure</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P0AScFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P0ASsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5P0nUMFMEea5pdrFDq-m2g" name="usage" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5P1OYsFMEea5pdrFDq-m2g">
              <body>An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation.</body>
            </ownedComment>
            <ownedComment xmi:id="_5P1OYMFMEea5pdrFDq-m2g">
              <body>supplemental-data | risk-adjustment-factor</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P0nUcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P0nUsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5P1OZMFMEea5pdrFDq-m2g" name="criteria" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5P1OasFMEea5pdrFDq-m2g">
              <body>The criteria for the supplemental data. This must be the name of a valid expression defined within a referenced library, and defines the data to be returned for this element.</body>
            </ownedComment>
            <ownedComment xmi:id="_5P1OaMFMEea5pdrFDq-m2g">
              <body>Supplemental data criteria</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P1OZcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P1OZsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5P11ccFMEea5pdrFDq-m2g" name="path" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5P11d8FMEea5pdrFDq-m2g">
              <body>The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Path.</body>
            </ownedComment>
            <ownedComment xmi:id="_5P11dcFMEea5pdrFDq-m2g">
              <body>Path to the supplemental data element</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P11csFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P11c8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Pmk4MFMEea5pdrFDq-m2g" memberEnd="_5Pmk4cFMEea5pdrFDq-m2g _5Pl92cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Pmk4cFMEea5pdrFDq-m2g" type="_5PblwMFMEea5pdrFDq-m2g" association="_5Pmk4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pmk4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Pmk48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5PsrhcFMEea5pdrFDq-m2g" memberEnd="_5PsrhsFMEea5pdrFDq-m2g _5PsrgcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5PsrhsFMEea5pdrFDq-m2g" type="_5PblwMFMEea5pdrFDq-m2g" association="_5PsrhcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Psrh8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PsriMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5PugtcFMEea5pdrFDq-m2g" memberEnd="_5PugtsFMEea5pdrFDq-m2g _5PugscFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5PugtsFMEea5pdrFDq-m2g" type="_5PsEeMFMEea5pdrFDq-m2g" association="_5PugtcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Pugt8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PuguMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5PxkBcFMEea5pdrFDq-m2g" memberEnd="_5PxkBsFMEea5pdrFDq-m2g _5PxkAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5PxkBsFMEea5pdrFDq-m2g" type="_5PsEeMFMEea5pdrFDq-m2g" association="_5PxkBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PxkB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PxkCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5P0AQMFMEea5pdrFDq-m2g" memberEnd="_5P0AQcFMEea5pdrFDq-m2g _5PzZM8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5P0AQcFMEea5pdrFDq-m2g" type="_5PblwMFMEea5pdrFDq-m2g" association="_5P0AQMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P0AQsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P0AQ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5P2cgMFMEea5pdrFDq-m2g" memberEnd="_5P2cgcFMEea5pdrFDq-m2g _5P11ecFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5P2cgcFMEea5pdrFDq-m2g" type="_5PaXqcFMEea5pdrFDq-m2g" association="_5P2cgMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P2cgsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P2cg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5P3qoMFMEea5pdrFDq-m2g" memberEnd="_5P3qocFMEea5pdrFDq-m2g _5P3DlsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5P3qocFMEea5pdrFDq-m2g" type="_5PaXqcFMEea5pdrFDq-m2g" association="_5P3qoMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P3qosFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P3qo8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5P5f0sFMEea5pdrFDq-m2g" memberEnd="_5P5f08FMEea5pdrFDq-m2g _5P44zMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5P5f08FMEea5pdrFDq-m2g" type="_5PaXqcFMEea5pdrFDq-m2g" association="_5P5f0sFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P5f1MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P5f1cFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5P6G5cFMEea5pdrFDq-m2g" memberEnd="_5P6G5sFMEea5pdrFDq-m2g _5P6G4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5P6G5sFMEea5pdrFDq-m2g" type="_5PaXqcFMEea5pdrFDq-m2g" association="_5P6G5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P6G58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P6G6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5P7VBcFMEea5pdrFDq-m2g" memberEnd="_5P7VBsFMEea5pdrFDq-m2g _5P7VAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5P7VBsFMEea5pdrFDq-m2g" type="_5P5f2sFMEea5pdrFDq-m2g" association="_5P7VBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P7VB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P7VCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5P8jKMFMEea5pdrFDq-m2g" name="List">
        <ownedComment xmi:id="_5P-YVsFMEea5pdrFDq-m2g">
          <body>A set of information summarized from a list of other resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_5P-YUcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for List Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5P-YVMFMEea5pdrFDq-m2g">
          <body>Information summarized from a list of other resources</body>
        </ownedComment>
        <ownedRule xmi:id="_5P8jKcFMEea5pdrFDq-m2g" name="lst-2" constrainedElement="_5P8jKMFMEea5pdrFDq-m2g _5QHiSMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5P9KMMFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(f:mode/@value = 'changes') or not(exists(f:entry/f:deleted))</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5P9KMsFMEea5pdrFDq-m2g" name="lst-1" constrainedElement="_5P8jKMFMEea5pdrFDq-m2g _5QGUIcFMEea5pdrFDq-m2g _5QJXccFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5P9KM8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:emptyReason) and exists(f:entry))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5P-YU8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5P-YWMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5P-YXsFMEea5pdrFDq-m2g">
            <body>Identifier for the List assigned for business purposes outside the context of FHIR.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P-YXMFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P-YWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P-YWsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5P-_YMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5P_mc8FMEea5pdrFDq-m2g">
            <body>Indicates the current state of this list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5P_mccFMEea5pdrFDq-m2g">
            <body>current | retired | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P-_YcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P-_YsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5P_mdcFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QANg8FMEea5pdrFDq-m2g">
            <body>How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QANgcFMEea5pdrFDq-m2g">
            <body>working | snapshot | changes</body>
          </ownedComment>
          <ownedComment xmi:id="_5QANhcFMEea5pdrFDq-m2g">
            <body>Lists are used in various ways, and it must be known in what way it is safe to use them.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5P_mdsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5P_md8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QA0kMFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QA0lsFMEea5pdrFDq-m2g">
            <body>A label for the list assigned by the author.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QA0lMFMEea5pdrFDq-m2g">
            <body>Descriptive name for the list</body>
          </ownedComment>
          <ownedComment xmi:id="_5QA0mMFMEea5pdrFDq-m2g">
            <body>Allows customization beyond just the code identifying the kind of list.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QA0kcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QA0ksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QA0msFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QBbpcFMEea5pdrFDq-m2g">
            <body>This code defines the purpose of the list - why it was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QBbo8FMEea5pdrFDq-m2g">
            <body>What the purpose of this list is</body>
          </ownedComment>
          <ownedComment xmi:id="_5QCCsMFMEea5pdrFDq-m2g">
            <body>If there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QCCssFMEea5pdrFDq-m2g">
            <body>Lists often contain subsets of resources rather than an exhaustive list.  The code identifies what type of subset is included.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QA0m8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QA0nMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QCCtMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5QCCuMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QCpwcFMEea5pdrFDq-m2g">
            <body>The common subject (or patient) of the resources that are in the list, if there is one.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QCCvMFMEea5pdrFDq-m2g">
            <body>If all resources have the same subject</body>
          </ownedComment>
          <ownedComment xmi:id="_5QCpw8FMEea5pdrFDq-m2g">
            <body>Some purely arbitrary lists do not have a common subject, so this is optional.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QCpxcFMEea5pdrFDq-m2g">
            <body>The primary purpose of listing the subject explicitly is to help with finding the right list.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QCCtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QCCtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QCpyMFMEea5pdrFDq-m2g" name="encounter" type="_46sE3cFMEea5pdrFDq-m2g" isOrdered="true" association="_5QDQ0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QDQ1sFMEea5pdrFDq-m2g">
            <body>The encounter that is the context in which this list was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QDQ1MFMEea5pdrFDq-m2g">
            <body>Context in which list created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QCpycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QCpysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QDQ2MFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QDQ3sFMEea5pdrFDq-m2g">
            <body>The date that the list was prepared.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QDQ3MFMEea5pdrFDq-m2g">
            <body>When the list was prepared</body>
          </ownedComment>
          <ownedComment xmi:id="_5QD34cFMEea5pdrFDq-m2g">
            <body>The actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QD348FMEea5pdrFDq-m2g">
            <body>Identifies how current the list is which affects relevance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QDQ2cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QDQ2sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QD35cFMEea5pdrFDq-m2g" name="source" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5QD36cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QEe8sFMEea5pdrFDq-m2g">
            <body>The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QEe8MFMEea5pdrFDq-m2g">
            <body>Who and/or what defined the list contents (aka Author)</body>
          </ownedComment>
          <ownedComment xmi:id="_5QEe9MFMEea5pdrFDq-m2g">
            <body>The primary source is the entity that made the decisions what items are in the list. This may be software or user.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QEe9sFMEea5pdrFDq-m2g">
            <body>Allows follow-up as well as context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QD35sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QD358FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QEe-cFMEea5pdrFDq-m2g" name="orderedBy" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QFGA8FMEea5pdrFDq-m2g">
            <body>What order applies to the items in the list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QFGAcFMEea5pdrFDq-m2g">
            <body>What order the list has</body>
          </ownedComment>
          <ownedComment xmi:id="_5QFGBcFMEea5pdrFDq-m2g">
            <body>Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QFGB8FMEea5pdrFDq-m2g">
            <body>Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QEe-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QEe-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QFGCcFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QFtFcFMEea5pdrFDq-m2g">
            <body>Comments that apply to the overall list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QFtE8FMEea5pdrFDq-m2g">
            <body>Comments about the list</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QFtEMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QFtEcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QGUIcFMEea5pdrFDq-m2g" name="entry" type="_5QFtF8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QGUJcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QGUK8FMEea5pdrFDq-m2g">
            <body>Entries in this list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QGUKcFMEea5pdrFDq-m2g">
            <body>Entries in the list</body>
          </ownedComment>
          <ownedComment xmi:id="_5QGULcFMEea5pdrFDq-m2g">
            <body>If there are no entries in the list, an emptyReason SHOULD be provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QGUIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QGUI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QJXccFMEea5pdrFDq-m2g" name="emptyReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QJXeMFMEea5pdrFDq-m2g">
            <body>If the list is empty, why the list is empty.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QJXdsFMEea5pdrFDq-m2g">
            <body>Why list is empty</body>
          </ownedComment>
          <ownedComment xmi:id="_5QJ-gMFMEea5pdrFDq-m2g">
            <body>The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QJ-gsFMEea5pdrFDq-m2g">
            <body>Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QJXcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QJXc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5QFtF8FMEea5pdrFDq-m2g" name="Entry">
          <generalization xmi:id="_5QFtGMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5QG7McFMEea5pdrFDq-m2g" name="flag" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QHiQsFMEea5pdrFDq-m2g">
              <body>The flag allows the system constructing the list to indicate the role and significance of the item in the list.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QHiQMFMEea5pdrFDq-m2g">
              <body>Status/Workflow information about this item</body>
            </ownedComment>
            <ownedComment xmi:id="_5QHiRMFMEea5pdrFDq-m2g">
              <body>The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is &quot;changes&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QHiRsFMEea5pdrFDq-m2g">
              <body>This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QG7MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QG7M8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QHiSMFMEea5pdrFDq-m2g" name="deleted" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QIJUcFMEea5pdrFDq-m2g">
              <body>True if this item is marked as deleted in the list.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QHiTMFMEea5pdrFDq-m2g">
              <body>If this item is actually marked as deleted</body>
            </ownedComment>
            <ownedComment xmi:id="_5QIJU8FMEea5pdrFDq-m2g">
              <body>If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is &quot;changes&quot;. A deleted entry should be displayed in narrative as deleted.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QIJVcFMEea5pdrFDq-m2g">
              <body>The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as &quot;deleted&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QHiScFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QHiSsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QIJV8FMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QIJXcFMEea5pdrFDq-m2g">
              <body>When this item was added to the list.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QIJW8FMEea5pdrFDq-m2g">
              <body>When item added to list</body>
            </ownedComment>
            <ownedComment xmi:id="_5QIwYMFMEea5pdrFDq-m2g">
              <body>This is only useful and meaningful when the mode is &quot;working&quot;.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QIwYsFMEea5pdrFDq-m2g">
              <body>The date may be significant for understanding the meaning of items in a working list.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QIJWMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QIJWcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QIwZMFMEea5pdrFDq-m2g" name="item" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5QIwaMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5QIwbsFMEea5pdrFDq-m2g">
              <body>A reference to the actual resource from which data was derived.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QIwbMFMEea5pdrFDq-m2g">
              <body>Actual entry</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QIwZcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QIwZsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QCCuMFMEea5pdrFDq-m2g" memberEnd="_5QCCucFMEea5pdrFDq-m2g _5QCCtMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QCCucFMEea5pdrFDq-m2g" type="_5P8jKMFMEea5pdrFDq-m2g" association="_5QCCuMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QCCusFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QCCu8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QDQ0MFMEea5pdrFDq-m2g" memberEnd="_5QDQ0cFMEea5pdrFDq-m2g _5QCpyMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QDQ0cFMEea5pdrFDq-m2g" type="_5P8jKMFMEea5pdrFDq-m2g" association="_5QDQ0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QDQ0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QDQ08FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QD36cFMEea5pdrFDq-m2g" memberEnd="_5QD36sFMEea5pdrFDq-m2g _5QD35cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QD36sFMEea5pdrFDq-m2g" type="_5P8jKMFMEea5pdrFDq-m2g" association="_5QD36cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QD368FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QD37MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QGUJcFMEea5pdrFDq-m2g" memberEnd="_5QGUJsFMEea5pdrFDq-m2g _5QGUIcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QGUJsFMEea5pdrFDq-m2g" type="_5P8jKMFMEea5pdrFDq-m2g" association="_5QGUJcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QGUJ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QGUKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QIwaMFMEea5pdrFDq-m2g" memberEnd="_5QIwacFMEea5pdrFDq-m2g _5QIwZMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QIwacFMEea5pdrFDq-m2g" type="_5QFtF8FMEea5pdrFDq-m2g" association="_5QIwaMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QIwasFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QIwa8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QKlkMFMEea5pdrFDq-m2g" memberEnd="_5QKlkcFMEea5pdrFDq-m2g _5QJ-hMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QKlkcFMEea5pdrFDq-m2g" type="_5P6t-8FMEea5pdrFDq-m2g" association="_5QKlkMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QKlksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QKlk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QLzsMFMEea5pdrFDq-m2g" memberEnd="_5QLzscFMEea5pdrFDq-m2g _5QLMosFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QLzscFMEea5pdrFDq-m2g" type="_5P5f2sFMEea5pdrFDq-m2g" association="_5QLzsMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QLzssFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QLzs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QNB0MFMEea5pdrFDq-m2g" memberEnd="_5QNB0cFMEea5pdrFDq-m2g _5QMawsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QNB0cFMEea5pdrFDq-m2g" type="_5QKloMFMEea5pdrFDq-m2g" association="_5QNB0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QNB0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QNB08FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QOP8MFMEea5pdrFDq-m2g" memberEnd="_5QOP8cFMEea5pdrFDq-m2g _5QNo48FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QOP8cFMEea5pdrFDq-m2g" type="_5QLzwMFMEea5pdrFDq-m2g" association="_5QOP8MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QOP8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QOP88FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QPeEcFMEea5pdrFDq-m2g" memberEnd="_5QPeEsFMEea5pdrFDq-m2g _5QO3DMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QPeEsFMEea5pdrFDq-m2g" type="_5QNo4MFMEea5pdrFDq-m2g" association="_5QPeEcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QPeE8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QPeFMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QQsMsFMEea5pdrFDq-m2g" memberEnd="_5QQsM8FMEea5pdrFDq-m2g _5QQFJ8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QQsM8FMEea5pdrFDq-m2g" type="_5P5f2sFMEea5pdrFDq-m2g" association="_5QQsMsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QQsNMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QQsNcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QR6UsFMEea5pdrFDq-m2g" memberEnd="_5QR6U8FMEea5pdrFDq-m2g _5QRTR8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QR6U8FMEea5pdrFDq-m2g" type="_5QQFJMFMEea5pdrFDq-m2g" association="_5QR6UsFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QR6VcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QTIccFMEea5pdrFDq-m2g" memberEnd="_5QTIcsFMEea5pdrFDq-m2g _5QShbMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QTIcsFMEea5pdrFDq-m2g" type="_5QRTRMFMEea5pdrFDq-m2g" association="_5QTIccFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QTIc8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QTIdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QTvgMFMEea5pdrFDq-m2g" memberEnd="_5QTvgcFMEea5pdrFDq-m2g _5QTIecFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QTvgcFMEea5pdrFDq-m2g" type="_5PaXqcFMEea5pdrFDq-m2g" association="_5QTvgMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QTvgsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QTvg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5QTviMFMEea5pdrFDq-m2g" name="ClaimResponse">
        <ownedComment xmi:id="_5QU9psFMEea5pdrFDq-m2g">
          <body>This resource provides the adjudication details from the processing of a Claim resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_5QU9ocFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ClaimResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5QU9pMFMEea5pdrFDq-m2g">
          <body>Remittance resource</body>
        </ownedComment>
        <generalization xmi:id="_5QU9o8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5QU9qMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QVktcFMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QVks8FMEea5pdrFDq-m2g">
            <body>Response  number</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QVksMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QVkscFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QVkt8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QWLwsFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QWLwMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QVkuMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QVkucFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QWLxMFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QWLysFMEea5pdrFDq-m2g">
            <body>The date when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QWLyMFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QWLxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QWLxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QWLzMFMEea5pdrFDq-m2g" name="insurer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QWy0cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QWy18FMEea5pdrFDq-m2g">
            <body>The Insurer who produced this adjudicated response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QWy1cFMEea5pdrFDq-m2g">
            <body>Insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QWLzcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QWLzsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QWy2cFMEea5pdrFDq-m2g" name="requestProvider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QXZ4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QXZ5sFMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QXZ5MFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QWy2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QWy28FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QXZ6MFMEea5pdrFDq-m2g" name="requestOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QYA8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QYA98FMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QYA9cFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QXZ6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QXZ6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5RhQecFMEea5pdrFDq-m2g" name="request" type="_5QYoAMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Rh3gMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Rh3hsFMEea5pdrFDq-m2g">
            <body>Original request resource referrence.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Rh3hMFMEea5pdrFDq-m2g">
            <body>Id of resource triggering adjudication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RhQesFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RhQe8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5R2noMFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5R3OssFMEea5pdrFDq-m2g">
            <body>Processing outcome errror, partial or complete processing.</body>
          </ownedComment>
          <ownedComment xmi:id="_5R3OsMFMEea5pdrFDq-m2g">
            <body>complete | error | partial</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R2nocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R2nosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5R3OtMFMEea5pdrFDq-m2g" name="disposition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5R31wMFMEea5pdrFDq-m2g">
            <body>A description of the status of the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5R3OuMFMEea5pdrFDq-m2g">
            <body>Disposition Message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R3OtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R3OtsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5R31wsFMEea5pdrFDq-m2g" name="payeeType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5R4c0MFMEea5pdrFDq-m2g">
            <body>Party to be reimbursed: Subscriber, provider, other.</body>
          </ownedComment>
          <ownedComment xmi:id="_5R31x8FMEea5pdrFDq-m2g">
            <body>Party to be paid any benefits payable</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R31w8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R31xMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5R5D4cFMEea5pdrFDq-m2g" name="item" type="_5R4c0sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5R5D5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5R5D68FMEea5pdrFDq-m2g">
            <body>The first tier service adjudications for submitted services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5R5D6cFMEea5pdrFDq-m2g">
            <body>Line items</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R5D4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R5D48FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SCN08FMEea5pdrFDq-m2g" name="addItem" type="_5SCN0MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SC04MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SC05sFMEea5pdrFDq-m2g">
            <body>The first tier service adjudications for payor added services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SC05MFMEea5pdrFDq-m2g">
            <body>Insurer added line items</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SCN1MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SCN1cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SL-0cFMEea5pdrFDq-m2g" name="error" type="_5SLXyMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SL-1cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SMl4sFMEea5pdrFDq-m2g">
            <body>Mutually exclusive with Services Provided (Item).</body>
          </ownedComment>
          <ownedComment xmi:id="_5SMl4MFMEea5pdrFDq-m2g">
            <body>Processing errors</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SL-0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SL-08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SN0BsFMEea5pdrFDq-m2g" name="totalCost" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SObEsFMEea5pdrFDq-m2g">
            <body>The total cost of the services reported.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SObEMFMEea5pdrFDq-m2g">
            <body>Total Cost of service from the Claim</body>
          </ownedComment>
          <ownedComment xmi:id="_5SObFMFMEea5pdrFDq-m2g">
            <body>This is a check value that the receiver calculates and returns.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SN0B8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SN0CMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SObFsFMEea5pdrFDq-m2g" name="unallocDeductable" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SObHMFMEea5pdrFDq-m2g">
            <body>The amount of deductible applied which was not allocated to any particular service line.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SObGsFMEea5pdrFDq-m2g">
            <body>Unallocated deductible</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SObF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SObGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SPCIMFMEea5pdrFDq-m2g" name="totalBenefit" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SPCJsFMEea5pdrFDq-m2g">
            <body>Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible).</body>
          </ownedComment>
          <ownedComment xmi:id="_5SPCJMFMEea5pdrFDq-m2g">
            <body>Total benefit payable for the Claim</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SPCIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SPCIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SPpMcFMEea5pdrFDq-m2g" name="payment" type="_5SPCKMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SPpNcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SPpO8FMEea5pdrFDq-m2g">
            <body>Payment details for the claim if the claim has been paid.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SPpOcFMEea5pdrFDq-m2g">
            <body>Payment details, if paid</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SPpMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SPpM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5STTlMFMEea5pdrFDq-m2g" name="reserved" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ST6osFMEea5pdrFDq-m2g">
            <body>Status of funds reservation (For provider, for Patient, None).</body>
          </ownedComment>
          <ownedComment xmi:id="_5ST6oMFMEea5pdrFDq-m2g">
            <body>Funds reserved status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5STTlcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5STTlsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ST6pMFMEea5pdrFDq-m2g" name="form" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SUhssFMEea5pdrFDq-m2g">
            <body>The form to be used for printing the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SUhsMFMEea5pdrFDq-m2g">
            <body>Printed Form Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ST6pcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ST6psFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SVIwcFMEea5pdrFDq-m2g" name="note" type="_5SUhtMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SVIxcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SVIy8FMEea5pdrFDq-m2g">
            <body>Note text.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SVIycFMEea5pdrFDq-m2g">
            <body>Processing notes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SVIwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SVIw8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SXlBMFMEea5pdrFDq-m2g" name="communicationRequest" type="_4_maAMFMEea5pdrFDq-m2g" isOrdered="true" association="_5SXlCMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SYMEcFMEea5pdrFDq-m2g">
            <body>Request for additional supporting or authorizing information, such as: documents, images or resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SXlDMFMEea5pdrFDq-m2g">
            <body>Request for additional information</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SXlBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SXlBsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SYzIcFMEea5pdrFDq-m2g" name="insurance" type="_5SYME8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SYzJcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SYzK8FMEea5pdrFDq-m2g">
            <body>Financial instrument by which payment information for health care.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SYzKcFMEea5pdrFDq-m2g">
            <body>Insurance or medical plan</body>
          </ownedComment>
          <ownedComment xmi:id="_5SYzLcFMEea5pdrFDq-m2g">
            <body>Health care programs and insurers are significant payors of health service costs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SYzIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SYzI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5R4c0sFMEea5pdrFDq-m2g" name="Item">
          <generalization xmi:id="_5R4c08FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5R5q8MFMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5R5q9sFMEea5pdrFDq-m2g">
              <body>A service line number.</body>
            </ownedComment>
            <ownedComment xmi:id="_5R5q9MFMEea5pdrFDq-m2g">
              <body>Service instance</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R5q8cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R5q8sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5R5q-MFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5R5q_sFMEea5pdrFDq-m2g">
              <body>A list of note references to the notes provided below.</body>
            </ownedComment>
            <ownedComment xmi:id="_5R5q_MFMEea5pdrFDq-m2g">
              <body>List of note numbers which apply</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R5q-cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R5q-sFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5R6SBMFMEea5pdrFDq-m2g" name="adjudication" type="_5R6SAcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5R65EcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5R65F8FMEea5pdrFDq-m2g">
              <body>The adjudications results.</body>
            </ownedComment>
            <ownedComment xmi:id="_5R65FcFMEea5pdrFDq-m2g">
              <body>Adjudication details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R6SBcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R6SBsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5R98YcFMEea5pdrFDq-m2g" name="detail" type="_5R9VW8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5R98ZcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5R-jcsFMEea5pdrFDq-m2g">
              <body>The second tier service adjudications for submitted services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5R-jcMFMEea5pdrFDq-m2g">
              <body>Detail line items</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R98YsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R98Y8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5R6SAcFMEea5pdrFDq-m2g" name="Adjudication">
            <generalization xmi:id="_5R6SAsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5R7gIMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5R8HMsFMEea5pdrFDq-m2g">
                <body>Code indicating: Co-Pay, deductible, eligible, benefit, tax, etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R8HMMFMEea5pdrFDq-m2g">
                <body>Adjudication category such as co-pay, eligible, benefit, etc.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R7gIcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R7gIsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5R8HNMFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5R8uQ8FMEea5pdrFDq-m2g">
                <body>Adjudication reason such as limit reached.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R8uQcFMEea5pdrFDq-m2g">
                <body>Adjudication reason</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R8HNcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R8HNsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5R8uRcFMEea5pdrFDq-m2g" name="amount" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5R9VUcFMEea5pdrFDq-m2g">
                <body>Monetary amount associated with the code.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R8uScFMEea5pdrFDq-m2g">
                <body>Monetary amount</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R8uRsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R8uR8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5R9VU8FMEea5pdrFDq-m2g" name="value" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5R9VWcFMEea5pdrFDq-m2g">
                <body>A non-monetary value for example a percentage. Mutually exclusive to the amount element above.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R9VV8FMEea5pdrFDq-m2g">
                <body>Non-monetary value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R9VVMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R9VVcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5R9VW8FMEea5pdrFDq-m2g" name="ItemDetail">
            <generalization xmi:id="_5R9VXMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5R-jdMFMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5R-jesFMEea5pdrFDq-m2g">
                <body>A service line number.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R-jeMFMEea5pdrFDq-m2g">
                <body>Service instance</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R-jdcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R-jdsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5R-jfMFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5R_Kg8FMEea5pdrFDq-m2g">
                <body>A list of note references to the notes provided below.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R_KgcFMEea5pdrFDq-m2g">
                <body>List of note numbers which apply</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R-jfcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R-jfsFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5R_KhcFMEea5pdrFDq-m2g" name="adjudication" type="_5R6SAcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5R_KicFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5R_xksFMEea5pdrFDq-m2g">
                <body>The adjudications results.</body>
              </ownedComment>
              <ownedComment xmi:id="_5R_xkMFMEea5pdrFDq-m2g">
                <body>Detail adjudication</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5R_KhsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5R_Kh8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SAYocFMEea5pdrFDq-m2g" name="subDetail" type="_5R_xlMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SAYpcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5SAYq8FMEea5pdrFDq-m2g">
                <body>The third tier service adjudications for submitted services.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SAYqcFMEea5pdrFDq-m2g">
                <body>Subdetail line items</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SAYosFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SAYo8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5R_xlMFMEea5pdrFDq-m2g" name="SubDetail">
              <generalization xmi:id="_5R_xlcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5SAYrcFMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5SA_tcFMEea5pdrFDq-m2g">
                  <body>A service line number.</body>
                </ownedComment>
                <ownedComment xmi:id="_5SA_s8FMEea5pdrFDq-m2g">
                  <body>Service instance</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SA_sMFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SA_scFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5SA_t8FMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5SA_vcFMEea5pdrFDq-m2g">
                  <body>A list of note references to the notes provided below.</body>
                </ownedComment>
                <ownedComment xmi:id="_5SA_u8FMEea5pdrFDq-m2g">
                  <body>List of note numbers which apply</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SA_uMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SA_ucFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5SBmwMFMEea5pdrFDq-m2g" name="adjudication" type="_5R6SAcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SBmxMFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5SBmysFMEea5pdrFDq-m2g">
                  <body>The adjudications results.</body>
                </ownedComment>
                <ownedComment xmi:id="_5SBmyMFMEea5pdrFDq-m2g">
                  <body>Subdetail adjudication</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SBmwcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SBmwsFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SCN0MFMEea5pdrFDq-m2g" name="AddedItem">
          <generalization xmi:id="_5SCN0cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SC06MFMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SC07sFMEea5pdrFDq-m2g">
              <body>List of input service items which this service line is intended to replace.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SC07MFMEea5pdrFDq-m2g">
              <body>Service instances</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SC06cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SC06sFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SDb8MFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SDb98FMEea5pdrFDq-m2g">
              <body>The type of reveneu or cost center providing the product and/or service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SDb9cFMEea5pdrFDq-m2g">
              <body>Revenue or cost center code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SDb8cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SDb8sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SEDAMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SEDB8FMEea5pdrFDq-m2g">
              <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SEDBcFMEea5pdrFDq-m2g">
              <body>Type of service or product</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SEDAcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SEDAsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SEqEMFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SEqF8FMEea5pdrFDq-m2g">
              <body>A code to indicate the Professional Service or Product supplied.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SEqFcFMEea5pdrFDq-m2g">
              <body>Group, Service or Product</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SEqEcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SEqEsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SEqGcFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SFRJsFMEea5pdrFDq-m2g">
              <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SFRJMFMEea5pdrFDq-m2g">
              <body>Service/Product billing modifiers</body>
            </ownedComment>
            <ownedComment xmi:id="_5SFRKMFMEea5pdrFDq-m2g">
              <body>May impact on adjudication.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SFRIMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SFRIcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SF4McFMEea5pdrFDq-m2g" name="fee" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SF4N8FMEea5pdrFDq-m2g">
              <body>The fee charged for the professional service or product..</body>
            </ownedComment>
            <ownedComment xmi:id="_5SF4NcFMEea5pdrFDq-m2g">
              <body>Professional fee or Product charge</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SF4MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SF4M8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SF4OcFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SGfQcFMEea5pdrFDq-m2g">
              <body>A list of note references to the notes provided below.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SF4PcFMEea5pdrFDq-m2g">
              <body>List of note numbers which apply</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SF4OsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SF4O8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SGfQ8FMEea5pdrFDq-m2g" name="adjudication" type="_5R6SAcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SGfR8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5SHGUMFMEea5pdrFDq-m2g">
              <body>The adjudications results.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SGfS8FMEea5pdrFDq-m2g">
              <body>Added items adjudication</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SGfRMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SGfRcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SHGVcFMEea5pdrFDq-m2g" name="detail" type="_5SHGUsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SHtYcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5SHtZ8FMEea5pdrFDq-m2g">
              <body>The second tier service adjudications for payor added services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SHtZcFMEea5pdrFDq-m2g">
              <body>Added items details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SHGVsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SHGV8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5SHGUsFMEea5pdrFDq-m2g" name="AddedItemsDetail">
            <generalization xmi:id="_5SHGU8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5SHtacFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5SIUc8FMEea5pdrFDq-m2g">
                <body>The type of reveneu or cost center providing the product and/or service.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SIUccFMEea5pdrFDq-m2g">
                <body>Revenue or cost center code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SHtasFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SHta8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SIUdcFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5SI7g8FMEea5pdrFDq-m2g">
                <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SI7gcFMEea5pdrFDq-m2g">
                <body>Type of service or product</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SIUdsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SIUd8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SI7hcFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5SJik8FMEea5pdrFDq-m2g">
                <body>A code to indicate the Professional Service or Product supplied.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SJikcFMEea5pdrFDq-m2g">
                <body>Service or Product</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SI7hsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SI7h8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SJilcFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5SKJo8FMEea5pdrFDq-m2g">
                <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SKJocFMEea5pdrFDq-m2g">
                <body>Service/Product billing modifiers</body>
              </ownedComment>
              <ownedComment xmi:id="_5SKJpcFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SJilsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SJil8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SKJp8FMEea5pdrFDq-m2g" name="fee" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5SKwscFMEea5pdrFDq-m2g">
                <body>The fee charged for the professional service or product..</body>
              </ownedComment>
              <ownedComment xmi:id="_5SKJq8FMEea5pdrFDq-m2g">
                <body>Professional fee or Product charge</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SKJqMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SKJqcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SKws8FMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5SKwucFMEea5pdrFDq-m2g">
                <body>A list of note references to the notes provided below.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SKwt8FMEea5pdrFDq-m2g">
                <body>List of note numbers which apply</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SKwtMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SKwtcFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5SKwu8FMEea5pdrFDq-m2g" name="adjudication" type="_5R6SAcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SLXwMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5SLXxsFMEea5pdrFDq-m2g">
                <body>The adjudications results.</body>
              </ownedComment>
              <ownedComment xmi:id="_5SLXxMFMEea5pdrFDq-m2g">
                <body>Added items detail adjudication</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SKwvMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SKwvcFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SLXyMFMEea5pdrFDq-m2g" name="Error">
          <generalization xmi:id="_5SLXycFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SMl5MFMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SMl6sFMEea5pdrFDq-m2g">
              <body>The sequence number of the line item submitted which contains the error. This value is omitted when the error is elsewhere.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SMl6MFMEea5pdrFDq-m2g">
              <body>Item sequence number</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SMl5cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SMl5sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SMl7MFMEea5pdrFDq-m2g" name="detailSequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SNM8sFMEea5pdrFDq-m2g">
              <body>The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SNM8MFMEea5pdrFDq-m2g">
              <body>Detail sequence number</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SMl7cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SMl7sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SNM9MFMEea5pdrFDq-m2g" name="subdetailSequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SNM-sFMEea5pdrFDq-m2g">
              <body>The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SNM-MFMEea5pdrFDq-m2g">
              <body>Subdetail sequence number</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SNM9cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SNM9sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SNM_MFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SN0BMFMEea5pdrFDq-m2g">
              <body>An error code,from a specified code system, which details why the claim could not be adjudicated.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SN0AsFMEea5pdrFDq-m2g">
              <body>Error code detailing processing issues</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SNM_cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SNM_sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SPCKMFMEea5pdrFDq-m2g" name="Payment">
          <generalization xmi:id="_5SPCKcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SQQQMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SQ3U8FMEea5pdrFDq-m2g">
              <body>Whether this represents partial or complete payment of the claim.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SQ3UcFMEea5pdrFDq-m2g">
              <body>Partial or Complete</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SQQQcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SQQQsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SQ3VcFMEea5pdrFDq-m2g" name="adjustment" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SQ3W8FMEea5pdrFDq-m2g">
              <body>Adjustment to the payment of this transaction which is not related to adjudication of this transaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SQ3WcFMEea5pdrFDq-m2g">
              <body>Payment adjustment for non-Claim issues</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SQ3VsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SQ3V8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SReYcFMEea5pdrFDq-m2g" name="adjustmentReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SSFcsFMEea5pdrFDq-m2g">
              <body>Reason for the payment adjustment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SSFcMFMEea5pdrFDq-m2g">
              <body>Reason for Payment adjustment</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SReYsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SReY8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SSFdMFMEea5pdrFDq-m2g" name="date" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SSFesFMEea5pdrFDq-m2g">
              <body>Estimated payment data.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SSFeMFMEea5pdrFDq-m2g">
              <body>Expected data of Payment</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SSFdcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SSFdsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SSsgMFMEea5pdrFDq-m2g" name="amount" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SSshsFMEea5pdrFDq-m2g">
              <body>Payable less any payment adjustment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SSshMFMEea5pdrFDq-m2g">
              <body>Payment amount</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SSsgcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SSsgsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SSsiMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5STTksFMEea5pdrFDq-m2g">
              <body>Payment identifier.</body>
            </ownedComment>
            <ownedComment xmi:id="_5STTkMFMEea5pdrFDq-m2g">
              <body>Payment identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SSsicFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SSsisFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SUhtMFMEea5pdrFDq-m2g" name="Note">
          <generalization xmi:id="_5SUhtcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SVv0MFMEea5pdrFDq-m2g" name="number" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SVv1sFMEea5pdrFDq-m2g">
              <body>An integer associated with each note which may be referred to from each service line item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SVv1MFMEea5pdrFDq-m2g">
              <body>Note Number for this note</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SVv0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SVv0sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SVv2MFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SWW5cFMEea5pdrFDq-m2g">
              <body>The note purpose: Print/Display.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SWW48FMEea5pdrFDq-m2g">
              <body>display | print | printoper</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SVv2cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SWW4MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SWW58FMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SW988FMEea5pdrFDq-m2g">
              <body>The note text.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SW98cFMEea5pdrFDq-m2g">
              <body>Note explanatory text</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SWW6MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SWW6cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SW99cFMEea5pdrFDq-m2g" name="language" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SXlAsFMEea5pdrFDq-m2g">
              <body>The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SXlAMFMEea5pdrFDq-m2g">
              <body>Language</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SW99sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SW998FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SYME8FMEea5pdrFDq-m2g" name="Insurance">
          <generalization xmi:id="_5SYMFMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SZaMMFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SZaNsFMEea5pdrFDq-m2g">
              <body>A service line item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SZaNMFMEea5pdrFDq-m2g">
              <body>Service instance identifier</body>
            </ownedComment>
            <ownedComment xmi:id="_5SZaOMFMEea5pdrFDq-m2g">
              <body>To maintain order of the coverages.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SZaMcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SZaMsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SZaOsFMEea5pdrFDq-m2g" name="focal" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SaBQcFMEea5pdrFDq-m2g">
              <body>The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim is to be adjudicated.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SZaPsFMEea5pdrFDq-m2g">
              <body>Is the focal Coverage</body>
            </ownedComment>
            <ownedComment xmi:id="_5SaBQ8FMEea5pdrFDq-m2g">
              <body>To identify which coverage is being adjudicated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SZaO8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SZaPMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SaBRcFMEea5pdrFDq-m2g" name="coverage" type="_5ENNNMFMEea5pdrFDq-m2g" isOrdered="true" association="_5SaBScFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5SaoUcFMEea5pdrFDq-m2g">
              <body>Reference to the program or plan identification, underwriter or payor.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SaBTcFMEea5pdrFDq-m2g">
              <body>Insurance information</body>
            </ownedComment>
            <ownedComment xmi:id="_5SaoU8FMEea5pdrFDq-m2g">
              <body>Need to identify the issuer to target for processing and for coordination of benefit processing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SaBRsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SaBR8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SaoVcFMEea5pdrFDq-m2g" name="businessArrangement" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SbPYcFMEea5pdrFDq-m2g">
              <body>The contract number of a business agreement which describes the terms and conditions.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SaoWcFMEea5pdrFDq-m2g">
              <body>Business agreement</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SaoVsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SaoV8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SbPY8FMEea5pdrFDq-m2g" name="preAuthRef" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SbPacFMEea5pdrFDq-m2g">
              <body>A list of references from the Insurer to which these services pertain.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SbPZ8FMEea5pdrFDq-m2g">
              <body>Pre-Authorization/Determination Reference</body>
            </ownedComment>
            <ownedComment xmi:id="_5SbPa8FMEea5pdrFDq-m2g">
              <body>To provide any pre-determination or prior authorization reference.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SbPZMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SbPZcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Sb2cMFMEea5pdrFDq-m2g" name="claimResponse" type="_5QTviMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Sb2dMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Sb2esFMEea5pdrFDq-m2g">
              <body>The Coverages adjudication details.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Sb2eMFMEea5pdrFDq-m2g">
              <body>Adjudication results</body>
            </ownedComment>
            <ownedComment xmi:id="_5Sb2fMFMEea5pdrFDq-m2g">
              <body>Used by downstream payers to determine what balance remains and the net payable.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sb2ccFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sb2csFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QWy0cFMEea5pdrFDq-m2g" memberEnd="_5QWy0sFMEea5pdrFDq-m2g _5QWLzMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QWy0sFMEea5pdrFDq-m2g" type="_5QTviMFMEea5pdrFDq-m2g" association="_5QWy0cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QWy08FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QWy1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QXZ4MFMEea5pdrFDq-m2g" memberEnd="_5QXZ4cFMEea5pdrFDq-m2g _5QWy2cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QXZ4cFMEea5pdrFDq-m2g" type="_5QTviMFMEea5pdrFDq-m2g" association="_5QXZ4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QXZ4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QXZ48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5QYA8cFMEea5pdrFDq-m2g" memberEnd="_5QYA8sFMEea5pdrFDq-m2g _5QXZ6MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5QYA8sFMEea5pdrFDq-m2g" type="_5QTviMFMEea5pdrFDq-m2g" association="_5QYA8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QYA88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QYA9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5QYoAMFMEea5pdrFDq-m2g" name="Claim">
        <ownedComment xmi:id="_5QZPF8FMEea5pdrFDq-m2g">
          <body>A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.</body>
        </ownedComment>
        <ownedComment xmi:id="_5QZPEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Claim Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5QZPFcFMEea5pdrFDq-m2g">
          <body>Claim, Pre-determination or Pre-authorization</body>
        </ownedComment>
        <generalization xmi:id="_5QZPFMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5QZPGcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QZ2JcFMEea5pdrFDq-m2g">
            <body>The business identifier for the instance: claim number, pre-determination or pre-authorization number.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QZ2I8FMEea5pdrFDq-m2g">
            <body>Claim number</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QZ2IMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QZ2IcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QZ2J8FMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QadMsFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QadMMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QZ2KMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QZ2KcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QadNMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QbERMFMEea5pdrFDq-m2g">
            <body>The category of claim, eg, oral, pharmacy, vision, insitutional, professional.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QbEQsFMEea5pdrFDq-m2g">
            <body>Type or discipline</body>
          </ownedComment>
          <ownedComment xmi:id="_5QbERsFMEea5pdrFDq-m2g">
            <body>Affects which fields and value sets are used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QadNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QadNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QbrUMFMEea5pdrFDq-m2g" name="subType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QcSYsFMEea5pdrFDq-m2g">
            <body>A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QcSYMFMEea5pdrFDq-m2g">
            <body>Finer grained claim type information</body>
          </ownedComment>
          <ownedComment xmi:id="_5QcSZMFMEea5pdrFDq-m2g">
            <body>This may contain the local bill type codes such as the US UB-04 bill type code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QbrUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QbrUsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QcSZsFMEea5pdrFDq-m2g" name="use" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Qc5dMFMEea5pdrFDq-m2g">
            <body>Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qc5csFMEea5pdrFDq-m2g">
            <body>complete | proposed | exploratory | other</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QcSZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QcSaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Qc5dsFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QdggMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QdghsFMEea5pdrFDq-m2g">
            <body>Patient Resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QdghMFMEea5pdrFDq-m2g">
            <body>The subject of the Products and Services</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qc5d8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qc5eMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QdgiMFMEea5pdrFDq-m2g" name="billablePeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QeHkcFMEea5pdrFDq-m2g">
            <body>The billable period for which charges are being submitted.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QdgjMFMEea5pdrFDq-m2g">
            <body>Period for charge submission</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QdgicFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QdgisFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QeHk8FMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QeHmcFMEea5pdrFDq-m2g">
            <body>The date when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QeHl8FMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QeHlMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QeHlcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QeHm8FMEea5pdrFDq-m2g" name="enterer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QeuoMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QeupsFMEea5pdrFDq-m2g">
            <body>Person who created the invoice/claim/pre-determination or pre-authorization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QeupMFMEea5pdrFDq-m2g">
            <body>Author</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QeHnMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QeHncFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QeuqMFMEea5pdrFDq-m2g" name="insurer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QfVsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QfVtsFMEea5pdrFDq-m2g">
            <body>The Insurer who is target of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QfVtMFMEea5pdrFDq-m2g">
            <body>Target</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QeuqcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QeuqsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QfVuMFMEea5pdrFDq-m2g" name="provider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Qf8wMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Qf8xsFMEea5pdrFDq-m2g">
            <body>The provider which is responsible for the bill, claim pre-determination, pre-authorization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qf8xMFMEea5pdrFDq-m2g">
            <body>Responsible provider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QfVucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QfVusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Qf8yMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Qgj0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Qgj1sFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the bill, claim pre-determination, pre-authorization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qgj1MFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qf8ycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qf8ysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Qgj2MFMEea5pdrFDq-m2g" name="priority" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5QhK4sFMEea5pdrFDq-m2g">
            <body>Immediate (STAT), best effort (NORMAL), deferred (DEFER).</body>
          </ownedComment>
          <ownedComment xmi:id="_5QhK4MFMEea5pdrFDq-m2g">
            <body>Desired processing priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qgj2cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qgj2sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QhK5MFMEea5pdrFDq-m2g" name="fundsReserve" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Qhx9MFMEea5pdrFDq-m2g">
            <body>In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qhx8sFMEea5pdrFDq-m2g">
            <body>Funds requested to be reserved</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QhK5cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QhK5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QiZAcFMEea5pdrFDq-m2g" name="related" type="_5Qhx9sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QiZBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QjAFcFMEea5pdrFDq-m2g">
            <body>Other claims which are related to this claim such as prior claim versions or for related services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QjAE8FMEea5pdrFDq-m2g">
            <body>Related Claims which may be revelant to processing this claimn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QiZAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QiZA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Qk1RcFMEea5pdrFDq-m2g" name="prescription" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Qk1ScFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QlcVcFMEea5pdrFDq-m2g">
            <body>Prescription to support the dispensing of Pharmacy or Vision products.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QlcU8FMEea5pdrFDq-m2g">
            <body>Prescription</body>
          </ownedComment>
          <ownedComment xmi:id="_5QlcV8FMEea5pdrFDq-m2g">
            <body>Should we create a group to hold multiple prescriptions and add a sequence number and on the line items a link to the sequence.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QlcWcFMEea5pdrFDq-m2g">
            <body>For type=Pharmacy and Vision only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qk1RsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qk1R8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QlcXMFMEea5pdrFDq-m2g" name="originalPrescription" type="_4_8YQMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QmDYMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QmDZsFMEea5pdrFDq-m2g">
            <body>Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QmDZMFMEea5pdrFDq-m2g">
            <body>Original Prescription</body>
          </ownedComment>
          <ownedComment xmi:id="_5QmDaMFMEea5pdrFDq-m2g">
            <body>as above.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QlcXcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QlcXsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QmqccFMEea5pdrFDq-m2g" name="payee" type="_5QmDasFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5QnRgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QnRhsFMEea5pdrFDq-m2g">
            <body>The party to be reimbursed for the services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QnRhMFMEea5pdrFDq-m2g">
            <body>Party to be paid any benefits payable</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QmqcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qmqc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QptxMFMEea5pdrFDq-m2g" name="referral" type="_49Q3t8FMEea5pdrFDq-m2g" isOrdered="true" association="_5QptyMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5QqU1cFMEea5pdrFDq-m2g">
            <body>The referral resource which lists the date, practitioner, reason and other supporting information.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QqU08FMEea5pdrFDq-m2g">
            <body>Treatment Referral</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QptxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QptxsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QqU18FMEea5pdrFDq-m2g" name="facility" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5QqU28FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Qq74cFMEea5pdrFDq-m2g">
            <body>Facility where the services were provided.</body>
          </ownedComment>
          <ownedComment xmi:id="_5QqU38FMEea5pdrFDq-m2g">
            <body>Servicing Facility</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QqU2MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QqU2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Qri8MFMEea5pdrFDq-m2g" name="careTeam" type="_5Qq748FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Qri9MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Qri-sFMEea5pdrFDq-m2g">
            <body>The members of the team who provided the overall service as well as their role and whether responsible and qualifications.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qri-MFMEea5pdrFDq-m2g">
            <body>Members of the care team</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qri_MFMEea5pdrFDq-m2g">
            <body>Role and Responsible may not be required when there is only a single provider listed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qri8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qri8sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5QvNU8FMEea5pdrFDq-m2g" name="information" type="_5QvNUMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Qv0YMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Qv0ZsFMEea5pdrFDq-m2g">
            <body>Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qv0ZMFMEea5pdrFDq-m2g">
            <body>Exceptions, special considerations, the condition, situation, prior or concurrent issues</body>
          </ownedComment>
          <ownedComment xmi:id="_5Qv0aMFMEea5pdrFDq-m2g">
            <body>Typically these information codes are required to support the services rendered or the adjudication of the services rendered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QvNVMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QvNVcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Q0F0cFMEea5pdrFDq-m2g" name="diagnosis" type="_5QzexMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Q0s4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Q0s5sFMEea5pdrFDq-m2g">
            <body>Ordered list of patient diagnosis for which care is sought.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Q0s5MFMEea5pdrFDq-m2g">
            <body>Diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q0F0sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q0F08FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Q5lY8FMEea5pdrFDq-m2g" name="procedure" type="_5Q5lYMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Q6McMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Q6MdsFMEea5pdrFDq-m2g">
            <body>Ordered list of patient procedures performed to support the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Q6MdMFMEea5pdrFDq-m2g">
            <body>Procedures performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q5lZMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q5lZcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Q8os8FMEea5pdrFDq-m2g" name="insurance" type="_5Q8osMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Q9PwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Q9PxsFMEea5pdrFDq-m2g">
            <body>Financial instrument by which payment information for health care.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Q9PxMFMEea5pdrFDq-m2g">
            <body>Insurance or medical plan</body>
          </ownedComment>
          <ownedComment xmi:id="_5Q9PyMFMEea5pdrFDq-m2g">
            <body>Health care programs and insurers are significant payors of health service costs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q8otMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q8otcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5RA6I8FMEea5pdrFDq-m2g" name="accident" type="_5RA6IMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5RBhMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5RBhNsFMEea5pdrFDq-m2g">
            <body>An accident which resulted in the need for healthcare services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5RBhNMFMEea5pdrFDq-m2g">
            <body>Details about an accident</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RA6JMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RA6JcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5RDWZsFMEea5pdrFDq-m2g" name="employmentImpacted" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5RDWbMFMEea5pdrFDq-m2g">
            <body>The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_5RDWasFMEea5pdrFDq-m2g">
            <body>Period unable to work</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RDWZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RDWaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5RD9ccFMEea5pdrFDq-m2g" name="hospitalization" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5RD9d8FMEea5pdrFDq-m2g">
            <body>The start and optional end dates of when the patient was confined to a treatment center.</body>
          </ownedComment>
          <ownedComment xmi:id="_5RD9dcFMEea5pdrFDq-m2g">
            <body>Period in hospital</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RD9csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RD9c8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5REkgcFMEea5pdrFDq-m2g" name="item" type="_5RD9ecFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5REkhcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5RFLksFMEea5pdrFDq-m2g">
            <body>First tier of goods and services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5RFLkMFMEea5pdrFDq-m2g">
            <body>Goods and Services</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5REkgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5REkg8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5RhQccFMEea5pdrFDq-m2g" name="total" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5RhQd8FMEea5pdrFDq-m2g">
            <body>The total value of the claim.</body>
          </ownedComment>
          <ownedComment xmi:id="_5RhQdcFMEea5pdrFDq-m2g">
            <body>Total claim cost</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RhQcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RhQc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Qhx9sFMEea5pdrFDq-m2g" name="RelatedClaim">
          <generalization xmi:id="_5Qhx98FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5QjAF8FMEea5pdrFDq-m2g" name="claim" type="_5QYoAMFMEea5pdrFDq-m2g" isOrdered="true" association="_5QjAG8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5QjnIcFMEea5pdrFDq-m2g">
              <body>Other claims which are related to this claim such as prior claim versions or for related services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QjAH8FMEea5pdrFDq-m2g">
              <body>Reference to the related claim</body>
            </ownedComment>
            <ownedComment xmi:id="_5QjnI8FMEea5pdrFDq-m2g">
              <body>Do we need a relationship code?</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QjAGMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QjAGcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QjnJcFMEea5pdrFDq-m2g" name="relationship" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QkONMFMEea5pdrFDq-m2g">
              <body>For example prior or umbrella.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QkOMsFMEea5pdrFDq-m2g">
              <body>How the reference claim is related</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QjnJsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QjnJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QkONsFMEea5pdrFDq-m2g" name="reference" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Qk1Q8FMEea5pdrFDq-m2g">
              <body>An alternate organizational reference to the case or file to which this particular claim pertains - eg Property/Casualy insurer claim # or Workers Compensation case # .</body>
            </ownedComment>
            <ownedComment xmi:id="_5Qk1QcFMEea5pdrFDq-m2g">
              <body>Related file or case reference</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QkON8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QkOOMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5QmDasFMEea5pdrFDq-m2g" name="Payee">
          <generalization xmi:id="_5QmDa8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5QnRiMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Qn4k8FMEea5pdrFDq-m2g">
              <body>Type of Party to be reimbursed: Subscriber, provider, other.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Qn4kcFMEea5pdrFDq-m2g">
              <body>Type of party: Subscriber, Provider, other</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QnRicFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QnRisFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Qn4lcFMEea5pdrFDq-m2g" name="resourceType" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QofpcFMEea5pdrFDq-m2g">
              <body>organization | patient | practitioner | relatedperson.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Qofo8FMEea5pdrFDq-m2g">
              <body>organization | patient | practitioner | relatedperson</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qn4lsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qn4l8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QpGsMFMEea5pdrFDq-m2g" name="party" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5QpGtMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5QptwcFMEea5pdrFDq-m2g">
              <body>Party to be reimbursed: Subscriber, provider, other.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QpGuMFMEea5pdrFDq-m2g">
              <body>Party to receive the payable</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QpGscFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QpGssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Qq748FMEea5pdrFDq-m2g" name="CareTeam">
          <generalization xmi:id="_5Qq75MFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Qri_sFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QsKBcFMEea5pdrFDq-m2g">
              <body>Sequence of the careTeam which serves to order and provide a link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QsKA8FMEea5pdrFDq-m2g">
              <body>Number to covey order of careTeam</body>
            </ownedComment>
            <ownedComment xmi:id="_5QsKB8FMEea5pdrFDq-m2g">
              <body>Required to maintain order of the careTeam.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QsKAMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QsKAcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QsKCcFMEea5pdrFDq-m2g" name="provider" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5QsxEMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5QsxFsFMEea5pdrFDq-m2g">
              <body>Member of the team who provided the overall service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QsxFMFMEea5pdrFDq-m2g">
              <body>Provider individual or organization</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QsKCsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QsKC8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QsxGcFMEea5pdrFDq-m2g" name="responsible" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QtYIMFMEea5pdrFDq-m2g">
              <body>The party who is billing and responsible for the claimed good or service rendered to the patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QsxHcFMEea5pdrFDq-m2g">
              <body>Billing provider</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QsxGsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QsxG8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QtYIsFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Qt_M8FMEea5pdrFDq-m2g">
              <body>The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Qt_McFMEea5pdrFDq-m2g">
              <body>Role on the team</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QtYI8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QtYJMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Qt_NcFMEea5pdrFDq-m2g" name="qualification" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QumRMFMEea5pdrFDq-m2g">
              <body>The qualification which is applicable for this service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QumQsFMEea5pdrFDq-m2g">
              <body>Type, classification or Specialization</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qt_NsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qt_N8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5QvNUMFMEea5pdrFDq-m2g" name="SpecialCondition">
          <generalization xmi:id="_5QvNUcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Qv0asFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QwbdcFMEea5pdrFDq-m2g">
              <body>The general class of the information supplied: information; exception; accident, employment; onset, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Qwbc8FMEea5pdrFDq-m2g">
              <body>Category of information</body>
            </ownedComment>
            <ownedComment xmi:id="_5QxCgMFMEea5pdrFDq-m2g">
              <body>This may contain the local bill type codes such as the US UB-04 bill type code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qv0a8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qv0bMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QxCgsFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QxpksFMEea5pdrFDq-m2g">
              <body>System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought which may influence the adjudication.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QxpkMFMEea5pdrFDq-m2g">
              <body>Type of information</body>
            </ownedComment>
            <ownedComment xmi:id="_5QxplMFMEea5pdrFDq-m2g">
              <body>This may contain the local bill type codes such as the US UB-04 bill type code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QxCg8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QxChMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QxplsFMEea5pdrFDq-m2g" name="timing[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QyQoMFMEea5pdrFDq-m2g">
              <body>The date when or period to which this information refers.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QxpmsFMEea5pdrFDq-m2g">
              <body>When it occurred</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qxpl8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QxpmMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5QyQo8FMEea5pdrFDq-m2g" name="value[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QyQqcFMEea5pdrFDq-m2g">
              <body>Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QyQp8FMEea5pdrFDq-m2g">
              <body>Additional Data or supporting information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5QyQpMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5QyQpcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Qy3scFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5QzewsFMEea5pdrFDq-m2g">
              <body>For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content.</body>
            </ownedComment>
            <ownedComment xmi:id="_5QzewMFMEea5pdrFDq-m2g">
              <body>Reason associated with the information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Qy3ssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Qy3s8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5QzexMFMEea5pdrFDq-m2g" name="Diagnosis">
          <generalization xmi:id="_5QzexcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Q0s6MFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q0s7sFMEea5pdrFDq-m2g">
              <body>Sequence of diagnosis which serves to order and provide a link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q0s7MFMEea5pdrFDq-m2g">
              <body>Number to covey order of diagnosis</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q1T8MFMEea5pdrFDq-m2g">
              <body>Required to maintain order of the diagnoses.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q0s6cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q0s6sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q1T8sFMEea5pdrFDq-m2g" name="diagnosis[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q3JIcFMEea5pdrFDq-m2g">
              <body>The diagnosis.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q2iFsFMEea5pdrFDq-m2g">
              <body>Patient's diagnosis</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q3JI8FMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered to condition presented.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q1T88FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q1T9MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q3JJsFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q3wNcFMEea5pdrFDq-m2g">
              <body>The type of the Diagnosis, for example: admitting,.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q3wM8FMEea5pdrFDq-m2g">
              <body>Type of Diagnosis</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q4XQMFMEea5pdrFDq-m2g">
              <body>Diagnosis are presented in list order to their expected importance: primary, secondary, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q4XQsFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered to the mandated diagnosis grouping system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q3JJ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q3JKMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q4XRMFMEea5pdrFDq-m2g" name="packageCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q4-VMFMEea5pdrFDq-m2g">
              <body>The package billing code, for example DRG, based on the assigned grouping code system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q4-UsFMEea5pdrFDq-m2g">
              <body>Package billing code</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q4-VsFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered to the mandated grouping system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q4XRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q4XRsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Q5lYMFMEea5pdrFDq-m2g" name="Procedure">
          <generalization xmi:id="_5Q5lYcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Q6MeMFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q6zgMFMEea5pdrFDq-m2g">
              <body>Sequence of procedures which serves to order and provide a link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q6MfMFMEea5pdrFDq-m2g">
              <body>Procedure sequence for reference</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q6zgsFMEea5pdrFDq-m2g">
              <body>Required to maintain order of the procudures.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q6MecFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q6MesFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q6zhMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q6zisFMEea5pdrFDq-m2g">
              <body>Date and optionally time the procedure was performed .</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q6ziMFMEea5pdrFDq-m2g">
              <body>When the procedure was performed</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q6zjMFMEea5pdrFDq-m2g">
              <body>SB DateTime??</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q6zjsFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q6zhcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q6zhsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q7akcFMEea5pdrFDq-m2g" name="procedure[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q8BosFMEea5pdrFDq-m2g">
              <body>The procedure code.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q8BoMFMEea5pdrFDq-m2g">
              <body>Patient's list of procedures performed</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q8BpMFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q7aksFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q7ak8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Q8osMFMEea5pdrFDq-m2g" name="Insurance">
          <generalization xmi:id="_5Q8oscFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Q9PysFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q920sFMEea5pdrFDq-m2g">
              <body>A service line item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q920MFMEea5pdrFDq-m2g">
              <body>Service instance identifier</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q921MFMEea5pdrFDq-m2g">
              <body>To maintain order of the coverages.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q9Py8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q9PzMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q921sFMEea5pdrFDq-m2g" name="focal" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q-d48FMEea5pdrFDq-m2g">
              <body>A flag to indicate that this Coverage is the focus for adjudication. The Coverage against which the claim is to be adjudicated.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q-d4cFMEea5pdrFDq-m2g">
              <body>Is the focal Coverage</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q-d5cFMEea5pdrFDq-m2g">
              <body>To identify which coverage is being adjudicated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q9218FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q922MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q-d58FMEea5pdrFDq-m2g" name="coverage" type="_5ENNNMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Q_E8MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Q_E9sFMEea5pdrFDq-m2g">
              <body>Reference to the program or plan identification, underwriter or payor.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q_E9MFMEea5pdrFDq-m2g">
              <body>Insurance information</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q_E-MFMEea5pdrFDq-m2g">
              <body>Need to identify the issuer to target for processing and for coordination of benefit processing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q-d6MFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q-d6cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q_E-sFMEea5pdrFDq-m2g" name="businessArrangement" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q_sAMFMEea5pdrFDq-m2g">
              <body>The contract number of a business agreement which describes the terms and conditions.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q_E_sFMEea5pdrFDq-m2g">
              <body>Business agreement</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q_E-8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q_E_MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q_sAsFMEea5pdrFDq-m2g" name="preAuthRef" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Q_sCMFMEea5pdrFDq-m2g">
              <body>A list of references from the Insurer to which these services pertain.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q_sBsFMEea5pdrFDq-m2g">
              <body>Pre-Authorization/Determination Reference</body>
            </ownedComment>
            <ownedComment xmi:id="_5Q_sCsFMEea5pdrFDq-m2g">
              <body>To provide any pre=determination or prior authorization reference.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Q_sA8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Q_sBMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Q_sDMFMEea5pdrFDq-m2g" name="claimResponse" type="_5QTviMFMEea5pdrFDq-m2g" isOrdered="true" association="_5RATE8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5RATGcFMEea5pdrFDq-m2g">
              <body>The Coverages adjudication details.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RATF8FMEea5pdrFDq-m2g">
              <body>Adjudication results</body>
            </ownedComment>
            <ownedComment xmi:id="_5RATG8FMEea5pdrFDq-m2g">
              <body>Used by downstream payers to determine what balance remains and the net payable.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RATEMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RATEcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5RA6IMFMEea5pdrFDq-m2g" name="Accident">
          <generalization xmi:id="_5RA6IcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5RBhOMFMEea5pdrFDq-m2g" name="date" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RCIQMFMEea5pdrFDq-m2g">
              <body>Date of an accident which these services are addressing.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RBhPMFMEea5pdrFDq-m2g">
              <body>When the accident occurred see information codes see information codes</body>
            </ownedComment>
            <ownedComment xmi:id="_5RCIQsFMEea5pdrFDq-m2g">
              <body>Coverage may be dependant on accidents.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RBhOcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RBhOsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RCIRMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RCvU8FMEea5pdrFDq-m2g">
              <body>Type of accident: work, auto, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RCvUcFMEea5pdrFDq-m2g">
              <body>The nature of the accident</body>
            </ownedComment>
            <ownedComment xmi:id="_5RCvVcFMEea5pdrFDq-m2g">
              <body>Coverage may be dependant on the type of accident.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RCIRcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RCIRsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RCvV8FMEea5pdrFDq-m2g" name="location[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RDWY8FMEea5pdrFDq-m2g">
              <body>Accident Place.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RDWYcFMEea5pdrFDq-m2g">
              <body>Accident Place</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RCvWMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RCvWcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5RD9ecFMEea5pdrFDq-m2g" name="Item">
          <generalization xmi:id="_5RD9esFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5RFLlMFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RFLmsFMEea5pdrFDq-m2g">
              <body>A service line number.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RFLmMFMEea5pdrFDq-m2g">
              <body>Service instance</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RFLlcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RFLlsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RFLnMFMEea5pdrFDq-m2g" name="careTeamLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RFyo8FMEea5pdrFDq-m2g">
              <body>CareTeam applicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RFyocFMEea5pdrFDq-m2g">
              <body>Applicable careTeam members</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RFLncFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RFLnsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RFypcFMEea5pdrFDq-m2g" name="diagnosisLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RFyq8FMEea5pdrFDq-m2g">
              <body>Diagnosis applicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RFyqcFMEea5pdrFDq-m2g">
              <body>Applicable diagnoses</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RFypsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RFyp8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RFyrcFMEea5pdrFDq-m2g" name="procedureLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RGZs8FMEea5pdrFDq-m2g">
              <body>Procedures applicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RGZscFMEea5pdrFDq-m2g">
              <body>Applicable procedures</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RFyrsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RFyr8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RGZtcFMEea5pdrFDq-m2g" name="informationLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RGZu8FMEea5pdrFDq-m2g">
              <body>Exceptions, special conditions and supporting information pplicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RGZucFMEea5pdrFDq-m2g">
              <body>Applicable exception and supporting information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RGZtsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RGZt8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RGZvcFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RHn0cFMEea5pdrFDq-m2g">
              <body>The type of reveneu or cost center providing the product and/or service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RHAxsFMEea5pdrFDq-m2g">
              <body>Revenue or cost center code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RHAwMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RHAwcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RHn08FMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RIO4sFMEea5pdrFDq-m2g">
              <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RIO4MFMEea5pdrFDq-m2g">
              <body>Type of service or product</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RHn1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RHn1cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RIO5MFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RI19MFMEea5pdrFDq-m2g">
              <body>If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,RXNorm,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RI18sFMEea5pdrFDq-m2g">
              <body>Billing Code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RIO5cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RIO5sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RI19sFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RKEEsFMEea5pdrFDq-m2g">
              <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RKEEMFMEea5pdrFDq-m2g">
              <body>Service/Product billing modifiers</body>
            </ownedComment>
            <ownedComment xmi:id="_5RKEFMFMEea5pdrFDq-m2g">
              <body>May impact on adjudication.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RI198FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RI1-MFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RKEFsFMEea5pdrFDq-m2g" name="programCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RKrJMFMEea5pdrFDq-m2g">
              <body>For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RKrIsFMEea5pdrFDq-m2g">
              <body>Program specific reason for item inclusion</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RKEF8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RKEGMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RKrJsFMEea5pdrFDq-m2g" name="serviced[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RLSMsFMEea5pdrFDq-m2g">
              <body>The date or dates when the enclosed suite of services were performed or completed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RLSMMFMEea5pdrFDq-m2g">
              <body>Date or dates of Service</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RKrJ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RKrKMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RLSNcFMEea5pdrFDq-m2g" name="location[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RL5RMFMEea5pdrFDq-m2g">
              <body>Where the service was provided.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RL5QsFMEea5pdrFDq-m2g">
              <body>Place of service</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RLSNsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RLSN8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RMgUcFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RMgV8FMEea5pdrFDq-m2g">
              <body>The number of repetitions of a service or product.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RMgVcFMEea5pdrFDq-m2g">
              <body>Count of Products or Services</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RMgUsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RMgU8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RMgWcFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RNHYcFMEea5pdrFDq-m2g">
              <body>If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RMgXcFMEea5pdrFDq-m2g">
              <body>Fee, charge or cost per point</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RMgWsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RMgW8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RNHY8FMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RNHacFMEea5pdrFDq-m2g">
              <body>A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RNHZ8FMEea5pdrFDq-m2g">
              <body>Price scaling factor</body>
            </ownedComment>
            <ownedComment xmi:id="_5RNHa8FMEea5pdrFDq-m2g">
              <body>If a fee is present the associated product/service code must be present.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RNHZMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RNHZcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RNHbcFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RNudcFMEea5pdrFDq-m2g">
              <body>The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RNuc8FMEea5pdrFDq-m2g">
              <body>Total item cost</body>
            </ownedComment>
            <ownedComment xmi:id="_5RNud8FMEea5pdrFDq-m2g">
              <body>If a fee is present the associated product/service code must be present.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RNucMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RNuccFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RNuecFMEea5pdrFDq-m2g" name="udi" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5ROVgMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5ROVhsFMEea5pdrFDq-m2g">
              <body>List of Unique Device Identifiers associated with this line item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ROVhMFMEea5pdrFDq-m2g">
              <body>Unique Device Identifier</body>
            </ownedComment>
            <ownedComment xmi:id="_5ROViMFMEea5pdrFDq-m2g">
              <body>The UDI code and issuer if applicable for the supplied product.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RNuesFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RNue8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ROVisFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RO8lcFMEea5pdrFDq-m2g">
              <body>Physical service site on the patient (limb, tooth, etc).</body>
            </ownedComment>
            <ownedComment xmi:id="_5RO8k8FMEea5pdrFDq-m2g">
              <body>Service Location</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ROVi8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ROVjMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RPjoMFMEea5pdrFDq-m2g" name="subSite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5RQKssFMEea5pdrFDq-m2g">
              <body>A region or surface of the site, eg. limb region or tooth surface(s).</body>
            </ownedComment>
            <ownedComment xmi:id="_5RQKsMFMEea5pdrFDq-m2g">
              <body>Service Sub-location</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RPjocFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RPjosFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5RQxwcFMEea5pdrFDq-m2g" name="detail" type="_5RQKtMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5RQxxcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5RQxy8FMEea5pdrFDq-m2g">
              <body>Second tier of goods and services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5RQxycFMEea5pdrFDq-m2g">
              <body>Additional items</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RQxwsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RQxw8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Re0McFMEea5pdrFDq-m2g" name="prosthesis" type="_5ReNJMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Re0NcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Re0O8FMEea5pdrFDq-m2g">
              <body>The materials and placement date of prior fixed prosthesis.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Re0OcFMEea5pdrFDq-m2g">
              <body>Prosthetic details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Re0MsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Re0M8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5RQKtMFMEea5pdrFDq-m2g" name="Detail">
            <generalization xmi:id="_5RQKtcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5RQxzcFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RRY1cFMEea5pdrFDq-m2g">
                <body>A service line number.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RRY08FMEea5pdrFDq-m2g">
                <body>Service instance</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RRY0MFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RRY0cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RRY18FMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RR_4sFMEea5pdrFDq-m2g">
                <body>The type of reveneu or cost center providing the product and/or service.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RR_4MFMEea5pdrFDq-m2g">
                <body>Revenue or cost center code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RRY2MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RRY2cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RR_5MFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RSm88FMEea5pdrFDq-m2g">
                <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RSm8cFMEea5pdrFDq-m2g">
                <body>Type of service or product</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RR_5cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RR_5sFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RSm9cFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RTOA8FMEea5pdrFDq-m2g">
                <body>If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RTOAcFMEea5pdrFDq-m2g">
                <body>Billing Code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RSm9sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RSm98FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RTOBcFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RT1E8FMEea5pdrFDq-m2g">
                <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RT1EcFMEea5pdrFDq-m2g">
                <body>Service/Product billing modifiers</body>
              </ownedComment>
              <ownedComment xmi:id="_5RT1FcFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RTOBsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RTOB8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RT1F8FMEea5pdrFDq-m2g" name="programCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RUcJcFMEea5pdrFDq-m2g">
                <body>For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RUcI8FMEea5pdrFDq-m2g">
                <body>Program specific reason for item inclusion</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RT1GMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RUcIMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RUcJ8FMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RVDM8FMEea5pdrFDq-m2g">
                <body>The number of repetitions of a service or product.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RVDMcFMEea5pdrFDq-m2g">
                <body>Count of Products or Services</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RUcKMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RUcKcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RVDNcFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RVDO8FMEea5pdrFDq-m2g">
                <body>If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RVDOcFMEea5pdrFDq-m2g">
                <body>Fee, charge or cost per point</body>
              </ownedComment>
              <ownedComment xmi:id="_5RVDPcFMEea5pdrFDq-m2g">
                <body>If a fee is present the associated product/service code must be present.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RVDNsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RVDN8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RVqQcFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RVqR8FMEea5pdrFDq-m2g">
                <body>A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RVqRcFMEea5pdrFDq-m2g">
                <body>Price scaling factor</body>
              </ownedComment>
              <ownedComment xmi:id="_5RVqScFMEea5pdrFDq-m2g">
                <body>If a fee is present the associated product/service code must be present.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RVqQsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RVqQ8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RVqS8FMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RWRU8FMEea5pdrFDq-m2g">
                <body>The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RWRUcFMEea5pdrFDq-m2g">
                <body>Total additional item cost</body>
              </ownedComment>
              <ownedComment xmi:id="_5RWRVcFMEea5pdrFDq-m2g">
                <body>If a fee is present the associated product/service code must be present.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RVqTMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RVqTcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RWRV8FMEea5pdrFDq-m2g" name="udi" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5RW4YMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5RW4ZsFMEea5pdrFDq-m2g">
                <body>List of Unique Device Identifiers associated with this line item.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RW4ZMFMEea5pdrFDq-m2g">
                <body>Unique Device Identifier</body>
              </ownedComment>
              <ownedComment xmi:id="_5RW4aMFMEea5pdrFDq-m2g">
                <body>The UDI code and issuer if applicable for the supplied product.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RWRWMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RWRWcFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RXfccFMEea5pdrFDq-m2g" name="subDetail" type="_5RW4asFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5RXfdcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5RYGgcFMEea5pdrFDq-m2g">
                <body>Third tier of goods and services.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RXfecFMEea5pdrFDq-m2g">
                <body>Additional items</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RXfcsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RXfc8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5RW4asFMEea5pdrFDq-m2g" name="SubDetail">
              <generalization xmi:id="_5RW4a8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5RYGg8FMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5RYGicFMEea5pdrFDq-m2g">
                  <body>A service line number.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RYGh8FMEea5pdrFDq-m2g">
                  <body>Service instance</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RYGhMFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RYGhcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RYGi8FMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5RYtlMFMEea5pdrFDq-m2g">
                  <body>The type of reveneu or cost center providing the product and/or service.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RYtksFMEea5pdrFDq-m2g">
                  <body>Revenue or cost center code</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RYGjMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RYGjcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RYtlsFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5RZUpMFMEea5pdrFDq-m2g">
                  <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RZUosFMEea5pdrFDq-m2g">
                  <body>Type of service or product</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RYtl8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RYtmMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RZ7sMFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5RZ7t8FMEea5pdrFDq-m2g">
                  <body>A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).</body>
                </ownedComment>
                <ownedComment xmi:id="_5RZ7tcFMEea5pdrFDq-m2g">
                  <body>Billing Code</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RZ7scFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RZ7ssFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RaiwMFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Raix8FMEea5pdrFDq-m2g">
                  <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RaixcFMEea5pdrFDq-m2g">
                  <body>Service/Product billing modifiers</body>
                </ownedComment>
                <ownedComment xmi:id="_5RbJ0MFMEea5pdrFDq-m2g">
                  <body>May impact on adjudication.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RaiwcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RaiwsFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RbJ0sFMEea5pdrFDq-m2g" name="programCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Rbw4MFMEea5pdrFDq-m2g">
                  <body>For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RbJ18FMEea5pdrFDq-m2g">
                  <body>Program specific reason for item inclusion</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RbJ08FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RbJ1MFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Rbw4sFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Rbw6MFMEea5pdrFDq-m2g">
                  <body>The number of repetitions of a service or product.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Rbw5sFMEea5pdrFDq-m2g">
                  <body>Count of Products or Services</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Rbw48FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Rbw5MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Rbw6sFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5RcX88FMEea5pdrFDq-m2g">
                  <body>The fee for an addittional service or product or charge.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RcX8cFMEea5pdrFDq-m2g">
                  <body>Fee, charge or cost per point</body>
                </ownedComment>
                <ownedComment xmi:id="_5RcX9cFMEea5pdrFDq-m2g">
                  <body>If a fee is present the associated product/service code must be present.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Rbw68FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Rbw7MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RcX98FMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Rc_AsFMEea5pdrFDq-m2g">
                  <body>A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Rc_AMFMEea5pdrFDq-m2g">
                  <body>Price scaling factor</body>
                </ownedComment>
                <ownedComment xmi:id="_5Rc_BMFMEea5pdrFDq-m2g">
                  <body>If a fee is present the associated product/service code must be present.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RcX-MFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RcX-cFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5Rc_BsFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5Rc_DMFMEea5pdrFDq-m2g">
                  <body>The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
                </ownedComment>
                <ownedComment xmi:id="_5Rc_CsFMEea5pdrFDq-m2g">
                  <body>Net additional item cost</body>
                </ownedComment>
                <ownedComment xmi:id="_5RdmEMFMEea5pdrFDq-m2g">
                  <body>If a fee is present the associated product/service code must be present.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Rc_B8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Rc_CMFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5RdmEsFMEea5pdrFDq-m2g" name="udi" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5RdmFsFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5ReNIMFMEea5pdrFDq-m2g">
                  <body>List of Unique Device Identifiers associated with this line item.</body>
                </ownedComment>
                <ownedComment xmi:id="_5RdmGsFMEea5pdrFDq-m2g">
                  <body>Unique Device Identifier</body>
                </ownedComment>
                <ownedComment xmi:id="_5ReNIsFMEea5pdrFDq-m2g">
                  <body>The UDI code and issuer if applicable for the supplied product.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RdmE8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RdmFMFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5ReNJMFMEea5pdrFDq-m2g" name="Prosthesis">
            <generalization xmi:id="_5ReNJcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5RfbQMFMEea5pdrFDq-m2g" name="initial" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RfbRsFMEea5pdrFDq-m2g">
                <body>Indicates whether this is the initial placement of a fixed prosthesis.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RfbRMFMEea5pdrFDq-m2g">
                <body>Is this the initial service</body>
              </ownedComment>
              <ownedComment xmi:id="_5RfbSMFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RfbQcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RfbQsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RfbSsFMEea5pdrFDq-m2g" name="priorDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5RgCUsFMEea5pdrFDq-m2g">
                <body>Date of the initial placement.</body>
              </ownedComment>
              <ownedComment xmi:id="_5RgCUMFMEea5pdrFDq-m2g">
                <body>Initial service Date</body>
              </ownedComment>
              <ownedComment xmi:id="_5RgCVMFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RfbS8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RfbTMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5RgCVsFMEea5pdrFDq-m2g" name="priorMaterial" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
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      <packagedElement xmi:type="uml:Class" xmi:id="_5ScdgcFMEea5pdrFDq-m2g" name="Task">
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          <body>A task to be performed.</body>
        </ownedComment>
        <ownedComment xmi:id="_5SdrocFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Task Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5SdrpMFMEea5pdrFDq-m2g">
          <body>A task to be performed</body>
        </ownedComment>
        <ownedRule xmi:id="_5ScdgsFMEea5pdrFDq-m2g" name="inv-1" constrainedElement="_5ScdgcFMEea5pdrFDq-m2g _5Sm1ksFMEea5pdrFDq-m2g _5SncoMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Scdg8FMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:lastModified >= f:authoredOn or not(exists(f:lastModified)) or not(exists(f:authoredOn))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5Sdro8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
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          <ownedComment xmi:id="_5SdrrsFMEea5pdrFDq-m2g">
            <body>The business identifier for this task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SdrrMFMEea5pdrFDq-m2g">
            <body>Task Instance Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SdrqcFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_5SeSsMFMEea5pdrFDq-m2g" name="definition[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SeStsFMEea5pdrFDq-m2g">
            <body>A reference to a formal or informal definition of the task.  For example, a protocol, a step within a defined workflow definition, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SeStMFMEea5pdrFDq-m2g">
            <body>Formal definition of task</body>
          </ownedComment>
          <ownedComment xmi:id="_5SeSuMFMEea5pdrFDq-m2g">
            <body>Enables a formal definition of how he task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation) to be associated with a task, enabling automation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SeSscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SeSssFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5SeSu8FMEea5pdrFDq-m2g" name="basedOn" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Se5wMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Se5xsFMEea5pdrFDq-m2g">
            <body>BasedOn refers to a higher-level authorization that triggered the creation of the task.  It references a &quot;request&quot; resource such as a DiagnosticRequest, MedicationRequest, ProcedureRequest, CarePlan, etc. which is distinct from the &quot;request&quot; resource the task is seeking to fulfil.  This latter resource is referenced by FocusOn.  For example, based on a DiagnosticRequest (= BasedOn), a task is created to fulfil a procedureRequest ( = FocusOn ) to collect a specimen from a patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Se5xMFMEea5pdrFDq-m2g">
            <body>Request fulfilled by this task</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SeSvMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SeSvcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Se5yMFMEea5pdrFDq-m2g" name="groupIdentifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Sfg0MFMEea5pdrFDq-m2g">
            <body>An identifier that links together multiple tasks and other requests that were created in the same context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Se5zMFMEea5pdrFDq-m2g">
            <body>Requisition or grouper id</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sfg0sFMEea5pdrFDq-m2g">
            <body>Billing and/or reporting can be linked to whether multiple requests were created as a single unit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Se5ycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Se5ysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Sfg1MFMEea5pdrFDq-m2g" name="partOf" type="_5ScdgcFMEea5pdrFDq-m2g" isOrdered="true" association="_5Sfg2MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SgH4MFMEea5pdrFDq-m2g">
            <body>Task that this particular task is part of.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sfg3MFMEea5pdrFDq-m2g">
            <body>Composite task</body>
          </ownedComment>
          <ownedComment xmi:id="_5SgH4sFMEea5pdrFDq-m2g">
            <body>This should usually be 0..1.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SgH5MFMEea5pdrFDq-m2g">
            <body>Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sfg1cFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_5SgH5sFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Sgu9MFMEea5pdrFDq-m2g">
            <body>The current status of the task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sgu8sFMEea5pdrFDq-m2g">
            <body>draft | requested | received | accepted | +</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sgu9sFMEea5pdrFDq-m2g">
            <body>These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SgH58FMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5Sgu-MFMEea5pdrFDq-m2g" name="statusReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ShWAsFMEea5pdrFDq-m2g">
            <body>An explanation as to why this task is held, failed, was refused, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ShWAMFMEea5pdrFDq-m2g">
            <body>Reason for current status</body>
          </ownedComment>
          <ownedComment xmi:id="_5ShWBMFMEea5pdrFDq-m2g">
            <body>This applies to the current status.  Look at the history of the task to see reasons for past statuses.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sgu-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sgu-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ShWBsFMEea5pdrFDq-m2g" name="businessStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Sh9EcFMEea5pdrFDq-m2g">
            <body>Contains business-specific nuances of the business state.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ShWC8FMEea5pdrFDq-m2g">
            <body>E.g. &quot;Specimen collected&quot;, &quot;IV prepped&quot;</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sh9E8FMEea5pdrFDq-m2g">
            <body>There's often a need to track substates of a task - this is often variable by specific workflow implementation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ShWB8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ShWCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Sh9FcFMEea5pdrFDq-m2g" name="intent" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SikIsFMEea5pdrFDq-m2g">
            <body>Indicates the &quot;level&quot; of actionability associated with the Task.  I.e. Is this a proposed task, a planned task, an actionable task, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SikIMFMEea5pdrFDq-m2g">
            <body>proposed | planned | actionable +</body>
          </ownedComment>
          <ownedComment xmi:id="_5SikJMFMEea5pdrFDq-m2g">
            <body>This element is immutable.  Proposed tasks, planned tasks, etc. must be distinct instances.  In most cases, Tasks will have an intent of &quot;order&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sh9FsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sh9F8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SikJsFMEea5pdrFDq-m2g" name="priority" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SjLMsFMEea5pdrFDq-m2g">
            <body>Indicates how quickly the Task should be addressed with respect to other requests.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SjLMMFMEea5pdrFDq-m2g">
            <body>normal | urgent | asap | stat</body>
          </ownedComment>
          <ownedComment xmi:id="_5SjLNMFMEea5pdrFDq-m2g">
            <body>Used to identify the service level expected while performing a task.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SikJ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SikKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SjLNsFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SjyQMFMEea5pdrFDq-m2g">
            <body>A name or code (or both) briefly describing what the task involves.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SjLOsFMEea5pdrFDq-m2g">
            <body>Task Type</body>
          </ownedComment>
          <ownedComment xmi:id="_5SjyQsFMEea5pdrFDq-m2g">
            <body>The title (eg &quot;My Tasks&quot;, &quot;Outstanding Tasks for Patient X&quot;) should go into the code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SjLN8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SjLOMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SjyRMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SjySsFMEea5pdrFDq-m2g">
            <body>A free-text description of what is to be performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SjySMFMEea5pdrFDq-m2g">
            <body>Human-readable explanation of task</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SjyRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SjyRsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SjyTMFMEea5pdrFDq-m2g" name="focus" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5SkZUcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SkZV8FMEea5pdrFDq-m2g">
            <body>The request being actioned or the resource being manipulated by this task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SkZVcFMEea5pdrFDq-m2g">
            <body>What task is acting on</body>
          </ownedComment>
          <ownedComment xmi:id="_5SkZWcFMEea5pdrFDq-m2g">
            <body>If multiple resources need to be manipulated, use sub-tasks.  (This ensures that status can be tracked independently for each referenced resource.).</body>
          </ownedComment>
          <ownedComment xmi:id="_5SkZW8FMEea5pdrFDq-m2g">
            <body>Used to identify the thing to be done.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SjyTcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SjyTsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SlAYcFMEea5pdrFDq-m2g" name="for" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5SlAZcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SlncMFMEea5pdrFDq-m2g">
            <body>The entity who benefits from the performance of the service specified in the task (e.g., the patient).</body>
          </ownedComment>
          <ownedComment xmi:id="_5SlAacFMEea5pdrFDq-m2g">
            <body>Beneficiary of the Task</body>
          </ownedComment>
          <ownedComment xmi:id="_5SlncsFMEea5pdrFDq-m2g">
            <body>Used to track tasks outstanding for a beneficiary.  Do not use to track the task owner or creator (see owner and creator respectively).  This can also affect access control.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SlAYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SlAY8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SlndMFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5SlneMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SmOgsFMEea5pdrFDq-m2g">
            <body>The healthcare event  (e.g. a patient and healthcare provider interaction) during which this task was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SmOgMFMEea5pdrFDq-m2g">
            <body>Healthcare event during which this task originated</body>
          </ownedComment>
          <ownedComment xmi:id="_5SmOhMFMEea5pdrFDq-m2g">
            <body>For some tasks it may be important to know the link between the task or episode of care the task originated within.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SlndcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SlndsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SmOh8FMEea5pdrFDq-m2g" name="executionPeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Sm1kMFMEea5pdrFDq-m2g">
            <body>Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end).</body>
          </ownedComment>
          <ownedComment xmi:id="_5SmOi8FMEea5pdrFDq-m2g">
            <body>Start and end time of execution</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SmOiMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SmOicFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Sm1ksFMEea5pdrFDq-m2g" name="authoredOn" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Sm1mMFMEea5pdrFDq-m2g">
            <body>The date and time this task was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sm1lsFMEea5pdrFDq-m2g">
            <body>Task Creation Date</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sm1msFMEea5pdrFDq-m2g">
            <body>Most often used along with lastUpdated to track duration of task to supporting monitoring and management.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sm1k8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sm1lMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SncoMFMEea5pdrFDq-m2g" name="lastModified" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SncpsFMEea5pdrFDq-m2g">
            <body>The date and time of last modification to this task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SncpMFMEea5pdrFDq-m2g">
            <body>Task Last Modified Date</body>
          </ownedComment>
          <ownedComment xmi:id="_5SncqMFMEea5pdrFDq-m2g">
            <body>Used along with history to track task activity and time in a particular task state.  This enables monitoring and management.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SncocFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SncosFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SoDscFMEea5pdrFDq-m2g" name="requester" type="_5SncqsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SoqwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SoqxsFMEea5pdrFDq-m2g">
            <body>The creator of the task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SoqxMFMEea5pdrFDq-m2g">
            <body>Who is asking for task to be done</body>
          </ownedComment>
          <ownedComment xmi:id="_5SoqyMFMEea5pdrFDq-m2g">
            <body>Identifies who created this task.  May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SoDssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SoDs8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Sp46sFMEea5pdrFDq-m2g" name="performerType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Sqf9cFMEea5pdrFDq-m2g">
            <body>The type of participant that can execute the task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Sqf88FMEea5pdrFDq-m2g">
            <body>requester | dispatcher | scheduler | performer | monitor | manager | acquirer | reviewer</body>
          </ownedComment>
          <ownedComment xmi:id="_5SrHAMFMEea5pdrFDq-m2g">
            <body>Use to distinguish tasks on different activity queues.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sp468FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sp47MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SrHAsFMEea5pdrFDq-m2g" name="owner" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5SrHBsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SrHDMFMEea5pdrFDq-m2g">
            <body>The owner of this task.  The participant who can execute this task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SrHCsFMEea5pdrFDq-m2g">
            <body>Task Owner</body>
          </ownedComment>
          <ownedComment xmi:id="_5SruEMFMEea5pdrFDq-m2g">
            <body>Tasks may be created with an owner not yet identified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SruEsFMEea5pdrFDq-m2g">
            <body>Identifies who is expected to perform this task.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SrHA8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SrHBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SruFcFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SsVIsFMEea5pdrFDq-m2g">
            <body>A description or code indicating why this task needs to be performed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SsVIMFMEea5pdrFDq-m2g">
            <body>Why task is needed</body>
          </ownedComment>
          <ownedComment xmi:id="_5SsVJMFMEea5pdrFDq-m2g">
            <body>This should only be included if there is no focus or if it differs from the reason indicated on the focus.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SruFsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SruF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SsVJsFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5SsVLMFMEea5pdrFDq-m2g">
            <body>Free-text information captured about the task as it progresses.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SsVKsFMEea5pdrFDq-m2g">
            <body>Comments made about the task</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SsVJ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SsVKMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ss8MMFMEea5pdrFDq-m2g" name="relevantHistory" type="_48ATcMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Ss8NMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Ss8OsFMEea5pdrFDq-m2g">
            <body>Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ss8OMFMEea5pdrFDq-m2g">
            <body>Key events in history of the Task</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ss8PMFMEea5pdrFDq-m2g">
            <body>This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ss8McFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ss8MsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5StjQ8FMEea5pdrFDq-m2g" name="restriction" type="_5StjQMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SuKUMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SuKVsFMEea5pdrFDq-m2g">
            <body>If the Task.focus is a request resource and the task is seeking fulfillment (i.e is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SuKVMFMEea5pdrFDq-m2g">
            <body>Constraints on fulfillment tasks</body>
          </ownedComment>
          <ownedComment xmi:id="_5SuKWMFMEea5pdrFDq-m2g">
            <body>Sometimes when fulfillment is sought, you don't want full fulfillment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5StjRMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5StjRcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SwmkcFMEea5pdrFDq-m2g" name="input" type="_5Sv_gcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SwmlcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Swmm8FMEea5pdrFDq-m2g">
            <body>Additional information that may be needed in the execution of the task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SwmmcFMEea5pdrFDq-m2g">
            <body>Information used to perform task</body>
          </ownedComment>
          <ownedComment xmi:id="_5SwmncFMEea5pdrFDq-m2g">
            <body>Resources and data used to perform the task.  This data is used in the business logic of task execution, and is stored separately because it varies between workflows.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SwmksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Swmk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Sybw8FMEea5pdrFDq-m2g" name="output" type="_5SybwMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5SzC0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5SzC1sFMEea5pdrFDq-m2g">
            <body>Outputs produced by the Task.</body>
          </ownedComment>
          <ownedComment xmi:id="_5SzC1MFMEea5pdrFDq-m2g">
            <body>Information produced as part of task</body>
          </ownedComment>
          <ownedComment xmi:id="_5SzC2MFMEea5pdrFDq-m2g">
            <body>Resources and data produced during the execution the task.  This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SybxMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SybxcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SncqsFMEea5pdrFDq-m2g" name="Requester">
          <generalization xmi:id="_5Sncq8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SoqysFMEea5pdrFDq-m2g" name="agent" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5SpR0MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5SpR1sFMEea5pdrFDq-m2g">
              <body>The device, practitioner, etc. who initiated the task.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SpR1MFMEea5pdrFDq-m2g">
              <body>Individual asking for task</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Soqy8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SoqzMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SpR2cFMEea5pdrFDq-m2g" name="onBehalfOf" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Sp44MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Sp45sFMEea5pdrFDq-m2g">
              <body>The organization the device or practitioner was acting on behalf of when they initiated the task.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Sp45MFMEea5pdrFDq-m2g">
              <body>Organization individual is acting for</body>
            </ownedComment>
            <ownedComment xmi:id="_5Sp46MFMEea5pdrFDq-m2g">
              <body>Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when authoring the request.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SpR2sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SpR28FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5StjQMFMEea5pdrFDq-m2g" name="Restriction">
          <generalization xmi:id="_5StjQcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SuKWsFMEea5pdrFDq-m2g" name="repetitions" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SuxYsFMEea5pdrFDq-m2g">
              <body>Indicates the number of times the requested action should occur.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SuxYMFMEea5pdrFDq-m2g">
              <body>How many times to repeat</body>
            </ownedComment>
            <ownedComment xmi:id="_5SuxZMFMEea5pdrFDq-m2g">
              <body>E.g. order that requests monthly lab tests, fulfillment is sought for 1.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SuKW8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SuKXMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SuxZsFMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SuxbMFMEea5pdrFDq-m2g">
              <body>Over what time-period is fulfillment sought.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SuxasFMEea5pdrFDq-m2g">
              <body>Over what time-period is fulfillment sought</body>
            </ownedComment>
            <ownedComment xmi:id="_5SuxbsFMEea5pdrFDq-m2g">
              <body>E.g. order that authorizes 1 year's services.  Fulfillment is sought for next 3 months.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SuxZ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SuxaMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5SvYccFMEea5pdrFDq-m2g" name="recipient" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5SvYdcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5SvYe8FMEea5pdrFDq-m2g">
              <body>For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought?</body>
            </ownedComment>
            <ownedComment xmi:id="_5SvYecFMEea5pdrFDq-m2g">
              <body>For whom is fulfillment sought?</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SvYcsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SvYc8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Sv_gcFMEea5pdrFDq-m2g" name="Parameter">
          <generalization xmi:id="_5Sv_gsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SxNocFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5SxNqMFMEea5pdrFDq-m2g">
              <body>A code or description indicating how the input is intended to be used as part of the task execution.</body>
            </ownedComment>
            <ownedComment xmi:id="_5SxNpsFMEea5pdrFDq-m2g">
              <body>Label for the input</body>
            </ownedComment>
            <ownedComment xmi:id="_5SxNqsFMEea5pdrFDq-m2g">
              <body>If referencing a BPMN workflow or Protocol, the &quot;system&quot; is the URL for the workflow definition and the code is the &quot;name&quot; of the required input.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Sx0scFMEea5pdrFDq-m2g">
              <body>Inputs are named to enable task automation to bind data and pass it from one task to the next.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SxNosFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SxNo8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Sx0s8FMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Sx0ucFMEea5pdrFDq-m2g">
              <body>The value of the input parameter as a basic type.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Sx0t8FMEea5pdrFDq-m2g">
              <body>Content to use in performing the task</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sx0tMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sx0tcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5SybwMFMEea5pdrFDq-m2g" name="Output">
          <generalization xmi:id="_5SybwcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5SzC2sFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Szp48FMEea5pdrFDq-m2g">
              <body>The name of the Output parameter.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Szp4cFMEea5pdrFDq-m2g">
              <body>Label for output</body>
            </ownedComment>
            <ownedComment xmi:id="_5Szp5cFMEea5pdrFDq-m2g">
              <body>Outputs are named to enable task automation to bind data and pass it from one task to the next.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SzC28FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SzC3MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Szp58FMEea5pdrFDq-m2g" name="value[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5S0Q8cFMEea5pdrFDq-m2g">
              <body>The value of the Output parameter as a basic type.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Szp68FMEea5pdrFDq-m2g">
              <body>Result of output</body>
            </ownedComment>
            <ownedComment xmi:id="_5S0Q88FMEea5pdrFDq-m2g">
              <body>Task outputs can take any form.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Szp6MFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Szp6cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Se5wMFMEea5pdrFDq-m2g" memberEnd="_5Se5wcFMEea5pdrFDq-m2g _5SeSu8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Se5wcFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5Se5wMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Se5wsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Se5w8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Sfg2MFMEea5pdrFDq-m2g" memberEnd="_5Sfg2cFMEea5pdrFDq-m2g _5Sfg1MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Sfg2cFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5Sfg2MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sfg2sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sfg28FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SkZUcFMEea5pdrFDq-m2g" memberEnd="_5SkZUsFMEea5pdrFDq-m2g _5SjyTMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SkZUsFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SkZUcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SkZU8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SkZVMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SlAZcFMEea5pdrFDq-m2g" memberEnd="_5SlAZsFMEea5pdrFDq-m2g _5SlAYcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SlAZsFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SlAZcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SlAZ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SlAaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SlneMFMEea5pdrFDq-m2g" memberEnd="_5SlnecFMEea5pdrFDq-m2g _5SlndMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SlnecFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SlneMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SlnesFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Slne8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SoqwMFMEea5pdrFDq-m2g" memberEnd="_5SoqwcFMEea5pdrFDq-m2g _5SoDscFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SoqwcFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SoqwMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SoqwsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Soqw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SpR0MFMEea5pdrFDq-m2g" memberEnd="_5SpR0cFMEea5pdrFDq-m2g _5SoqysFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SpR0cFMEea5pdrFDq-m2g" type="_5SncqsFMEea5pdrFDq-m2g" association="_5SpR0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SpR0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SpR08FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Sp44MFMEea5pdrFDq-m2g" memberEnd="_5Sp44cFMEea5pdrFDq-m2g _5SpR2cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Sp44cFMEea5pdrFDq-m2g" type="_5SncqsFMEea5pdrFDq-m2g" association="_5Sp44MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sp44sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Sp448FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SrHBsFMEea5pdrFDq-m2g" memberEnd="_5SrHB8FMEea5pdrFDq-m2g _5SrHAsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SrHB8FMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SrHBsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SrHCMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SrHCcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Ss8NMFMEea5pdrFDq-m2g" memberEnd="_5Ss8NcFMEea5pdrFDq-m2g _5Ss8MMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Ss8NcFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5Ss8NMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ss8NsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ss8N8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SuKUMFMEea5pdrFDq-m2g" memberEnd="_5SuKUcFMEea5pdrFDq-m2g _5StjQ8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SuKUcFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SuKUMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SuKUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SuKU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SvYdcFMEea5pdrFDq-m2g" memberEnd="_5SvYdsFMEea5pdrFDq-m2g _5SvYccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SvYdsFMEea5pdrFDq-m2g" type="_5StjQMFMEea5pdrFDq-m2g" association="_5SvYdcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SvYd8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SvYeMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SwmlcFMEea5pdrFDq-m2g" memberEnd="_5SwmlsFMEea5pdrFDq-m2g _5SwmkcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SwmlsFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SwmlcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Swml8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SwmmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5SzC0MFMEea5pdrFDq-m2g" memberEnd="_5SzC0cFMEea5pdrFDq-m2g _5Sybw8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5SzC0cFMEea5pdrFDq-m2g" type="_5ScdgcFMEea5pdrFDq-m2g" association="_5SzC0MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5SzC0sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SzC08FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5S0Q9sFMEea5pdrFDq-m2g" name="ExplanationOfBenefit">
        <ownedComment xmi:id="_5S1fF8FMEea5pdrFDq-m2g">
          <body>This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.</body>
        </ownedComment>
        <ownedComment xmi:id="_5S1fEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ExplanationOfBenefit Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5S1fFcFMEea5pdrFDq-m2g">
          <body>Explanation of Benefit resource</body>
        </ownedComment>
        <generalization xmi:id="_5S1fFMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5S2GIMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S2GJsFMEea5pdrFDq-m2g">
            <body>The EOB Business Identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S2GJMFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S2GIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S2GIsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S2GKMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S2tNMFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S2tMsFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S2GKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S2GKsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S3UQMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S3UR8FMEea5pdrFDq-m2g">
            <body>The category of claim, eg, oral, pharmacy, vision, insitutional, professional.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S3URcFMEea5pdrFDq-m2g">
            <body>Type or discipline</body>
          </ownedComment>
          <ownedComment xmi:id="_5S37UMFMEea5pdrFDq-m2g">
            <body>Affects which fields and value sets are used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S3UQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S3UQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S37UsFMEea5pdrFDq-m2g" name="subType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S4iYcFMEea5pdrFDq-m2g">
            <body>A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S37V8FMEea5pdrFDq-m2g">
            <body>Finer grained claim type information</body>
          </ownedComment>
          <ownedComment xmi:id="_5S4iY8FMEea5pdrFDq-m2g">
            <body>This may contain the local bill type codes such as the US UB-04 bill type code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S37U8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S37VMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S4iZcFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S5JcMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S5JdsFMEea5pdrFDq-m2g">
            <body>Patient Resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S5JdMFMEea5pdrFDq-m2g">
            <body>The subject of the Products and Services</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S4iZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S4iZ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S5JeMFMEea5pdrFDq-m2g" name="billablePeriod" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S5JfsFMEea5pdrFDq-m2g">
            <body>The billable period for which charges are being submitted.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S5JfMFMEea5pdrFDq-m2g">
            <body>Period for charge submission</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S5JecFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S5JesFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S5wgMFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S5whsFMEea5pdrFDq-m2g">
            <body>The date when the EOB was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S5whMFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S5wgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S5wgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S5wiMFMEea5pdrFDq-m2g" name="enterer" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S5wjMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S6XlcFMEea5pdrFDq-m2g">
            <body>The person who created the explanation of benefit.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S6Xk8FMEea5pdrFDq-m2g">
            <body>Author</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S5wicFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S5wisFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S6Xl8FMEea5pdrFDq-m2g" name="insurer" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S6Xm8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S6-ocFMEea5pdrFDq-m2g">
            <body>The insurer which is responsible for the explanation of benefit.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S6Xn8FMEea5pdrFDq-m2g">
            <body>Insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S6XmMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S6XmcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S6-o8FMEea5pdrFDq-m2g" name="provider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S7lsMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S7ltsFMEea5pdrFDq-m2g">
            <body>The provider which is responsible for the claim.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S7ltMFMEea5pdrFDq-m2g">
            <body>Responsible provider for the claim</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S6-pMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S6-pcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S7luMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S8MwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S8MxsFMEea5pdrFDq-m2g">
            <body>The provider which is responsible for the claim.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S8MxMFMEea5pdrFDq-m2g">
            <body>Responsible organization for the claim</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S7lucFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S7lusFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S8MyMFMEea5pdrFDq-m2g" name="referral" type="_49Q3t8FMEea5pdrFDq-m2g" isOrdered="true" association="_5S8MzMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S8z1cFMEea5pdrFDq-m2g">
            <body>The referral resource which lists the date, practitioner, reason and other supporting information.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S8z08FMEea5pdrFDq-m2g">
            <body>Treatment Referral</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S8MycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S8MysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S8z18FMEea5pdrFDq-m2g" name="facility" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5S8z28FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S9a4cFMEea5pdrFDq-m2g">
            <body>Facility where the services were provided.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S8z38FMEea5pdrFDq-m2g">
            <body>Servicing Facility</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S8z2MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S8z2cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S9a48FMEea5pdrFDq-m2g" name="claim" type="_5QYoAMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S9a58FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S-B8sFMEea5pdrFDq-m2g">
            <body>The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S-B8MFMEea5pdrFDq-m2g">
            <body>Claim reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S9a5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S9a5cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S-B9MFMEea5pdrFDq-m2g" name="claimResponse" type="_5QTviMFMEea5pdrFDq-m2g" isOrdered="true" association="_5S-B-MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5S-pAcFMEea5pdrFDq-m2g">
            <body>The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S-B_MFMEea5pdrFDq-m2g">
            <body>Claim response reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S-B9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S-B9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S-pA8FMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S_QEsFMEea5pdrFDq-m2g">
            <body>Processing outcome errror, partial or complete processing.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S_QEMFMEea5pdrFDq-m2g">
            <body>complete | error | partial</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S-pBMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S-pBcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S_QFMFMEea5pdrFDq-m2g" name="disposition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5S_QGsFMEea5pdrFDq-m2g">
            <body>A description of the status of the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5S_QGMFMEea5pdrFDq-m2g">
            <body>Disposition Message</body>
          </ownedComment>
          <ownedComment xmi:id="_5S_QHMFMEea5pdrFDq-m2g">
            <body>Do we need a disposition code?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S_QFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S_QFsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5S_3I8FMEea5pdrFDq-m2g" name="related" type="_5S_3IMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TAeMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TAeNsFMEea5pdrFDq-m2g">
            <body>Other claims which are related to this claim such as prior claim versions or for related services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TAeNMFMEea5pdrFDq-m2g">
            <body>Related Claims which may be revelant to processing this claim</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S_3JMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S_3JcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TCTY8FMEea5pdrFDq-m2g" name="prescription" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5TCTZ8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TC6cMFMEea5pdrFDq-m2g">
            <body>Prescription to support the dispensing of Pharmacy or Vision products.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TCTa8FMEea5pdrFDq-m2g">
            <body>Prescription</body>
          </ownedComment>
          <ownedComment xmi:id="_5TC6csFMEea5pdrFDq-m2g">
            <body>For type=Pharmacy and Vision only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TCTZMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TCTZcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TC6dcFMEea5pdrFDq-m2g" name="originalPrescription" type="_4_8YQMFMEea5pdrFDq-m2g" isOrdered="true" association="_5TDhgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TDhhsFMEea5pdrFDq-m2g">
            <body>Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TDhhMFMEea5pdrFDq-m2g">
            <body>Original Prescription</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TC6dsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TC6d8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TEIkcFMEea5pdrFDq-m2g" name="payee" type="_5TDhiMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TEIlcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TEvoMFMEea5pdrFDq-m2g">
            <body>The party to be reimbursed for the services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TEImcFMEea5pdrFDq-m2g">
            <body>Payee</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TEIksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TEIk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5THL48FMEea5pdrFDq-m2g" name="information" type="_5THL4MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5THy8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5THy98FMEea5pdrFDq-m2g">
            <body>Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5THy9cFMEea5pdrFDq-m2g">
            <body>Exceptions, special considerations, the condition, situation, prior or concurrent issues</body>
          </ownedComment>
          <ownedComment xmi:id="_5THy-cFMEea5pdrFDq-m2g">
            <body>Typically these information codes are required to support the services rendered or the adjudication of the services rendered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5THL5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5THL5cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TLdVcFMEea5pdrFDq-m2g" name="careTeam" type="_5TLdUsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TMEYsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TMEaMFMEea5pdrFDq-m2g">
            <body>The members of the team who provided the overall service as well as their role and whether responsible and qualifications.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TMEZsFMEea5pdrFDq-m2g">
            <body>Care Team members</body>
          </ownedComment>
          <ownedComment xmi:id="_5TMEasFMEea5pdrFDq-m2g">
            <body>Role and Responsible may not be required when there is only a single provider listed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TLdVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TMEYMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TPHtcFMEea5pdrFDq-m2g" name="diagnosis" type="_5TPHssFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TPuwsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TPuyMFMEea5pdrFDq-m2g">
            <body>Ordered list of patient diagnosis for which care is sought.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TPuxsFMEea5pdrFDq-m2g">
            <body>Diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TPHtsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TPuwMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TTZIcFMEea5pdrFDq-m2g" name="procedure" type="_5TSyFsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TTZJcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TUAMMFMEea5pdrFDq-m2g">
            <body>Ordered list of patient procedures performed to support the adjudication.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TTZKcFMEea5pdrFDq-m2g">
            <body>Procedures performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TTZIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TTZI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TV1YMFMEea5pdrFDq-m2g" name="precedence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5TV1ZsFMEea5pdrFDq-m2g">
            <body>Precedence (primary, secondary, etc.).</body>
          </ownedComment>
          <ownedComment xmi:id="_5TV1ZMFMEea5pdrFDq-m2g">
            <body>Precedence (primary, secondary, etc.)</body>
          </ownedComment>
          <ownedComment xmi:id="_5TV1aMFMEea5pdrFDq-m2g">
            <body>Health care programs and insurers are significant payors of health service costs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TV1YcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TV1YsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TWcccFMEea5pdrFDq-m2g" name="insurance" type="_5TV1asFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TWcdcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TXDgsFMEea5pdrFDq-m2g">
            <body>Financial instrument by which payment information for health care.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TXDgMFMEea5pdrFDq-m2g">
            <body>Insurance or medical plan</body>
          </ownedComment>
          <ownedComment xmi:id="_5TXDhMFMEea5pdrFDq-m2g">
            <body>Health care programs and insurers are significant payors of health service costs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TWccsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TWcc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TYRpMFMEea5pdrFDq-m2g" name="accident" type="_5TYRocFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TY4sMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TY4tsFMEea5pdrFDq-m2g">
            <body>An accident which resulted in the need for healthcare services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TY4tMFMEea5pdrFDq-m2g">
            <body>Details of an accident</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TYRpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TYRpsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Tat4cFMEea5pdrFDq-m2g" name="employmentImpacted" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Tat58FMEea5pdrFDq-m2g">
            <body>The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_5Tat5cFMEea5pdrFDq-m2g">
            <body>Period unable to work</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tat4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tat48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5TbU8MFMEea5pdrFDq-m2g" name="hospitalization" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5TbU9sFMEea5pdrFDq-m2g">
            <body>The start and optional end dates of when the patient was confined to a treatment center.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TbU9MFMEea5pdrFDq-m2g">
            <body>Period in hospital</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TbU8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TbU8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Tb8AcFMEea5pdrFDq-m2g" name="item" type="_5TbU-MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Tb8BcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5TcjFcFMEea5pdrFDq-m2g">
            <body>First tier of goods and services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5TcjE8FMEea5pdrFDq-m2g">
            <body>Goods and Services</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tb8AsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tb8A8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5T85ZsFMEea5pdrFDq-m2g" name="addItem" type="_5T85Y8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5T9gc8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5T9gecFMEea5pdrFDq-m2g">
            <body>The first tier service adjudications for payor added services.</body>
          </ownedComment>
          <ownedComment xmi:id="_5T9gd8FMEea5pdrFDq-m2g">
            <body>Insurer added line items</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T9gcMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T9gccFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UGqaMFMEea5pdrFDq-m2g" name="totalCost" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UGqbsFMEea5pdrFDq-m2g">
            <body>The total cost of the services reported.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UGqbMFMEea5pdrFDq-m2g">
            <body>Total Cost of service from the Claim</body>
          </ownedComment>
          <ownedComment xmi:id="_5UGqcMFMEea5pdrFDq-m2g">
            <body>This is a check value that the receiver calculates and returns.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UGqacFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UGqasFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UHRccFMEea5pdrFDq-m2g" name="unallocDeductable" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UHRd8FMEea5pdrFDq-m2g">
            <body>The amount of deductable applied which was not allocated to any particular service line.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UHRdcFMEea5pdrFDq-m2g">
            <body>Unallocated deductable</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UHRcsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UHRc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UHRecFMEea5pdrFDq-m2g" name="totalBenefit" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UH4gcFMEea5pdrFDq-m2g">
            <body>Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductable).</body>
          </ownedComment>
          <ownedComment xmi:id="_5UHRfcFMEea5pdrFDq-m2g">
            <body>Total benefit payable for the Claim</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UHResFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UHRe8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UH4hsFMEea5pdrFDq-m2g" name="payment" type="_5UH4g8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UIfksFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5UIfmMFMEea5pdrFDq-m2g">
            <body>Payment details for the claim if the claim has been paid.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UIflsFMEea5pdrFDq-m2g">
            <body>Payment (if paid)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UH4h8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UIfkMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UK728FMEea5pdrFDq-m2g" name="form" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5ULi5MFMEea5pdrFDq-m2g">
            <body>The form to be used for printing the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5ULi4sFMEea5pdrFDq-m2g">
            <body>Printed Form Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UK73MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UK73cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UMJ88FMEea5pdrFDq-m2g" name="note" type="_5UMJ8MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UMxAMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5UMxBsFMEea5pdrFDq-m2g">
            <body>Note text.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UMxBMFMEea5pdrFDq-m2g">
            <body>Processing notes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UMJ9MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UMJ9cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UP0UcFMEea5pdrFDq-m2g" name="benefitBalance" type="_5UPNQsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UP0VcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5UQbYsFMEea5pdrFDq-m2g">
            <body>Balance by Benefit Category.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UQbYMFMEea5pdrFDq-m2g">
            <body>Balance by Benefit Category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UP0UsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UP0U8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5S_3IMFMEea5pdrFDq-m2g" name="RelatedClaim">
          <generalization xmi:id="_5S_3IcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TAeOMFMEea5pdrFDq-m2g" name="claim" type="_5QYoAMFMEea5pdrFDq-m2g" isOrdered="true" association="_5TBFQMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5TBFRsFMEea5pdrFDq-m2g">
              <body>Other claims which are related to this claim such as prior claim versions or for related services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TBFRMFMEea5pdrFDq-m2g">
              <body>Reference to the related claim</body>
            </ownedComment>
            <ownedComment xmi:id="_5TBFSMFMEea5pdrFDq-m2g">
              <body>Do we need a relationship code?</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TAeOcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TAeOsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TBFSsFMEea5pdrFDq-m2g" name="relationship" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TBsU8FMEea5pdrFDq-m2g">
              <body>For example prior or umbrella.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TBsUcFMEea5pdrFDq-m2g">
              <body>How the reference claim is related</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TBFS8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TBFTMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TBsVcFMEea5pdrFDq-m2g" name="reference" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TCTYcFMEea5pdrFDq-m2g">
              <body>An alternate organizational reference to the case or file to which this particular claim pertains - eg Property/Casualy insurer claim # or Workers Compensation case # .</body>
            </ownedComment>
            <ownedComment xmi:id="_5TBsWcFMEea5pdrFDq-m2g">
              <body>Related file or case reference</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TBsVsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TBsV8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TDhiMFMEea5pdrFDq-m2g" name="Payee">
          <generalization xmi:id="_5TDhicFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TEvosFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TFWscFMEea5pdrFDq-m2g">
              <body>Type of Party to be reimbursed: Subscriber, provider, other.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TEvp8FMEea5pdrFDq-m2g">
              <body>Type of party: Subscriber, Provider, other</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TEvo8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TEvpMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TFWs8FMEea5pdrFDq-m2g" name="resourceType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TF9w8FMEea5pdrFDq-m2g">
              <body>organization | patient | practitioner | relatedperson.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TF9wcFMEea5pdrFDq-m2g">
              <body>organization | patient | practitioner | relatedperson</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TFWtMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TFWtcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TGk0MFMEea5pdrFDq-m2g" name="party[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TGk1sFMEea5pdrFDq-m2g">
              <body>Party to be reimbursed: Subscriber, provider, other.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TGk1MFMEea5pdrFDq-m2g">
              <body>Party to receive the payable</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TGk0cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TGk0sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5THL4MFMEea5pdrFDq-m2g" name="SupportingInformation">
          <generalization xmi:id="_5THL4cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TIaAMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TIaB8FMEea5pdrFDq-m2g">
              <body>The general class of the information supplied: information; exception; accident, employment; onset, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TIaBcFMEea5pdrFDq-m2g">
              <body>Category of information</body>
            </ownedComment>
            <ownedComment xmi:id="_5TJBEcFMEea5pdrFDq-m2g">
              <body>This may contain the local bill type codes such as the US UB-04 bill type code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TIaAcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TIaAsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TJBE8FMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TJoIcFMEea5pdrFDq-m2g">
              <body>System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought which may influence the adjudication.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TJBGMFMEea5pdrFDq-m2g">
              <body>Type of information</body>
            </ownedComment>
            <ownedComment xmi:id="_5TJoI8FMEea5pdrFDq-m2g">
              <body>This may contain the local bill type codes such as the US UB-04 bill type code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TJBFMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TJBFcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TJoJcFMEea5pdrFDq-m2g" name="timing[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TKPMMFMEea5pdrFDq-m2g">
              <body>The date when or period to which this information refers.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TJoKcFMEea5pdrFDq-m2g">
              <body>When it occurred</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TJoJsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TJoJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TKPM8FMEea5pdrFDq-m2g" name="value[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TKPOcFMEea5pdrFDq-m2g">
              <body>Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TKPN8FMEea5pdrFDq-m2g">
              <body>Additional Data or supporting information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TKPNMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TKPNcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TK2QcFMEea5pdrFDq-m2g" name="reason" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TLdUMFMEea5pdrFDq-m2g">
              <body>For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TK2RsFMEea5pdrFDq-m2g">
              <body>Reason associated with the information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TK2QsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TK2Q8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TLdUsFMEea5pdrFDq-m2g" name="CareTeam">
          <generalization xmi:id="_5TLdU8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TMrcMFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TMrdsFMEea5pdrFDq-m2g">
              <body>Sequence of careteam which serves to order and provide a link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TMrdMFMEea5pdrFDq-m2g">
              <body>Number to covey order of careteam</body>
            </ownedComment>
            <ownedComment xmi:id="_5TMreMFMEea5pdrFDq-m2g">
              <body>Required to maintain order of the careteam members.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TMrccFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TMrcsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TMresFMEea5pdrFDq-m2g" name="provider" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5TNSgMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5TNShsFMEea5pdrFDq-m2g">
              <body>The members of the team who provided the overall service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TNShMFMEea5pdrFDq-m2g">
              <body>Member of the Care Team</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TMre8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TMrfMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TNSicFMEea5pdrFDq-m2g" name="responsible" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TN5kcFMEea5pdrFDq-m2g">
              <body>The practitioner who is billing and responsible for the claimed services rendered to the patient.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TNSjcFMEea5pdrFDq-m2g">
              <body>Billing practitioner</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TNSisFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TNSi8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TN5k8FMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TOgoMFMEea5pdrFDq-m2g">
              <body>The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TN5mMFMEea5pdrFDq-m2g">
              <body>Role on the team</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TN5lMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TN5lcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TOgosFMEea5pdrFDq-m2g" name="qualification" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TPHsMFMEea5pdrFDq-m2g">
              <body>The qualification which is applicable for this service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TOgp8FMEea5pdrFDq-m2g">
              <body>Type, classification or Specialization</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TOgo8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TOgpMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TPHssFMEea5pdrFDq-m2g" name="Diagnosis">
          <generalization xmi:id="_5TPHs8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TPuysFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TQV08FMEea5pdrFDq-m2g">
              <body>Sequence of diagnosis which serves to order and provide a link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TQV0cFMEea5pdrFDq-m2g">
              <body>Number to covey order of diagnosis</body>
            </ownedComment>
            <ownedComment xmi:id="_5TQV1cFMEea5pdrFDq-m2g">
              <body>Required to maintain order of the diagnoses.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TPuy8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TPuzMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TQV18FMEea5pdrFDq-m2g" name="diagnosis[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TQ85sFMEea5pdrFDq-m2g">
              <body>The diagnosis.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TQ85MFMEea5pdrFDq-m2g">
              <body>Patient's list of diagnosis</body>
            </ownedComment>
            <ownedComment xmi:id="_5TQ86MFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered to condition presented.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TQ84MFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TQ84cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TRj8cFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TSLAcFMEea5pdrFDq-m2g">
              <body>The type of the Diagnosis, for example: admitting,.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TRj9sFMEea5pdrFDq-m2g">
              <body>Type of Diagnosis</body>
            </ownedComment>
            <ownedComment xmi:id="_5TSLA8FMEea5pdrFDq-m2g">
              <body>Diagnosis are presented in list order to their expected importance: primary, secondary, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TSLBcFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered to the mandated diagnosis grouping system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TRj8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TRj88FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TSLB8FMEea5pdrFDq-m2g" name="packageCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TSyEsFMEea5pdrFDq-m2g">
              <body>The package billing code, for example DRG, based on the assigned grouping code system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TSyEMFMEea5pdrFDq-m2g">
              <body>Package billing code</body>
            </ownedComment>
            <ownedComment xmi:id="_5TSyFMFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered to the mandated grouping system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TSLCMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TSLCcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TSyFsFMEea5pdrFDq-m2g" name="Procedure">
          <generalization xmi:id="_5TSyF8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TUAMsFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TUAOMFMEea5pdrFDq-m2g">
              <body>Sequence of procedures which serves to order and provide a link.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TUANsFMEea5pdrFDq-m2g">
              <body>Procedure sequence for reference</body>
            </ownedComment>
            <ownedComment xmi:id="_5TUAOsFMEea5pdrFDq-m2g">
              <body>Required to maintain order of the procudures.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TUAM8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TUANMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TUAPMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TUnQ8FMEea5pdrFDq-m2g">
              <body>Date and optionally time the procedure was performed .</body>
            </ownedComment>
            <ownedComment xmi:id="_5TUnQcFMEea5pdrFDq-m2g">
              <body>When the procedure was performed</body>
            </ownedComment>
            <ownedComment xmi:id="_5TUnRcFMEea5pdrFDq-m2g">
              <body>SB DateTime??</body>
            </ownedComment>
            <ownedComment xmi:id="_5TUnR8FMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TUAPcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TUAPsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TUnScFMEea5pdrFDq-m2g" name="procedure[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TVOU8FMEea5pdrFDq-m2g">
              <body>The procedure code.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TVOUcFMEea5pdrFDq-m2g">
              <body>Patient's list of procedures performed</body>
            </ownedComment>
            <ownedComment xmi:id="_5TVOVcFMEea5pdrFDq-m2g">
              <body>Required to adjudicate services rendered.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TUnSsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TUnS8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TV1asFMEea5pdrFDq-m2g" name="Insurance">
          <generalization xmi:id="_5TV1a8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TXDhsFMEea5pdrFDq-m2g" name="coverage" type="_5ENNNMFMEea5pdrFDq-m2g" isOrdered="true" association="_5TXDisFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5TXqksFMEea5pdrFDq-m2g">
              <body>Reference to the program or plan identification, underwriter or payor.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TXqkMFMEea5pdrFDq-m2g">
              <body>Insurance information</body>
            </ownedComment>
            <ownedComment xmi:id="_5TXqlMFMEea5pdrFDq-m2g">
              <body>Need to identify the issuer to target for processing and for coordination of benefit processing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TXDh8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TXDiMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TXqlsFMEea5pdrFDq-m2g" name="preAuthRef" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TXqnMFMEea5pdrFDq-m2g">
              <body>A list of references from the Insurer to which these services pertain.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TXqmsFMEea5pdrFDq-m2g">
              <body>Pre-Authorization/Determination Reference</body>
            </ownedComment>
            <ownedComment xmi:id="_5TXqnsFMEea5pdrFDq-m2g">
              <body>To provide any pre=determination or prior authorization reference.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TXql8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TXqmMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TYRocFMEea5pdrFDq-m2g" name="Accident">
          <generalization xmi:id="_5TYRosFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TY4uMFMEea5pdrFDq-m2g" name="date" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TZfwcFMEea5pdrFDq-m2g">
              <body>Date of an accident which these services are addressing.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TY4vMFMEea5pdrFDq-m2g">
              <body>When the accident occurred</body>
            </ownedComment>
            <ownedComment xmi:id="_5TZfw8FMEea5pdrFDq-m2g">
              <body>Coverage may be dependant on accidents.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TY4ucFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TY4usFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TZfxcFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TaG0sFMEea5pdrFDq-m2g">
              <body>Type of accident: work, auto, etc.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TaG0MFMEea5pdrFDq-m2g">
              <body>The nature of the accident</body>
            </ownedComment>
            <ownedComment xmi:id="_5TaG1MFMEea5pdrFDq-m2g">
              <body>Coverage may be dependant on the type of accident.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TZfxsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TZfx8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TaG1sFMEea5pdrFDq-m2g" name="location[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TaG3MFMEea5pdrFDq-m2g">
              <body>Where the accident occurred.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TaG2sFMEea5pdrFDq-m2g">
              <body>Accident Place</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TaG18FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TaG2MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5TbU-MFMEea5pdrFDq-m2g" name="Item">
          <generalization xmi:id="_5TbU-cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5TcjF8FMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TcjHcFMEea5pdrFDq-m2g">
              <body>A service line number.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TcjG8FMEea5pdrFDq-m2g">
              <body>Service instance</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TcjGMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TcjGcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TcjH8FMEea5pdrFDq-m2g" name="careTeamLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TdKJMFMEea5pdrFDq-m2g">
              <body>Careteam applicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TdKIsFMEea5pdrFDq-m2g">
              <body>Applicable careteam members</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TcjIMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TdKIMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TdKJsFMEea5pdrFDq-m2g" name="diagnosisLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TdKLMFMEea5pdrFDq-m2g">
              <body>Diagnosis applicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TdKKsFMEea5pdrFDq-m2g">
              <body>Applicable diagnoses</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TdKJ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TdKKMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TdxMMFMEea5pdrFDq-m2g" name="procedureLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TdxNsFMEea5pdrFDq-m2g">
              <body>Procedures applicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TdxNMFMEea5pdrFDq-m2g">
              <body>Applicable procedures</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TdxMcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TdxMsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TdxOMFMEea5pdrFDq-m2g" name="informationLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TdxPsFMEea5pdrFDq-m2g">
              <body>Exceptions, special conditions and supporting information pplicable for this service or product line.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TdxPMFMEea5pdrFDq-m2g">
              <body>Applicable exception and supporting information</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TdxOcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TdxOsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TeYQcFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TeYSMFMEea5pdrFDq-m2g">
              <body>The type of reveneu or cost center providing the product and/or service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TeYRsFMEea5pdrFDq-m2g">
              <body>Revenue or cost center code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TeYQsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TeYQ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Te_UcFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Te_WMFMEea5pdrFDq-m2g">
              <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Te_VsFMEea5pdrFDq-m2g">
              <body>Type of service or product</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Te_UsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Te_U8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TfmYMFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TfmZ8FMEea5pdrFDq-m2g">
              <body>If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TfmZcFMEea5pdrFDq-m2g">
              <body>Billing Code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TfmYcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TfmYsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TgNccFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TgNeMFMEea5pdrFDq-m2g">
              <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TgNdsFMEea5pdrFDq-m2g">
              <body>Service/Product billing modifiers</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tg0gMFMEea5pdrFDq-m2g">
              <body>May impact on adjudication.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TgNcsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TgNc8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Tg0gsFMEea5pdrFDq-m2g" name="programCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Tg0icFMEea5pdrFDq-m2g">
              <body>For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tg0h8FMEea5pdrFDq-m2g">
              <body>Program specific reason for item inclusion</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tg0g8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tg0hMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ThbkcFMEea5pdrFDq-m2g" name="serviced[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Thbl8FMEea5pdrFDq-m2g">
              <body>The date or dates when the enclosed suite of services were performed or completed.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ThblcFMEea5pdrFDq-m2g">
              <body>Date or dates of Service</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ThbksFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Thbk8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ThbmsFMEea5pdrFDq-m2g" name="location[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TiCpMFMEea5pdrFDq-m2g">
              <body>Where the service was provided.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TiCosFMEea5pdrFDq-m2g">
              <body>Place of service</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Thbm8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ThbnMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TipscFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Tipt8FMEea5pdrFDq-m2g">
              <body>The number of repetitions of a service or product.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TiptcFMEea5pdrFDq-m2g">
              <body>Count of Products or Services</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TipssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tips8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TipucFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TjQwMFMEea5pdrFDq-m2g">
              <body>If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TipvcFMEea5pdrFDq-m2g">
              <body>Fee, charge or cost per point</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TipusFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tipu8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TjQwsFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TjQyMFMEea5pdrFDq-m2g">
              <body>A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TjQxsFMEea5pdrFDq-m2g">
              <body>Price scaling factor</body>
            </ownedComment>
            <ownedComment xmi:id="_5TjQysFMEea5pdrFDq-m2g">
              <body>If a fee is present the associated product/service code must be present.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TjQw8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TjQxMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TjQzMFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Tj308FMEea5pdrFDq-m2g">
              <body>The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tj30cFMEea5pdrFDq-m2g">
              <body>Total item cost</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tj31cFMEea5pdrFDq-m2g">
              <body>If a fee is present the associated product/service code must be present.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TjQzcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TjQzsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Tj318FMEea5pdrFDq-m2g" name="udi" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5Tke4MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Tke5sFMEea5pdrFDq-m2g">
              <body>List of Unique Device Identifiers associated with this line item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tke5MFMEea5pdrFDq-m2g">
              <body>Unique Device Identifier</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tke6MFMEea5pdrFDq-m2g">
              <body>The UDI code and issuer if applicable for the supplied product.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tj32MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tj32cFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Tke6sFMEea5pdrFDq-m2g" name="bodySite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TlF8sFMEea5pdrFDq-m2g">
              <body>Physical service site on the patient (limb, tooth, etc).</body>
            </ownedComment>
            <ownedComment xmi:id="_5TlF8MFMEea5pdrFDq-m2g">
              <body>Service Location</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tke68FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tke7MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TlF9MFMEea5pdrFDq-m2g" name="subSite" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TltA8FMEea5pdrFDq-m2g">
              <body>A region or surface of the site, eg. limb region or tooth surface(s).</body>
            </ownedComment>
            <ownedComment xmi:id="_5TltAcFMEea5pdrFDq-m2g">
              <body>Service Sub-location</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TlF9cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TlF9sFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TltBcFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5TmUEcFMEea5pdrFDq-m2g">
              <body>A list of note references to the notes provided below.</body>
            </ownedComment>
            <ownedComment xmi:id="_5TltCcFMEea5pdrFDq-m2g">
              <body>List of note numbers which apply</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TltBsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TltB8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Tm7IcFMEea5pdrFDq-m2g" name="adjudication" type="_5TmUE8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Tm7JcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Tm7K8FMEea5pdrFDq-m2g">
              <body>The adjudications results.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tm7KcFMEea5pdrFDq-m2g">
              <body>Adjudication details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tm7IsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tm7I8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5TpXY8FMEea5pdrFDq-m2g" name="detail" type="_5TpXYMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Tp-cMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Tp-dsFMEea5pdrFDq-m2g">
              <body>Second tier of goods and services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Tp-dMFMEea5pdrFDq-m2g">
              <body>Additional items</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TpXZMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TpXZcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5T6dI8FMEea5pdrFDq-m2g" name="prosthesis" type="_5T6dIMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5T7EMcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5T7EN8FMEea5pdrFDq-m2g">
              <body>The materials and placement date of prior fixed prosthesis.</body>
            </ownedComment>
            <ownedComment xmi:id="_5T7ENcFMEea5pdrFDq-m2g">
              <body>Prosthetic details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T6dJMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T6dJcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5TmUE8FMEea5pdrFDq-m2g" name="Adjudication">
            <generalization xmi:id="_5TmUFMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5TniMcFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TniOMFMEea5pdrFDq-m2g">
                <body>Code indicating: Co-Pay, deductable, elegible, benefit, tax, etc.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TniNsFMEea5pdrFDq-m2g">
                <body>Adjudication category such as co-pay, eligible, benefit, etc.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TniMsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TniM8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5ToJQMFMEea5pdrFDq-m2g" name="reason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5ToJR8FMEea5pdrFDq-m2g">
                <body>Adjudication reason such as limit reached.</body>
              </ownedComment>
              <ownedComment xmi:id="_5ToJRcFMEea5pdrFDq-m2g">
                <body>Adjudication reason</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ToJQcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ToJQsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TowUMFMEea5pdrFDq-m2g" name="amount" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TowVsFMEea5pdrFDq-m2g">
                <body>Monitory amount associated with the code.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TowVMFMEea5pdrFDq-m2g">
                <body>Monetary amount</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TowUcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TowUsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TowWMFMEea5pdrFDq-m2g" name="value" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TowXsFMEea5pdrFDq-m2g">
                <body>A non-monetary value for example a percentage. Mutually exclusive to the amount element above.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TowXMFMEea5pdrFDq-m2g">
                <body>Non-monitory value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TowWcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TowWsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5TpXYMFMEea5pdrFDq-m2g" name="Detail">
            <generalization xmi:id="_5TpXYcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5Tp-eMFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Tqlg8FMEea5pdrFDq-m2g">
                <body>A service line number.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TqlgcFMEea5pdrFDq-m2g">
                <body>Service instance</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tp-ecFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tp-esFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TqlhcFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TrMlMFMEea5pdrFDq-m2g">
                <body>The type of product or service.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TrMksFMEea5pdrFDq-m2g">
                <body>Group or type of product or service</body>
              </ownedComment>
              <ownedComment xmi:id="_5TrMlsFMEea5pdrFDq-m2g">
                <body>ItemType.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TqlhsFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tqlh8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TrMmMFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TrzpMFMEea5pdrFDq-m2g">
                <body>The type of reveneu or cost center providing the product and/or service.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TrzosFMEea5pdrFDq-m2g">
                <body>Revenue or cost center code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TrMmcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TrMmsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TrzpsFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TsatMFMEea5pdrFDq-m2g">
                <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TsassFMEea5pdrFDq-m2g">
                <body>Type of service or product</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Trzp8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TrzqMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TsatsFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TtBw8FMEea5pdrFDq-m2g">
                <body>If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TtBwcFMEea5pdrFDq-m2g">
                <body>Billing Code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tsat8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TsauMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TtBxcFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Tto08FMEea5pdrFDq-m2g">
                <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Tto0cFMEea5pdrFDq-m2g">
                <body>Service/Product billing modifiers</body>
              </ownedComment>
              <ownedComment xmi:id="_5Tto1cFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TtBxsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TtBx8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Tto18FMEea5pdrFDq-m2g" name="programCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TuP48FMEea5pdrFDq-m2g">
                <body>For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TuP4cFMEea5pdrFDq-m2g">
                <body>Program specific reason for item inclusion</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tto2MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tto2cFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TuP5cFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Tu28cFMEea5pdrFDq-m2g">
                <body>The number of repetitions of a service or product.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TuP6cFMEea5pdrFDq-m2g">
                <body>Count of Products or Services</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TuP5sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TuP58FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Tu288FMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Tu2-cFMEea5pdrFDq-m2g">
                <body>If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Tu298FMEea5pdrFDq-m2g">
                <body>Fee, charge or cost per point</body>
              </ownedComment>
              <ownedComment xmi:id="_5Tu2-8FMEea5pdrFDq-m2g">
                <body>If a fee is present the associated product/service code must be present.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Tu29MFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Tu29cFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5Tu2_cFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TveBcFMEea5pdrFDq-m2g">
                <body>A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TveA8FMEea5pdrFDq-m2g">
                <body>Price scaling factor</body>
              </ownedComment>
              <ownedComment xmi:id="_5TveB8FMEea5pdrFDq-m2g">
                <body>If a fee is present the associated product/service code must be present.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TveAMFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TveAcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TwFEMFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TwFFsFMEea5pdrFDq-m2g">
                <body>The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TwFFMFMEea5pdrFDq-m2g">
                <body>Total additional item cost</body>
              </ownedComment>
              <ownedComment xmi:id="_5TwFGMFMEea5pdrFDq-m2g">
                <body>If a fee is present the associated product/service code must be present.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TwFEcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TwFEsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TwFGsFMEea5pdrFDq-m2g" name="udi" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5TwsIMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5TwsJsFMEea5pdrFDq-m2g">
                <body>List of Unique Device Identifiers associated with this line item.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TwsJMFMEea5pdrFDq-m2g">
                <body>Unique Device Identifier</body>
              </ownedComment>
              <ownedComment xmi:id="_5TwsKMFMEea5pdrFDq-m2g">
                <body>The UDI code and issuer if applicable for the supplied product.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TwFG8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TwFHMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TwsKsFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5TxTNMFMEea5pdrFDq-m2g">
                <body>A list of note references to the notes provided below.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TxTMsFMEea5pdrFDq-m2g">
                <body>List of note numbers which apply</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TwsK8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TxTMMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TxTNsFMEea5pdrFDq-m2g" name="adjudication" type="_5TmUE8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Tx6QMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5Tx6RsFMEea5pdrFDq-m2g">
                <body>The adjudications results.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Tx6RMFMEea5pdrFDq-m2g">
                <body>Detail adjudication</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TxTN8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TxTOMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5TyhUcFMEea5pdrFDq-m2g" name="subDetail" type="_5Tx6SMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5TyhVcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5TyhW8FMEea5pdrFDq-m2g">
                <body>Third tier of goods and services.</body>
              </ownedComment>
              <ownedComment xmi:id="_5TyhWcFMEea5pdrFDq-m2g">
                <body>Additional items</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TyhUsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TyhU8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5Tx6SMFMEea5pdrFDq-m2g" name="SubDetail">
              <generalization xmi:id="_5Tx6ScFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5TzIYMFMEea5pdrFDq-m2g" name="sequence" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5TzIZsFMEea5pdrFDq-m2g">
                  <body>A service line number.</body>
                </ownedComment>
                <ownedComment xmi:id="_5TzIZMFMEea5pdrFDq-m2g">
                  <body>Service instance</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TzIYcFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TzIYsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5TzIaMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5TzvcsFMEea5pdrFDq-m2g">
                  <body>The type of product or service.</body>
                </ownedComment>
                <ownedComment xmi:id="_5TzvcMFMEea5pdrFDq-m2g">
                  <body>Type of product or service</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TzIacFMEea5pdrFDq-m2g" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TzIasFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5TzvdMFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T0WgsFMEea5pdrFDq-m2g">
                  <body>The type of reveneu or cost center providing the product and/or service.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T0WgMFMEea5pdrFDq-m2g">
                  <body>Revenue or cost center code</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5TzvdcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5TzvdsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T0WhMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T09ksFMEea5pdrFDq-m2g">
                  <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T09kMFMEea5pdrFDq-m2g">
                  <body>Type of service or product</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T0WhcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T0WhsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T09lMFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T1kosFMEea5pdrFDq-m2g">
                  <body>A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).</body>
                </ownedComment>
                <ownedComment xmi:id="_5T1koMFMEea5pdrFDq-m2g">
                  <body>Billing Code</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T09lcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T09lsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T1kpMFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T2LssFMEea5pdrFDq-m2g">
                  <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T2LsMFMEea5pdrFDq-m2g">
                  <body>Service/Product billing modifiers</body>
                </ownedComment>
                <ownedComment xmi:id="_5T2LtMFMEea5pdrFDq-m2g">
                  <body>May impact on adjudication.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T1kpcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T1kpsFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T2LtsFMEea5pdrFDq-m2g" name="programCode" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T2ywsFMEea5pdrFDq-m2g">
                  <body>For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T2ywMFMEea5pdrFDq-m2g">
                  <body>Program specific reason for item inclusion</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T2Lt8FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T2LuMFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T2yxMFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T3Z0MFMEea5pdrFDq-m2g">
                  <body>The number of repetitions of a service or product.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T2yyMFMEea5pdrFDq-m2g">
                  <body>Count of Products or Services</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T2yxcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T2yxsFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T3Z0sFMEea5pdrFDq-m2g" name="unitPrice" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T3Z2MFMEea5pdrFDq-m2g">
                  <body>The fee for an addittional service or product or charge.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T3Z1sFMEea5pdrFDq-m2g">
                  <body>Fee, charge or cost per point</body>
                </ownedComment>
                <ownedComment xmi:id="_5T3Z2sFMEea5pdrFDq-m2g">
                  <body>If a fee is present the associated product/service code must be present.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T3Z08FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T3Z1MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T3Z3MFMEea5pdrFDq-m2g" name="factor" type="_4aapUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T4A5MFMEea5pdrFDq-m2g">
                  <body>A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T4A4sFMEea5pdrFDq-m2g">
                  <body>Price scaling factor</body>
                </ownedComment>
                <ownedComment xmi:id="_5T4A5sFMEea5pdrFDq-m2g">
                  <body>If a fee is present the associated product/service code must be present.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T3Z3cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T4A4MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T4A6MFMEea5pdrFDq-m2g" name="net" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T4n8MFMEea5pdrFDq-m2g">
                  <body>The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T4A7MFMEea5pdrFDq-m2g">
                  <body>Net additional item cost</body>
                </ownedComment>
                <ownedComment xmi:id="_5T4n8sFMEea5pdrFDq-m2g">
                  <body>If a fee is present the associated product/service code must be present.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T4A6cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T4A6sFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T4n9MFMEea5pdrFDq-m2g" name="udi" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5T4n-MFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5T5PAcFMEea5pdrFDq-m2g">
                  <body>List of Unique Device Identifiers associated with this line item.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T4n_MFMEea5pdrFDq-m2g">
                  <body>Unique Device Identifier</body>
                </ownedComment>
                <ownedComment xmi:id="_5T5PA8FMEea5pdrFDq-m2g">
                  <body>The UDI code and issuer if applicable for the supplied product.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T4n9cFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T4n9sFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T5PBcFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5T5PC8FMEea5pdrFDq-m2g">
                  <body>A list of note references to the notes provided below.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T5PCcFMEea5pdrFDq-m2g">
                  <body>List of note numbers which apply</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T5PBsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T5PB8FMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5T52EMFMEea5pdrFDq-m2g" name="adjudication" type="_5TmUE8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5T52FMFMEea5pdrFDq-m2g">
                <ownedComment xmi:id="_5T52GsFMEea5pdrFDq-m2g">
                  <body>The adjudications results.</body>
                </ownedComment>
                <ownedComment xmi:id="_5T52GMFMEea5pdrFDq-m2g">
                  <body>SubDetail adjudication</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T52EcFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T52EsFMEea5pdrFDq-m2g" value="*"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5T6dIMFMEea5pdrFDq-m2g" name="Prosthesis">
            <generalization xmi:id="_5T6dIcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5T7EOcFMEea5pdrFDq-m2g" name="initial" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5T7rQsFMEea5pdrFDq-m2g">
                <body>Indicates whether this is the initial placement of a fixed prosthesis.</body>
              </ownedComment>
              <ownedComment xmi:id="_5T7rQMFMEea5pdrFDq-m2g">
                <body>Is this the initial service</body>
              </ownedComment>
              <ownedComment xmi:id="_5T7rRMFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T7EOsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T7EO8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5T7rRsFMEea5pdrFDq-m2g" name="priorDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5T7rTMFMEea5pdrFDq-m2g">
                <body>Date of the initial placement.</body>
              </ownedComment>
              <ownedComment xmi:id="_5T7rSsFMEea5pdrFDq-m2g">
                <body>Initial service Date</body>
              </ownedComment>
              <ownedComment xmi:id="_5T8SUMFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T7rR8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T7rSMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5T8SUsFMEea5pdrFDq-m2g" name="priorMaterial" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5T8SWcFMEea5pdrFDq-m2g">
                <body>Material of the prior denture or bridge prosthesis (Oral).</body>
              </ownedComment>
              <ownedComment xmi:id="_5T8SV8FMEea5pdrFDq-m2g">
                <body>Prosthetic Material</body>
              </ownedComment>
              <ownedComment xmi:id="_5T85YcFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T8SU8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T8SVMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5T85Y8FMEea5pdrFDq-m2g" name="AddedItem">
          <generalization xmi:id="_5T85ZMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5T9ge8FMEea5pdrFDq-m2g" name="sequenceLinkId" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5T-HgsFMEea5pdrFDq-m2g">
              <body>List of input service items which this service line is intended to replace.</body>
            </ownedComment>
            <ownedComment xmi:id="_5T-HgMFMEea5pdrFDq-m2g">
              <body>Service instances</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T9gfMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T9gfcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5T-HhMFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5T-uksFMEea5pdrFDq-m2g">
              <body>The type of reveneu or cost center providing the product and/or service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5T-ukMFMEea5pdrFDq-m2g">
              <body>Revenue or cost center code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T-HhcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T-HhsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5T-ulMFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5T_VoMFMEea5pdrFDq-m2g">
              <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
            </ownedComment>
            <ownedComment xmi:id="_5T-umcFMEea5pdrFDq-m2g">
              <body>Type of service or product</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T-ulcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T-ulsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5T_VosFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5T_VqcFMEea5pdrFDq-m2g">
              <body>If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.</body>
            </ownedComment>
            <ownedComment xmi:id="_5T_Vp8FMEea5pdrFDq-m2g">
              <body>Billing Code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T_Vo8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T_VpMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5T_8scFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5T_8uMFMEea5pdrFDq-m2g">
              <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
            </ownedComment>
            <ownedComment xmi:id="_5T_8tsFMEea5pdrFDq-m2g">
              <body>Service/Product billing modifiers</body>
            </ownedComment>
            <ownedComment xmi:id="_5UAjwMFMEea5pdrFDq-m2g">
              <body>May impact on adjudication.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5T_8ssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5T_8s8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UAjwsFMEea5pdrFDq-m2g" name="fee" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UAjyMFMEea5pdrFDq-m2g">
              <body>The fee charged for the professional service or product.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UAjxsFMEea5pdrFDq-m2g">
              <body>Professional fee or Product charge</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UAjw8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UAjxMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UAjysFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UBK0cFMEea5pdrFDq-m2g">
              <body>A list of note references to the notes provided below.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UAjzsFMEea5pdrFDq-m2g">
              <body>List of note numbers which apply</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UAjy8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UAjzMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UBK08FMEea5pdrFDq-m2g" name="adjudication" type="_5TmUE8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UBK18FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5UBx4MFMEea5pdrFDq-m2g">
              <body>The adjudications results.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UBK28FMEea5pdrFDq-m2g">
              <body>Added items adjudication</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UBK1MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UBK1cFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UBx5cFMEea5pdrFDq-m2g" name="detail" type="_5UBx4sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UCY8cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5UCY98FMEea5pdrFDq-m2g">
              <body>The second tier service adjudications for payor added services.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UCY9cFMEea5pdrFDq-m2g">
              <body>Added items details</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UBx5sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UBx58FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5UBx4sFMEea5pdrFDq-m2g" name="AddedItemsDetail">
            <generalization xmi:id="_5UBx48FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5UCY-cFMEea5pdrFDq-m2g" name="revenue" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UDAA8FMEea5pdrFDq-m2g">
                <body>The type of reveneu or cost center providing the product and/or service.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UDAAcFMEea5pdrFDq-m2g">
                <body>Revenue or cost center code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UCY-sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UCY-8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UDABcFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UDnE8FMEea5pdrFDq-m2g">
                <body>Health Care Service Type Codes  to identify the classification of service or benefits.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UDnEcFMEea5pdrFDq-m2g">
                <body>Type of service or product</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UDABsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UDAB8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UDnFcFMEea5pdrFDq-m2g" name="service" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UEOI8FMEea5pdrFDq-m2g">
                <body>A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).</body>
              </ownedComment>
              <ownedComment xmi:id="_5UEOIcFMEea5pdrFDq-m2g">
                <body>Billing Code</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UDnFsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UDnF8FMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UEOJcFMEea5pdrFDq-m2g" name="modifier" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UE1NMFMEea5pdrFDq-m2g">
                <body>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UE1MsFMEea5pdrFDq-m2g">
                <body>Service/Product billing modifiers</body>
              </ownedComment>
              <ownedComment xmi:id="_5UFcQMFMEea5pdrFDq-m2g">
                <body>May impact on adjudication.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UEOJsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UEOJ8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UFcQsFMEea5pdrFDq-m2g" name="fee" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UFcSMFMEea5pdrFDq-m2g">
                <body>The fee charged for the professional service or product.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UFcRsFMEea5pdrFDq-m2g">
                <body>Professional fee or Product charge</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UFcQ8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UFcRMFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UFcSsFMEea5pdrFDq-m2g" name="noteNumber" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UGDU8FMEea5pdrFDq-m2g">
                <body>A list of note references to the notes provided below.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UGDUcFMEea5pdrFDq-m2g">
                <body>List of note numbers which apply</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UFcS8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UFcTMFMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UGDVcFMEea5pdrFDq-m2g" name="adjudication" type="_5TmUE8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UGqYMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5UGqZsFMEea5pdrFDq-m2g">
                <body>The adjudications results.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UGqZMFMEea5pdrFDq-m2g">
                <body>Added items detail adjudication</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UGDVsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UGDV8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5UH4g8FMEea5pdrFDq-m2g" name="Payment">
          <generalization xmi:id="_5UH4hMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5UIfmsFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UJGo8FMEea5pdrFDq-m2g">
              <body>Whether this represents partial or complete payment of the claim.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UJGocFMEea5pdrFDq-m2g">
              <body>Partial or Complete</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UIfm8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UIfnMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UJGpcFMEea5pdrFDq-m2g" name="adjustment" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UJtscFMEea5pdrFDq-m2g">
              <body>Adjustment to the payment of this transaction which is not related to adjudication of this transaction.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UJGqcFMEea5pdrFDq-m2g">
              <body>Payment adjustment for non-Claim issues</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UJGpsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UJGp8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UJts8FMEea5pdrFDq-m2g" name="adjustmentReason" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UKUwMFMEea5pdrFDq-m2g">
              <body>Reason for the payment adjustment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UJtuMFMEea5pdrFDq-m2g">
              <body>Reason for Payment adjustment</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UJttMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UJttcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UKUwsFMEea5pdrFDq-m2g" name="date" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UKUyMFMEea5pdrFDq-m2g">
              <body>Estimated payment date.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UKUxsFMEea5pdrFDq-m2g">
              <body>Expected date of Payment</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UKUw8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UKUxMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UKUysFMEea5pdrFDq-m2g" name="amount" type="_4k73QcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UK70cFMEea5pdrFDq-m2g">
              <body>Payable less any payment adjustment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UKUzsFMEea5pdrFDq-m2g">
              <body>Payment amount</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UKUy8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UKUzMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UK708FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UK72cFMEea5pdrFDq-m2g">
              <body>Payment identifer.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UK718FMEea5pdrFDq-m2g">
              <body>Payment identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UK71MFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UK71cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5UMJ8MFMEea5pdrFDq-m2g" name="Note">
          <generalization xmi:id="_5UMJ8cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5UMxCMFMEea5pdrFDq-m2g" name="number" type="_4am2lcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UNYEMFMEea5pdrFDq-m2g">
              <body>An integer associated with each note which may be referred to from each service line item.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UMxDMFMEea5pdrFDq-m2g">
              <body>Note Number for this note</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UMxCcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UMxCsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UNYEsFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UN_IMFMEea5pdrFDq-m2g">
              <body>The note purpose: Print/Display.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UNYF8FMEea5pdrFDq-m2g">
              <body>display | print | printoper</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UNYE8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UNYFMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UN_IsFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UN_KMFMEea5pdrFDq-m2g">
              <body>The note text.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UN_JsFMEea5pdrFDq-m2g">
              <body>Note explanitory text</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UN_I8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UN_JMFMEea5pdrFDq-m2g" value="1"/>
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              <body>The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English.</body>
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            <ownedComment xmi:id="_5UOmNsFMEea5pdrFDq-m2g">
              <body>Language</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UOmMsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UOmM8FMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5UPNQsFMEea5pdrFDq-m2g" name="BenefitBalance">
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              <body>Dental, Vision, Medical, Pharmacy, Rehab etc.</body>
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            <ownedComment xmi:id="_5UQbacFMEea5pdrFDq-m2g">
              <body>Benefit Category</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UQbZcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UQbZsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5URCc8FMEea5pdrFDq-m2g" name="subCategory" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.</body>
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            <ownedComment xmi:id="_5URCeMFMEea5pdrFDq-m2g">
              <body>Benefit SubCategory</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5URCdMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5URCdcFMEea5pdrFDq-m2g" value="1"/>
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              <body>True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.</body>
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            <ownedComment xmi:id="_5URph8FMEea5pdrFDq-m2g">
              <body>Excluded from the plan</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5URphMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5URphcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5URpi8FMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
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              <body>A short name or tag for the benefit, for example MED01, or DENT2.</body>
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            <ownedComment xmi:id="_5USQkMFMEea5pdrFDq-m2g">
              <body>Short name for the benefit</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5URpjMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5URpjcFMEea5pdrFDq-m2g" value="1"/>
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              <body>A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.</body>
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            <ownedComment xmi:id="_5USQmMFMEea5pdrFDq-m2g">
              <body>Description of the benefit</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5USQlcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5USQlsFMEea5pdrFDq-m2g" value="1"/>
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              <body>Network designation.</body>
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            <ownedComment xmi:id="_5US3pcFMEea5pdrFDq-m2g">
              <body>In or out of network</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5US3ocFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5US3osFMEea5pdrFDq-m2g" value="1"/>
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              <body>Unit designation: individual or family.</body>
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            <ownedComment xmi:id="_5UTetcFMEea5pdrFDq-m2g">
              <body>Individual or family</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UTescFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UTessFMEea5pdrFDq-m2g" value="1"/>
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              <body>The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.</body>
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            <ownedComment xmi:id="_5UUFxcFMEea5pdrFDq-m2g">
              <body>Annual or lifetime</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UUFwcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UUFwsFMEea5pdrFDq-m2g" value="1"/>
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          <ownedAttribute xmi:id="_5UUs0cFMEea5pdrFDq-m2g" name="financial" type="_5UUFycFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UVT4MFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5UVT5sFMEea5pdrFDq-m2g">
              <body>Benefits Used to date.</body>
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            <ownedComment xmi:id="_5UVT5MFMEea5pdrFDq-m2g">
              <body>Benefit Summary</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UUs0sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UUs08FMEea5pdrFDq-m2g" value="*"/>
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          <nestedClassifier xmi:type="uml:Class" xmi:id="_5UUFycFMEea5pdrFDq-m2g" name="Benefit">
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              <ownedComment xmi:id="_5UV68sFMEea5pdrFDq-m2g">
                <body>Deductable, visits, benefit amount.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UV68MFMEea5pdrFDq-m2g">
                <body>Deductable, visits, benefit amount</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UVT6cFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UVT6sFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5UV69MFMEea5pdrFDq-m2g" name="benefit[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UV6-sFMEea5pdrFDq-m2g">
                <body>Benefits allowed.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UV6-MFMEea5pdrFDq-m2g">
                <body>Benefits allowed</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UV69cFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UV69sFMEea5pdrFDq-m2g" value="1"/>
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            <ownedAttribute xmi:id="_5UWiAsFMEea5pdrFDq-m2g" name="benefitUsed[x]" type="_4aEEAcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UWiCMFMEea5pdrFDq-m2g">
                <body>Benefits used.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UWiBsFMEea5pdrFDq-m2g">
                <body>Benefits used</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UWiA8FMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UWiBMFMEea5pdrFDq-m2g" value="1"/>
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        </nestedClassifier>
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        <ownedEnd xmi:id="_5S5JccFMEea5pdrFDq-m2g" type="_5S0Q9sFMEea5pdrFDq-m2g" association="_5S5JcMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5S5JcsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5S5Jc8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S5wjMFMEea5pdrFDq-m2g" memberEnd="_5S6XkMFMEea5pdrFDq-m2g _5S5wiMFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S6Xm8FMEea5pdrFDq-m2g" memberEnd="_5S6XnMFMEea5pdrFDq-m2g _5S6Xl8FMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S7lsMFMEea5pdrFDq-m2g" memberEnd="_5S7lscFMEea5pdrFDq-m2g _5S6-o8FMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S8MwMFMEea5pdrFDq-m2g" memberEnd="_5S8MwcFMEea5pdrFDq-m2g _5S7luMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5S8MwcFMEea5pdrFDq-m2g" type="_5S0Q9sFMEea5pdrFDq-m2g" association="_5S8MwMFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S8MzMFMEea5pdrFDq-m2g" memberEnd="_5S8z0MFMEea5pdrFDq-m2g _5S8MyMFMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S8z28FMEea5pdrFDq-m2g" memberEnd="_5S8z3MFMEea5pdrFDq-m2g _5S8z18FMEea5pdrFDq-m2g">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5S9a58FMEea5pdrFDq-m2g" memberEnd="_5S9a6MFMEea5pdrFDq-m2g _5S9a48FMEea5pdrFDq-m2g">
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          <body>A set of rules or how FHIR is used to solve a particular problem. This resource is used to gather all the parts of an implementation guide into a logical whole, and to publish a computable definition of all the parts.</body>
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          <body>Base StructureDefinition for ImplementationGuide Resource</body>
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          <body>An implementation guide is able to define default profiles that must apply to any use of a resource, so validation services may need to take one or more implementation guide resources when validating.</body>
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          <body>A set of rules about how FHIR is used</body>
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            <body>An absolute URL that is used to identify this implementation guide when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this implementation guide is (or will be) published. The URL SHOULD include the major version of the implementation guide. For more information see [Technical and Business Versions](resource.html#versions).</body>
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            <body>Logical uri to reference this implementation guide (globally unique)</body>
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            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
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            <body>Allows the implementation guide to be referenced by a single globally unique identifier. This is required to allow hosting Implementation Guides on multiple different servers, and to allow for the editorial process.</body>
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            <body>The identifier that is used to identify this version of the implementation guide when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the implementation guide author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
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            <body>Business version of the implementation guide</body>
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            <body>A natural language name identifying the implementation guide. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
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            <body>Name for this implementation guide (Computer friendly)</body>
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            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
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            <body>Support human navigation &amp; code generation.</body>
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            <body>The status of this implementation guide. Enables tracking the life-cycle of the content.</body>
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            <body>draft | active | retired</body>
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            <body>Allows filtering of implementation guide that are appropriate for use vs. not.</body>
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            <body>A flag to indicate that this implementation guide is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
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            <body>Allows filtering of implementation guide that are appropriate for use vs. not.</body>
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            <body>Enables experimental content to be developed following the same life-cycle as a production-level implementation guide would.</body>
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        <ownedAttribute xmi:id="_5UazfMFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UbahcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the implementation guide.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ubag8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ubah8FMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the implementation guide is the organization or individual primarily responsible for the maintenance and upkeep of the implementation guide. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the implementation guide. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UbaicFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the implementation guide.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UbagMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UbagcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ubai8FMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UcBk8FMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UcBkcFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5UcBlcFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UbajMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UbajcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UcBl8FMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UcBncFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the implementation guide was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the implementation guide changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UcBm8FMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5UcooMFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the implementation guide. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UcBmMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UcBmcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UcoosFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UcoqMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the implementation guide from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UcopsFMEea5pdrFDq-m2g">
            <body>Natural language description of the implementation guide</body>
          </ownedComment>
          <ownedComment xmi:id="_5UcoqsFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the implementation guide was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ucoo8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UcopMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UcorMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UdPs8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UdPscFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5UdPtcFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UdPt8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UcorcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UcorsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UdPucFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ud2w8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the implementation guide is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ud2wcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for implementation guide (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UdPusFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UdPu8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ud2xcFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ued0MFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the implementation guide and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the implementation guide.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ud2ycFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ued0sFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the implementation guide and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ud2xsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ud2x8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ued1MFMEea5pdrFDq-m2g" name="fhirVersion" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ued2sFMEea5pdrFDq-m2g">
            <body>The version of the FHIR specification on which this ImplementationGuide is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 1.8.0 for this version.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ued2MFMEea5pdrFDq-m2g">
            <body>FHIR Version this Implementation Guide targets</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ued3MFMEea5pdrFDq-m2g">
            <body>An Implementation Guide should specify the target it applies to, as ImplementationGuides are rarely valid across multiple versions of FHIR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ued1cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ued1sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UfE48FMEea5pdrFDq-m2g" name="dependency" type="_5UfE4MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Ufr8MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Ufr9sFMEea5pdrFDq-m2g">
            <body>Another implementation guide that this implementation depends on. Typically, an implementation guide uses value sets, profiles etc.defined in other implementation guides.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ufr9MFMEea5pdrFDq-m2g">
            <body>Another Implementation guide this depends on</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UfE5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UfE5cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UhhIsFMEea5pdrFDq-m2g" name="package" type="_5Ug6HMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UiIMMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5UiINsFMEea5pdrFDq-m2g">
            <body>A logical group of resources. Logical groups can be used when building pages.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UiINMFMEea5pdrFDq-m2g">
            <body>Group of resources as used in .page.package</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UhhI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UhhJMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UnAs8FMEea5pdrFDq-m2g" name="global" type="_5UnAsMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UnnwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5UnnxsFMEea5pdrFDq-m2g">
            <body>A set of profiles that all resources covered by this implementation guide must conform to.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UnnxMFMEea5pdrFDq-m2g">
            <body>Profiles that apply globally</body>
          </ownedComment>
          <ownedComment xmi:id="_5UnnyMFMEea5pdrFDq-m2g">
            <body>See [Default Profiles](implementationguide.html#default) for a discussion of which resources are 'covered' by an implementation guide.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UnAtMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UnAtcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Upc8MFMEea5pdrFDq-m2g" name="binary" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Upc9sFMEea5pdrFDq-m2g">
            <body>A binary file that is included in the  implementation guide when it is published.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Upc9MFMEea5pdrFDq-m2g">
            <body>Image, css, script, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Upc-MFMEea5pdrFDq-m2g">
            <body>This is principally included for the FHIR publishing tool, but may be useful when extracting and reusing content from the implementation guide.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Upc8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Upc8sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UqEAcFMEea5pdrFDq-m2g" name="page" type="_5Upc-sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UqrEMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5UqrFsFMEea5pdrFDq-m2g">
            <body>A page / section in the implementation guide. The root page is the implementation guide home page.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UqrFMFMEea5pdrFDq-m2g">
            <body>Page/Section in the Guide</body>
          </ownedComment>
          <ownedComment xmi:id="_5UqrGMFMEea5pdrFDq-m2g">
            <body>Pages automatically become sections if they have sub-pages. By convention, the home page is called index.html.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UqEAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UqEA8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5UfE4MFMEea5pdrFDq-m2g" name="Dependency">
          <generalization xmi:id="_5UfE4cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5Ufr-MFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UgTBcFMEea5pdrFDq-m2g">
              <body>How the dependency is represented when the guide is published.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UgTA8FMEea5pdrFDq-m2g">
              <body>reference | inclusion</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ug6EMFMEea5pdrFDq-m2g">
              <body>For information about processing included guides, see [Including Guides]{implementationguide.html#include}.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ufr-cFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ufr-sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Ug6EsFMEea5pdrFDq-m2g" name="uri" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Ug6GMFMEea5pdrFDq-m2g">
              <body>Where the dependency is located.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ug6FsFMEea5pdrFDq-m2g">
              <body>Where to find dependency</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ug6GsFMEea5pdrFDq-m2g">
              <body>When a guide is published, and the type is 'include', this will be a relative reference within the guide.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ug6E8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ug6FMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Ug6HMFMEea5pdrFDq-m2g" name="Package">
          <generalization xmi:id="_5UhhIMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5UiIOMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UiIPsFMEea5pdrFDq-m2g">
              <body>The name for the group, as used in page.package.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UiIPMFMEea5pdrFDq-m2g">
              <body>Name used .page.package</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UiIOcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UiIOsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UivQcFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UivR8FMEea5pdrFDq-m2g">
              <body>Human readable text describing the package.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UivRcFMEea5pdrFDq-m2g">
              <body>Human readable text describing the package</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UivQsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UivQ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5UjWUcFMEea5pdrFDq-m2g" name="resource" type="_5UivScFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5UjWVcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5Uj9YcFMEea5pdrFDq-m2g">
              <body>A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UjWWcFMEea5pdrFDq-m2g">
              <body>Resource in the implementation guide</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UjWUsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UjWU8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5UivScFMEea5pdrFDq-m2g" name="Resource">
            <generalization xmi:id="_5UivSsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5Uj9Y8FMEea5pdrFDq-m2g" name="example" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5Uj9acFMEea5pdrFDq-m2g">
                <body>Whether a resource is included in the guide as part of the rules defined by the guide, or just as an example of a resource that conforms to the rules and/or help implementers understand the intent of the guide.</body>
              </ownedComment>
              <ownedComment xmi:id="_5Uj9Z8FMEea5pdrFDq-m2g">
                <body>If not an example, has it's normal meaning</body>
              </ownedComment>
              <ownedComment xmi:id="_5Uj9a8FMEea5pdrFDq-m2g">
                <body>Typically, conformance resources and knowledge resources are directly part of the implementation guide, with their normal meaning, and patient linked resources are usually examples. However this is not always true.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Uj9ZMFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Uj9ZcFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UkkcMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UkkdsFMEea5pdrFDq-m2g">
                <body>A human assigned name for the resource. All resources SHOULD have a name, but the name may be extracted from the resource (e.g. ValueSet.name).</body>
              </ownedComment>
              <ownedComment xmi:id="_5UkkdMFMEea5pdrFDq-m2g">
                <body>Human Name for the resource</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UkkccFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UkkcsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UkkeMFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UlLgMFMEea5pdrFDq-m2g">
                <body>A description of the reason that a resource has been included in the implementation guide.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UkkfMFMEea5pdrFDq-m2g">
                <body>Reason why included in guide</body>
              </ownedComment>
              <ownedComment xmi:id="_5UlLgsFMEea5pdrFDq-m2g">
                <body>This is mostly used with examples to explain why it is present (though they can have extensive comments in the examples).</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UkkecFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UkkesFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UlLhMFMEea5pdrFDq-m2g" name="acronym" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UlLisFMEea5pdrFDq-m2g">
                <body>A short code that may be used to identify the resource throughout the implementation guide.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UlLiMFMEea5pdrFDq-m2g">
                <body>Short code to identify the resource</body>
              </ownedComment>
              <ownedComment xmi:id="_5UlLjMFMEea5pdrFDq-m2g">
                <body>This is used when generating schematrons from profiles, for example, but has other uses. Publishing tooling may autogenerate this value, but a human assigned value is more useful. This value must be unique within an implementation guide (across included guides as well).</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UlLhcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UlLhsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UlykMFMEea5pdrFDq-m2g" name="source[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5UlylsFMEea5pdrFDq-m2g">
                <body>Where this resource is found.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UlylMFMEea5pdrFDq-m2g">
                <body>Location of the resource</body>
              </ownedComment>
              <ownedComment xmi:id="_5UlymMFMEea5pdrFDq-m2g">
                <body>Usually this is a relative URL that locates the resource within the implementation guide. If you authoring an implementation guide, and will publish it using the FHIR publication tooling, use a URI that may point to a resource, or to one of various alternative representations (e.g. spreadsheet). The tooling will convert this when it publishes it.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UlykcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UlyksFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5UmZoMFMEea5pdrFDq-m2g" name="exampleFor" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_5UmZpMFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5UmZqsFMEea5pdrFDq-m2g">
                <body>Another resource that this resource is an example for. This is mostly used for resources that are included as examples of StructureDefinitions.</body>
              </ownedComment>
              <ownedComment xmi:id="_5UmZqMFMEea5pdrFDq-m2g">
                <body>Resource this is an example of (if applicable)</body>
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              <ownedComment xmi:id="_5UmZrMFMEea5pdrFDq-m2g">
                <body>Examples: * StructureDefinition -> Any * ValueSet -> expansion * OperationDefinition -> Parameters * Questionnaire -> QuestionnaireResponse.</body>
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              <body>The type of resource that all instances must conform to.</body>
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            <ownedComment xmi:id="_5UoO0sFMEea5pdrFDq-m2g">
              <body>Type this profiles applies to</body>
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            <ownedComment xmi:id="_5UoO1sFMEea5pdrFDq-m2g">
              <body>The type must match that of the profile that is referred to, but is made explicit here as a denormalization so that a system processing the implementation guide resource knows which resources the profile applies to even if the profile itself is not available.</body>
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              <body>A reference to the profile that all instances must conform to.</body>
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            <ownedComment xmi:id="_5Uo16MFMEea5pdrFDq-m2g">
              <body>Profile that all resources must conform to</body>
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        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Upc-sFMEea5pdrFDq-m2g" name="Page">
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              <body>The source address for the page.</body>
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            <ownedComment xmi:id="_5UqrHsFMEea5pdrFDq-m2g">
              <body>Where to find that page</body>
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            <ownedComment xmi:id="_5UrSIsFMEea5pdrFDq-m2g">
              <body>The publishing tool will autogenerate source for list (source = n/a), and inject included implementations for include (source = uri of guide to include).</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UqrG8FMEea5pdrFDq-m2g" value="1"/>
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            <ownedComment xmi:id="_5UrSKsFMEea5pdrFDq-m2g">
              <body>A short title used to represent this page in navigational structures such as table of contents, bread crumbs, etc.</body>
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            <ownedComment xmi:id="_5UrSKMFMEea5pdrFDq-m2g">
              <body>Short title shown for navigational assistance</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UrSJcFMEea5pdrFDq-m2g" value="1"/>
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              <body>The kind of page that this is. Some pages are autogenerated (list, example), and other kinds are of interest so that tools can navigate the user to the page of interest.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Ur5NMFMEea5pdrFDq-m2g">
              <body>page | example | list | include | directory | dictionary | toc | resource</body>
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            <ownedComment xmi:id="_5UtHUcFMEea5pdrFDq-m2g">
              <body>For constructed pages, what kind of resources to include in the list.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UsgSMFMEea5pdrFDq-m2g">
              <body>Kind of resource to include in the list</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UsgRMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UsgRcFMEea5pdrFDq-m2g" value="*"/>
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          <ownedAttribute xmi:id="_5UtHU8FMEea5pdrFDq-m2g" name="package" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5UtHWcFMEea5pdrFDq-m2g">
              <body>For constructed pages, a list of packages to include in the page (or else empty for everything).</body>
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            <ownedComment xmi:id="_5UtHV8FMEea5pdrFDq-m2g">
              <body>Name of package to include</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UtHVMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UtHVcFMEea5pdrFDq-m2g" value="*"/>
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            <ownedComment xmi:id="_5UtuZ8FMEea5pdrFDq-m2g">
              <body>The format of the page.</body>
            </ownedComment>
            <ownedComment xmi:id="_5UtuZcFMEea5pdrFDq-m2g">
              <body>Format of the page (e.g. html, markdown, etc.)</body>
            </ownedComment>
            <ownedComment xmi:id="_5UtuacFMEea5pdrFDq-m2g">
              <body>This is primarily for the publishing tool, that will convert all pages to html format. HTML pages are pre-processed, see xxxx.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UtuYcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UtuYsFMEea5pdrFDq-m2g" value="1"/>
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            <ownedComment xmi:id="_5UuVesFMEea5pdrFDq-m2g">
              <body>Nested Pages/Sections under this page.</body>
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            <ownedComment xmi:id="_5UuVeMFMEea5pdrFDq-m2g">
              <body>Nested Pages / Sections</body>
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            <ownedComment xmi:id="_5UuVfMFMEea5pdrFDq-m2g">
              <body>The implementation guide breadcrumbs are generated from this structure.</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UuVccFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UuVcsFMEea5pdrFDq-m2g" value="*"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_5Uu8gMFMEea5pdrFDq-m2g" name="SearchParameter">
        <ownedComment xmi:id="_5UwxssFMEea5pdrFDq-m2g">
          <body>A search parameter that defines a named search item that can be used to search/filter on a resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_5UwKosFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for SearchParameter Resource</body>
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        <ownedComment xmi:id="_5UwxsMFMEea5pdrFDq-m2g">
          <body>Search Parameter for a resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5UwxtMFMEea5pdrFDq-m2g">
          <body>In FHIR, search is not performed directly on a resource (by XML or JSON path), but on a named parameter that maps into the resource content.</body>
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        <ownedRule xmi:id="_5Uu8gcFMEea5pdrFDq-m2g" name="spd-1" constrainedElement="_5Uu8gMFMEea5pdrFDq-m2g _5U4thMFMEea5pdrFDq-m2g _5U5UkcFMEea5pdrFDq-m2g _5U5Um8FMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5Uu8gsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:xpath)) or exists(f:xpathUsage)</body>
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        </ownedRule>
        <ownedRule xmi:id="_5UvjkcFMEea5pdrFDq-m2g" name="spd-2" constrainedElement="_5Uu8gMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5UvjksFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:chain)) or (f:type/@value = 'reference')</body>
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        <generalization xmi:id="_5UwKpMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
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          <ownedComment xmi:id="_5UwxvMFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this search parameter when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this search parameter is (or will be) published. The URL SHOULD include the major version of the search parameter. For more information see [Technical and Business Versions](resource.html#versions).</body>
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          <ownedComment xmi:id="_5UwxusFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this search parameter (globally unique)</body>
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          <ownedComment xmi:id="_5UxYwMFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
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          <ownedComment xmi:id="_5UxYwsFMEea5pdrFDq-m2g">
            <body>Allows the search parameter to be referenced by a single globally unique identifier. To allow referencing and reusing search parameter definitions under other names on operational systems (in case of name clash).</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Uwxt8FMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_5UxYysFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the search parameter when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the search parameter author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UxYyMFMEea5pdrFDq-m2g">
            <body>Business version of the search parameter</body>
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          <ownedComment xmi:id="_5UxYzMFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a search parameter that have the same identifier but different versions.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UxYxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UxYxsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5Ux_0MFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ux_1sFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the search parameter. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ux_1MFMEea5pdrFDq-m2g">
            <body>Name for this search parameter (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ux_2MFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
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          <ownedComment xmi:id="_5Ux_2sFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ux_0cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ux_0sFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5Ux_3MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Uym5MFMEea5pdrFDq-m2g">
            <body>The status of this search parameter. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Uym4sFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5Uym5sFMEea5pdrFDq-m2g">
            <body>Allows filtering of search parameter that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ux_3cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ux_3sFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5Uym6MFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5UzN88FMEea5pdrFDq-m2g">
            <body>A flag to indicate that this search parameter is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UzN8cFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5UzN9cFMEea5pdrFDq-m2g">
            <body>Allows filtering of search parameter that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5UzN98FMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level search parameter would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Uym6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Uym6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UzN-cFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Uz1A8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the search parameter was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the search parameter changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Uz1AcFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5Uz1BcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the search parameter. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UzN-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UzN-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Uz1B8FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Uz1DcFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Uz1C8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5U0cEMFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the search parameter is the organization or individual primarily responsible for the maintenance and upkeep of the search parameter. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the search parameter. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U0cEsFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the search parameter.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Uz1CMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Uz1CcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U0cFMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U0cGsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U0cGMFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5U0cHMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U0cFcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U0cFsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U1DIMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U1DJsFMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U1DJMFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5U1DKMFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U1DKsFMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U1DIcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U1DIsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U1DLMFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U1qM8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the search parameter is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U1qMcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for search parameter (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U1DLcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U1DLsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U1qNcFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U2RQMFMEea5pdrFDq-m2g">
            <body>Explains why this search parameter is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U1qOcFMEea5pdrFDq-m2g">
            <body>Why this search parameter is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5U2RQsFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the search parameter (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this search parameter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U1qNsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U1qN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U2RRMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U2RSsFMEea5pdrFDq-m2g">
            <body>The code used in the URL or the parameter name in a parameters resource for this search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U2RSMFMEea5pdrFDq-m2g">
            <body>Code used in URL</body>
          </ownedComment>
          <ownedComment xmi:id="_5U2RTMFMEea5pdrFDq-m2g">
            <body>For maximum compatibility, use only lowercase ASCII characters.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U2RRcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U2RRsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U24UMFMEea5pdrFDq-m2g" name="base" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U24V8FMEea5pdrFDq-m2g">
            <body>The base resource type(s) that this search parameter can be used against.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U24VcFMEea5pdrFDq-m2g">
            <body>The resource type(s) this search parameter applies to</body>
          </ownedComment>
          <ownedComment xmi:id="_5U24WcFMEea5pdrFDq-m2g">
            <body>A search parameter must always have at least one type. When search parameters have more than one resource, they can be used against any of the listed resource types, or in a cross-type search (see [Cross Resource Search](http.html#xres-search)).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U24UcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U24UsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U3fYMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U3fZ8FMEea5pdrFDq-m2g">
            <body>The type of value a search parameter refers to, and how the content is interpreted.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U3fZcFMEea5pdrFDq-m2g">
            <body>number | date | string | token | reference | composite | quantity | uri</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U3fYcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U3fYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U4GcMFMEea5pdrFDq-m2g" name="derivedFrom" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U4GdsFMEea5pdrFDq-m2g">
            <body>Where this search parameter is originally defined. If a derivedFrom is provided, then the details in the search parameter must be consistent with the definition from which it is defined. I.e. the parameter should have the same meaning, and (usually) the functionality should be a proper subset of the underlying search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U4GdMFMEea5pdrFDq-m2g">
            <body>Original Definition for the search parameter</body>
          </ownedComment>
          <ownedComment xmi:id="_5U4GeMFMEea5pdrFDq-m2g">
            <body>The intent of this is that a server can designate that it provides support for E.g. the &quot;value-quantity&quot; search parameter defined in the specification itself (http://hl7.org/fhir/SearchParameter/Observation-value-quantity), but detail how it is supported by the server.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U4GccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U4GcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U4GesFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U4tgMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the search parameter from the consumer's perspective. and how it used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U4GfsFMEea5pdrFDq-m2g">
            <body>Natural language description of the search parameter</body>
          </ownedComment>
          <ownedComment xmi:id="_5U4tgsFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the search parameter was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U4Ge8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U4GfMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U4thMFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U4tisFMEea5pdrFDq-m2g">
            <body>A FluentPath expression that returns a set of elements for the search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U4tiMFMEea5pdrFDq-m2g">
            <body>FluentPath expression that extracts the values</body>
          </ownedComment>
          <ownedComment xmi:id="_5U4tjMFMEea5pdrFDq-m2g">
            <body>Note that the elements returned by the expression are sometimes complex elements where logic is required to determine quite how to handle them; e.g. CodeableConcepts may contain text and/or multiple codings, where the codings themselves contain a code and a system. For composite search parameters, the outcome of the expression must a collection of base elements from which the composites are derived.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U4thcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U4thsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U5UkcFMEea5pdrFDq-m2g" name="xpath" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U5Ul8FMEea5pdrFDq-m2g">
            <body>An XPath expression that returns a set of elements for the search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U5UlcFMEea5pdrFDq-m2g">
            <body>XPath that extracts the values</body>
          </ownedComment>
          <ownedComment xmi:id="_5U5UmcFMEea5pdrFDq-m2g">
            <body>Note that the elements returned by the XPath are sometimes complex elements where logic is required to determine quite how to handle them; e.g. CodeableConcepts may contain text and/or multiple codings, where the codings themselves contain a code and a system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U5UksFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U5Uk8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U5Um8FMEea5pdrFDq-m2g" name="xpathUsage" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U6issFMEea5pdrFDq-m2g">
            <body>How the search parameter relates to the set of elements returned by evaluating the xpath query.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U6isMFMEea5pdrFDq-m2g">
            <body>normal | phonetic | nearby | distance | other</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U5UnMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U5UncFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U6itMFMEea5pdrFDq-m2g" name="target" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U7JwsFMEea5pdrFDq-m2g">
            <body>Types of resource (if a resource is referenced).</body>
          </ownedComment>
          <ownedComment xmi:id="_5U7JwMFMEea5pdrFDq-m2g">
            <body>Types of resource (if a resource reference)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U6itcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U6itsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U7JxMFMEea5pdrFDq-m2g" name="comparator" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U7w0sFMEea5pdrFDq-m2g">
            <body>Comparators supported for the search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U7w0MFMEea5pdrFDq-m2g">
            <body>eq | ne | gt | lt | ge | le | sa | eb | ap</body>
          </ownedComment>
          <ownedComment xmi:id="_5U7w1MFMEea5pdrFDq-m2g">
            <body>If no comparators are listed, clients should not expect servers to support any comparators.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U7JxcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U7JxsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U7w1sFMEea5pdrFDq-m2g" name="modifier" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U8X5cFMEea5pdrFDq-m2g">
            <body>A modifier supported for the search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U8X48FMEea5pdrFDq-m2g">
            <body>missing | exact | contains | not | text | in | not-in | below | above | type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U7w18FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U7w2MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U8-8MFMEea5pdrFDq-m2g" name="chain" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5U8-9sFMEea5pdrFDq-m2g">
            <body>Contains the names of any search parameters which may be chained to the containing search parameter. Chained parameters may be added to search parameters of type reference, and specify that resources will only be returned if they contain a reference to a resource which matches the chained parameter value. Values for this field should be drawn from SearchParameter.code for a parameter on the target resource type.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U8-9MFMEea5pdrFDq-m2g">
            <body>Chained names supported</body>
          </ownedComment>
          <ownedComment xmi:id="_5U8--MFMEea5pdrFDq-m2g">
            <body>Systems are not required to list all the chain names they support, but if they don't list them, clients may not know to use them.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U8-8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U8-8sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5U9mAcFMEea5pdrFDq-m2g" name="component" type="_5U8--sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5U9mBcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5U-NEcFMEea5pdrFDq-m2g">
            <body>Used to define the parts of a composite search parameter.</body>
          </ownedComment>
          <ownedComment xmi:id="_5U9mCcFMEea5pdrFDq-m2g">
            <body>For Composite resources to define the parts</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U9mAsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U9mA8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5U8--sFMEea5pdrFDq-m2g" name="Component">
          <generalization xmi:id="_5U8--8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5U-NE8FMEea5pdrFDq-m2g" name="definition" type="_5Uu8gMFMEea5pdrFDq-m2g" isOrdered="true" association="_5U-NF8FMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5U-0IMFMEea5pdrFDq-m2g">
              <body>The definition of the search parameter that describes this part.</body>
            </ownedComment>
            <ownedComment xmi:id="_5U-NG8FMEea5pdrFDq-m2g">
              <body>Defines how the part works</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U-NFMFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U-NFcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5U-0IsFMEea5pdrFDq-m2g" name="expression" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5U-0KMFMEea5pdrFDq-m2g">
              <body>A sub-expression that defines how to extract values for this component from the output of the main SearchParameter.expression.</body>
            </ownedComment>
            <ownedComment xmi:id="_5U-0JsFMEea5pdrFDq-m2g">
              <body>Subexpression relative to main expression</body>
            </ownedComment>
            <ownedComment xmi:id="_5U-0KsFMEea5pdrFDq-m2g">
              <body>This expression overrides the expression in the definition, and extracts the index values from the outcome of the composite expression.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U-0I8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U-0JMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5U9mBcFMEea5pdrFDq-m2g" memberEnd="_5U9mBsFMEea5pdrFDq-m2g _5U9mAcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5U9mBsFMEea5pdrFDq-m2g" type="_5Uu8gMFMEea5pdrFDq-m2g" association="_5U9mBcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U9mB8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U9mCMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5U-NF8FMEea5pdrFDq-m2g" memberEnd="_5U-NGMFMEea5pdrFDq-m2g _5U-NE8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5U-NGMFMEea5pdrFDq-m2g" type="_5U8--sFMEea5pdrFDq-m2g" association="_5U-NF8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5U-NGcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5U-NGsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5U_bMMFMEea5pdrFDq-m2g" name="ExpansionProfile">
        <ownedComment xmi:id="_5VBQY8FMEea5pdrFDq-m2g">
          <body>Resource to define constraints on the Expansion of a FHIR ValueSet.</body>
        </ownedComment>
        <ownedComment xmi:id="_5VApUsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ExpansionProfile Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5VBQYcFMEea5pdrFDq-m2g">
          <body>Defines behaviour and contraints on the ValueSet Expansion operation</body>
        </ownedComment>
        <ownedRule xmi:id="_5U_bMcFMEea5pdrFDq-m2g" name="exp-3" constrainedElement="_5VPS0cFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5U_bMsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:language) or exists(f:use)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_5VACQMFMEea5pdrFDq-m2g" name="exp-4" constrainedElement="_5VS9McFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5VACQcFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>exists(f:language) or exists(f:use)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5VBQYMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5VBQZcFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VBQa8FMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this expansion profile when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this expansion profile is (or will be) published. The URL SHOULD include the major version of the expansion profile. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5VBQacFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this expansion profile (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VBQbcFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VBQb8FMEea5pdrFDq-m2g">
            <body>Allows the expansion profile to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VBQZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VBQZ8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VB3ccFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VB3d8FMEea5pdrFDq-m2g">
            <body>A formal identifier that is used to identify this expansion profile when it is represented in other formats, or referenced in a specification, model, design or an instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VB3dcFMEea5pdrFDq-m2g">
            <body>Additional identifier for the expansion profile</body>
          </ownedComment>
          <ownedComment xmi:id="_5VB3ecFMEea5pdrFDq-m2g">
            <body>Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this expansion profile outside of FHIR, where the logical URL is not possible to use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VB3e8FMEea5pdrFDq-m2g">
            <body>Allows externally provided and/or useable business identifiers to be easily associated with the module.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VB3csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VB3c8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VCegMFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VCehsFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the expansion profile when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the expansion profile author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VCehMFMEea5pdrFDq-m2g">
            <body>Business version of the expansion profile</body>
          </ownedComment>
          <ownedComment xmi:id="_5VCeiMFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a expansion profile that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VCegcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VCegsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VCeisFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VDFksFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the expansion profile. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VDFkMFMEea5pdrFDq-m2g">
            <body>Name for this expansion profile (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VDFlMFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VDFlsFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VCei8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VCejMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VDFmMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VDsosFMEea5pdrFDq-m2g">
            <body>The status of this expansion profile. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VDsoMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5VDspMFMEea5pdrFDq-m2g">
            <body>Allows filtering of expansion profile that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VDFmcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VDFmsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VDspsFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VETs8FMEea5pdrFDq-m2g">
            <body>A flag to indicate that this expansion profile is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VETscFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5VETtcFMEea5pdrFDq-m2g">
            <body>Allows filtering of expansion profile that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VETt8FMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level expansion profile would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VDsp8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VDsqMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VETucFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VE6w8FMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the expansion profile.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VE6wcFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VE6xcFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the expansion profile is the organization or individual primarily responsible for the maintenance and upkeep of the expansion profile. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the expansion profile. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VE6x8FMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the expansion profile.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VETusFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VETu8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VE6ycFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VFh0sFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VFh0MFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5VFh1MFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VE6ysFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VE6y8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VFh1sFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VFh3MFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the expansion profile was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the expansion profile changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VFh2sFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5VFh3sFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the expansion profile. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VFh18FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VFh2MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VGI4cFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VGI58FMEea5pdrFDq-m2g">
            <body>A free text natural language description of the expansion profile from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VGI5cFMEea5pdrFDq-m2g">
            <body>Natural language description of the expansion profile</body>
          </ownedComment>
          <ownedComment xmi:id="_5VGI6cFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the expansion profile was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VGI4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VGI48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VGI68FMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VGv88FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VGv8cFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5VGv9cFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VGv98FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VGI7MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VGI7cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VGv-cFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VHXA8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the expansion profile is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VHXAcFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for expansion profile (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VGv-sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VGv-8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VH-EcFMEea5pdrFDq-m2g" name="fixedVersion" type="_5VHXBcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VIlIMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VIlJsFMEea5pdrFDq-m2g">
            <body>Fix use of a particular code system to a particular version.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VIlJMFMEea5pdrFDq-m2g">
            <body>Fix use of a code system to a particular version</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VH-EsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VH-E8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VKaVcFMEea5pdrFDq-m2g" name="excludedSystem" type="_5VKaUsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VLBYcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VLBZ8FMEea5pdrFDq-m2g">
            <body>Code system, or a particular version of a code system to be excluded from value set expansions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VLBZcFMEea5pdrFDq-m2g">
            <body>Systems/Versions to be exclude</body>
          </ownedComment>
          <ownedComment xmi:id="_5VLBacFMEea5pdrFDq-m2g">
            <body>When a system is excluded, and this makes a material difference to the expansion, the exclusion SHALL  be noted in the expansion parameters using a parameter 'excluded'.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VKaVsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VKaV8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VMPhcFMEea5pdrFDq-m2g" name="includeDesignations" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VMPi8FMEea5pdrFDq-m2g">
            <body>Controls whether concept designations are to be included or excluded in value set expansions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VMPicFMEea5pdrFDq-m2g">
            <body>Whether the expansion should include concept designations</body>
          </ownedComment>
          <ownedComment xmi:id="_5VMPjcFMEea5pdrFDq-m2g">
            <body>ExpansionProfile.designation.include and ExpansionProfile.designation.exclude are only evaluated if includeDesignations is present and set to &quot;true&quot;. If includeDesignations is present with a value of &quot;true&quot; and both ExpansionProfile.designation.include and ExpansionProfile.designation.exclude are absent, then all designations are returned in the expansion.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VMPhsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VMPh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VM2k8FMEea5pdrFDq-m2g" name="designation" type="_5VM2kMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VNdoMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VNdpsFMEea5pdrFDq-m2g">
            <body>A set of criteria that provide the constraints imposed on the value set expansion by including or excluding designations.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VNdpMFMEea5pdrFDq-m2g">
            <body>When the expansion profile imposes designation contraints</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VM2lMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VM2lcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VUyZsFMEea5pdrFDq-m2g" name="includeDefinition" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VVZcMFMEea5pdrFDq-m2g">
            <body>Controls whether the value set definition is included or excluded in value set expansions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VUyasFMEea5pdrFDq-m2g">
            <body>Include or exclude the value set definition in the expansion</body>
          </ownedComment>
          <ownedComment xmi:id="_5VVZcsFMEea5pdrFDq-m2g">
            <body>The ValueSet defintion refers to all fields in the ValueSet definition apart from  ValueSet.contains. The definition is only included if includeDefinition is present and has a value of &quot;true&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VUyZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VUyaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VVZdMFMEea5pdrFDq-m2g" name="activeOnly" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VVZesFMEea5pdrFDq-m2g">
            <body>Controls whether inactive concepts are included or excluded in value set expansions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VVZeMFMEea5pdrFDq-m2g">
            <body>Include or exclude inactive concepts in the expansion</body>
          </ownedComment>
          <ownedComment xmi:id="_5VVZfMFMEea5pdrFDq-m2g">
            <body>Inactive codes are included if activeOnly is present and has a value of &quot;true&quot;. Note that if the value set explicitly specifies that inactive codes are included, this property can still remove them from a specific expansion, but this parameter cannot include them if the value set excludes them.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VVZdcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VVZdsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VWAgMFMEea5pdrFDq-m2g" name="excludeNested" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VWAhsFMEea5pdrFDq-m2g">
            <body>Controls whether or not the value set expansion nests codes or not (i.e. ValueSet.expansion.contains.contains).</body>
          </ownedComment>
          <ownedComment xmi:id="_5VWAhMFMEea5pdrFDq-m2g">
            <body>Nested codes in the expansion or not</body>
          </ownedComment>
          <ownedComment xmi:id="_5VWAiMFMEea5pdrFDq-m2g">
            <body>Nested codes excluded if excludeNested is present and has a value of &quot;true&quot;.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VWAisFMEea5pdrFDq-m2g">
            <body>Heirahical contains are useful for UI use, but not when validating. Code Generation etc. may depend on context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VWAgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VWAgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VWAjMFMEea5pdrFDq-m2g" name="excludeNotForUI" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VWnksFMEea5pdrFDq-m2g">
            <body>Controls whether or not the value set expansion includes codes which cannot be displayed in user interfaces.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VWnkMFMEea5pdrFDq-m2g">
            <body>Include or exclude codes which cannot be rendered in user interfaces in the value set expansion</body>
          </ownedComment>
          <ownedComment xmi:id="_5VWnlMFMEea5pdrFDq-m2g">
            <body>Codes which cannot be used in user interfaces will be excluded if excludeNotForUI is present and has a value of &quot;true&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VWAjcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VWAjsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VWnlsFMEea5pdrFDq-m2g" name="excludePostCoordinated" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VWnnMFMEea5pdrFDq-m2g">
            <body>Controls whether or not the value set expansion includes post coordinated codes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VWnmsFMEea5pdrFDq-m2g">
            <body>Include or exclude codes which are post coordinated expressions in the value set expansion</body>
          </ownedComment>
          <ownedComment xmi:id="_5VXOoMFMEea5pdrFDq-m2g">
            <body>Post coordinated codes are excluded if excludePostCoordinated is present and has a value of &quot;true&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VWnl8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VWnmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VXOosFMEea5pdrFDq-m2g" name="displayLanguage" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VX1sMFMEea5pdrFDq-m2g">
            <body>Specifies the language to be used for description in the expansions i.e. the language to be used for ValueSet.expansion.contains.display.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VXOp8FMEea5pdrFDq-m2g">
            <body>Specify the language for the display element of codes in the value set expansion</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VXOo8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VXOpMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VX1ssFMEea5pdrFDq-m2g" name="limitedExpansion" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VX1uMFMEea5pdrFDq-m2g">
            <body>If the value set being expanded is incomplete (because it is too big to expand), return a limited expansion (a subset) with an indicator that expansion is incomplete, using the extension [http://hl7.org/fhir/StructureDefinition/valueset-toocostly](extension-valueset-toocostly.html).</body>
          </ownedComment>
          <ownedComment xmi:id="_5VX1tsFMEea5pdrFDq-m2g">
            <body>Controls behaviour of the value set expand operation when value sets are too large to be completely expanded</body>
          </ownedComment>
          <ownedComment xmi:id="_5VX1usFMEea5pdrFDq-m2g">
            <body>This field overides the default behaviour (which is to return an error). This does not apply to expansions which are unbounded. Clients SHALL process the extension [http://hl7.org/fhir/StructureDefinition/valueset-toocostly](extension-valueset-toocostly.html) correctly if limitedExpansion = true.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VX1s8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VX1tMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5VHXBcFMEea5pdrFDq-m2g" name="FixedVersion">
          <generalization xmi:id="_5VHXBsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5VIlKMFMEea5pdrFDq-m2g" name="system" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VIlLsFMEea5pdrFDq-m2g">
              <body>The specific system for which to fix the version.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VIlLMFMEea5pdrFDq-m2g">
              <body>System to have it's version fixed</body>
            </ownedComment>
            <ownedComment xmi:id="_5VJMMMFMEea5pdrFDq-m2g">
              <body>See ''Coding.system'' for further documentation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VIlKcFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VIlKsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5VJMMsFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VJMOMFMEea5pdrFDq-m2g">
              <body>The version of the code system from which codes in the expansion should be included.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VJMNsFMEea5pdrFDq-m2g">
              <body>Specific version of the code system referred to</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VJMM8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VJMNMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5VJMOsFMEea5pdrFDq-m2g" name="mode" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VKaUMFMEea5pdrFDq-m2g">
              <body>How to manage the intersection between a fixed version in a value set, and this fixed version of the system in the expansion profile.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VJzRMFMEea5pdrFDq-m2g">
              <body>default | check | override</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VJMO8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VJMPMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5VKaUsFMEea5pdrFDq-m2g" name="ExcludedSystem">
          <generalization xmi:id="_5VKaU8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5VLocMFMEea5pdrFDq-m2g" name="system" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VLodsFMEea5pdrFDq-m2g">
              <body>An absolute URI which is the code system to be excluded.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VLodMFMEea5pdrFDq-m2g">
              <body>The specific code system to be excluded</body>
            </ownedComment>
            <ownedComment xmi:id="_5VLoeMFMEea5pdrFDq-m2g">
              <body>See ''Coding.system'' for further documentation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VLoccFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VLocsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5VLoesFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VMPgcFMEea5pdrFDq-m2g">
              <body>The version of the code system from which codes in the expansion should be excluded.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VLofsFMEea5pdrFDq-m2g">
              <body>Specific version of the code system referred to</body>
            </ownedComment>
            <ownedComment xmi:id="_5VMPg8FMEea5pdrFDq-m2g">
              <body>This is used to apply version specifc exclusion contraints. If no version is specified, then all codes from the code system present in the expansion (prior to application of the expansion profile) will be excluded.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VLoe8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VLofMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5VM2kMFMEea5pdrFDq-m2g" name="Designation">
          <generalization xmi:id="_5VM2kcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5VOEscFMEea5pdrFDq-m2g" name="include" type="_5VNdqMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VOrwMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5VOrxsFMEea5pdrFDq-m2g">
              <body>Designations to be included.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VOrxMFMEea5pdrFDq-m2g">
              <body>Designations to be included</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VOEssFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VOEs8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5VRvEcFMEea5pdrFDq-m2g" name="exclude" type="_5VRIBsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VRvFcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5VSWJcFMEea5pdrFDq-m2g">
              <body>Designations to be excluded.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VSWI8FMEea5pdrFDq-m2g">
              <body>Designations to be excluded</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VRvEsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VRvE8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5VNdqMFMEea5pdrFDq-m2g" name="DesignationInclude">
            <generalization xmi:id="_5VNdqcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5VPS0cFMEea5pdrFDq-m2g" name="designation" type="_5VOryMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VPS1cFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5VPS28FMEea5pdrFDq-m2g">
                <body>A data group for each designation to be included.</body>
              </ownedComment>
              <ownedComment xmi:id="_5VPS2cFMEea5pdrFDq-m2g">
                <body>The designation to be included</body>
              </ownedComment>
              <ownedComment xmi:id="_5VP54cFMEea5pdrFDq-m2g">
                <body>At least one of designation.language or designation.use must be provided for each include.designation element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VPS0sFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VPS08FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5VOryMFMEea5pdrFDq-m2g" name="DesignationIncludeDesignation">
              <generalization xmi:id="_5VOrycFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5VP548FMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5VQg8sFMEea5pdrFDq-m2g">
                  <body>The language this designation is defined for.</body>
                </ownedComment>
                <ownedComment xmi:id="_5VQg8MFMEea5pdrFDq-m2g">
                  <body>Human language of the designation to be included</body>
                </ownedComment>
                <ownedComment xmi:id="_5VQg9MFMEea5pdrFDq-m2g">
                  <body>In the absence of a language, all designations are retained which match the designation.use parameter for this include.designation.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VP55MFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VP55cFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5VQg9sFMEea5pdrFDq-m2g" name="use" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5VRIAsFMEea5pdrFDq-m2g">
                  <body>Designation uses for inclusion in the expansion.</body>
                </ownedComment>
                <ownedComment xmi:id="_5VRIAMFMEea5pdrFDq-m2g">
                  <body>Designation use</body>
                </ownedComment>
                <ownedComment xmi:id="_5VRIBMFMEea5pdrFDq-m2g">
                  <body>In the absence of a use, all designations are retained which match the designation.language parameter for this include.designation element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VQg98FMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VQg-MFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5VRIBsFMEea5pdrFDq-m2g" name="DesignationExclude">
            <generalization xmi:id="_5VRIB8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5VS9McFMEea5pdrFDq-m2g" name="designation" type="_5VSWJ8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VS9NcFMEea5pdrFDq-m2g">
              <ownedComment xmi:id="_5VS9O8FMEea5pdrFDq-m2g">
                <body>A data group for each designation to be excluded.</body>
              </ownedComment>
              <ownedComment xmi:id="_5VS9OcFMEea5pdrFDq-m2g">
                <body>The designation to be excluded</body>
              </ownedComment>
              <ownedComment xmi:id="_5VTkQcFMEea5pdrFDq-m2g">
                <body>At least one of designation.language or designation.use must be provided for each exclude.designation element.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VS9MsFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VS9M8FMEea5pdrFDq-m2g" value="*"/>
            </ownedAttribute>
            <nestedClassifier xmi:type="uml:Class" xmi:id="_5VSWJ8FMEea5pdrFDq-m2g" name="DesignationExcludeDesignation">
              <generalization xmi:id="_5VSWKMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
              <ownedAttribute xmi:id="_5VTkQ8FMEea5pdrFDq-m2g" name="language" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5VULUcFMEea5pdrFDq-m2g">
                  <body>The language this designation is defined for.</body>
                </ownedComment>
                <ownedComment xmi:id="_5VTkSMFMEea5pdrFDq-m2g">
                  <body>Human language of the designation to be excluded</body>
                </ownedComment>
                <ownedComment xmi:id="_5VULU8FMEea5pdrFDq-m2g">
                  <body>In the absence of a language, all designations are excluded which match the designation.use parameter for this exclude.designation element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VTkRMFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VTkRcFMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
              <ownedAttribute xmi:id="_5VULVcFMEea5pdrFDq-m2g" name="use" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
                <ownedComment xmi:id="_5VUyYsFMEea5pdrFDq-m2g">
                  <body>Designation uses for exclusion in the expansion.</body>
                </ownedComment>
                <ownedComment xmi:id="_5VUyYMFMEea5pdrFDq-m2g">
                  <body>Designation use</body>
                </ownedComment>
                <ownedComment xmi:id="_5VUyZMFMEea5pdrFDq-m2g">
                  <body>In the absence of a use, all designations are retained which match the designation.language parameter for this exclude.designation element.</body>
                </ownedComment>
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VULVsFMEea5pdrFDq-m2g"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VULV8FMEea5pdrFDq-m2g" value="1"/>
              </ownedAttribute>
            </nestedClassifier>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VIlIMFMEea5pdrFDq-m2g" memberEnd="_5VIlIcFMEea5pdrFDq-m2g _5VH-EcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VIlIcFMEea5pdrFDq-m2g" type="_5U_bMMFMEea5pdrFDq-m2g" association="_5VIlIMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VIlIsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VIlI8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VLBYcFMEea5pdrFDq-m2g" memberEnd="_5VLBYsFMEea5pdrFDq-m2g _5VKaVcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VLBYsFMEea5pdrFDq-m2g" type="_5U_bMMFMEea5pdrFDq-m2g" association="_5VLBYcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VLBY8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VLBZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VNdoMFMEea5pdrFDq-m2g" memberEnd="_5VNdocFMEea5pdrFDq-m2g _5VM2k8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VNdocFMEea5pdrFDq-m2g" type="_5U_bMMFMEea5pdrFDq-m2g" association="_5VNdoMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VNdosFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VNdo8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VOrwMFMEea5pdrFDq-m2g" memberEnd="_5VOrwcFMEea5pdrFDq-m2g _5VOEscFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VOrwcFMEea5pdrFDq-m2g" type="_5VM2kMFMEea5pdrFDq-m2g" association="_5VOrwMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VOrwsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VOrw8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VPS1cFMEea5pdrFDq-m2g" memberEnd="_5VPS1sFMEea5pdrFDq-m2g _5VPS0cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VPS1sFMEea5pdrFDq-m2g" type="_5VNdqMFMEea5pdrFDq-m2g" association="_5VPS1cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VPS18FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VPS2MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VRvFcFMEea5pdrFDq-m2g" memberEnd="_5VSWIMFMEea5pdrFDq-m2g _5VRvEcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VSWIMFMEea5pdrFDq-m2g" type="_5VM2kMFMEea5pdrFDq-m2g" association="_5VRvFcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VSWIcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VSWIsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VS9NcFMEea5pdrFDq-m2g" memberEnd="_5VS9NsFMEea5pdrFDq-m2g _5VS9McFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VS9NsFMEea5pdrFDq-m2g" type="_5VRIBsFMEea5pdrFDq-m2g" association="_5VS9NcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VS9N8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VS9OMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5VYcwMFMEea5pdrFDq-m2g" name="CompartmentDefinition">
        <ownedComment xmi:id="_5VZD18FMEea5pdrFDq-m2g">
          <body>A compartment definition that defines how resources are accessed on a server.</body>
        </ownedComment>
        <ownedComment xmi:id="_5VZD0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for CompartmentDefinition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5VZD1cFMEea5pdrFDq-m2g">
          <body>Compartment Definition for a resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5VZD2cFMEea5pdrFDq-m2g">
          <body>In FHIR, search is not performed directly on a resource (by XML or JSON path), but on a named parameter that maps into the resource content.</body>
        </ownedComment>
        <generalization xmi:id="_5VZD1MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5VZq4MFMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VZq5sFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this compartment definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this compartment definition is (or will be) published. The URL SHOULD include the major version of the compartment definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5VZq5MFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this compartment definition (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VZq6MFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VZq6sFMEea5pdrFDq-m2g">
            <body>Allows the compartment definition to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VZq4cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VZq4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VaR8MFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VaR9sFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the compartment definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VaR9MFMEea5pdrFDq-m2g">
            <body>Name for this compartment definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VaR-MFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly. This is often the same as the code for the parameter, but does not need to be.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VaR-sFMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VaR8cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VaR8sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VaR_MFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Va5A8FMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the compartment definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Va5AcFMEea5pdrFDq-m2g">
            <body>Name for this compartment definition (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VaR_cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VaR_sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Va5BcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VbgEsFMEea5pdrFDq-m2g">
            <body>The status of this compartment definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VbgEMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5VbgFMFMEea5pdrFDq-m2g">
            <body>Allows filtering of compartment definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Va5BsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Va5B8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VbgFsFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VbgHMFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this compartment definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VbgGsFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5VbgHsFMEea5pdrFDq-m2g">
            <body>Allows filtering of compartment definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcHIMFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level compartment definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VbgF8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VbgGMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VcHIsFMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VcHKMFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the compartment definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcHJsFMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcHKsFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the compartment definition is the organization or individual primarily responsible for the maintenance and upkeep of the compartment definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the compartment definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcHLMFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the compartment definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VcHI8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VcHJMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VcuMMFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VcuNsFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcuNMFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcuOMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VcuMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VcuMsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VcuOsFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VdVQMFMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the compartment definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the compartment definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VcuPsFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5VdVQsFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the compartment definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VcuO8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VcuPMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VdVRMFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VdVSsFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the compartment definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VdVSMFMEea5pdrFDq-m2g">
            <body>Natural language description of the compartment definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5VdVTMFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the compartment definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VdVRcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VdVRsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VdVTsFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Vd8VcFMEea5pdrFDq-m2g">
            <body>Explains why this compartment definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vd8U8FMEea5pdrFDq-m2g">
            <body>Why this compartment definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vd8V8FMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the compartment definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this compartment definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vd8UMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vd8UcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vd8WcFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Vd8X8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vd8XcFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5VejYcFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VejY8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vd8WsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vd8W8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VejZcFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VfKcsFMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the compartment definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VfKcMFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for compartment definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VejZsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VejZ8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VfKdMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Vfxg8FMEea5pdrFDq-m2g">
            <body>Which compartment this definition describes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VfxgcFMEea5pdrFDq-m2g">
            <body>Patient | Encounter | RelatedPerson | Practitioner | Device</body>
          </ownedComment>
          <ownedComment xmi:id="_5VfxhcFMEea5pdrFDq-m2g">
            <body>Only the specification can define the compartments that can exist. Servers can choose to support them.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VfKdcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VfKdsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vfxh8FMEea5pdrFDq-m2g" name="search" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VgYksFMEea5pdrFDq-m2g">
            <body>Whether the search syntax is supported.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VgYkMFMEea5pdrFDq-m2g">
            <body>Whether the search syntax is supported</body>
          </ownedComment>
          <ownedComment xmi:id="_5VgYlMFMEea5pdrFDq-m2g">
            <body>Servers may define and use compartments to manage logical access without implementing the compoartment related syntax.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VfxiMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VfxicFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vg_ocFMEea5pdrFDq-m2g" name="resource" type="_5VgYlsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5Vg_pcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Vg_q8FMEea5pdrFDq-m2g">
            <body>Information about how a resource it related to the compartment.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vg_qcFMEea5pdrFDq-m2g">
            <body>How resource is related to the compartment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vg_osFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vg_o8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5VgYlsFMEea5pdrFDq-m2g" name="Resource">
          <generalization xmi:id="_5VgYl8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5VhmsMFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Vhmt8FMEea5pdrFDq-m2g">
              <body>The name of a resource supported by the server.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VhmtcFMEea5pdrFDq-m2g">
              <body>Name of resource type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VhmscFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VhmssFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ViNwMFMEea5pdrFDq-m2g" name="param" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5ViNxsFMEea5pdrFDq-m2g">
              <body>The name of a search parameter that represents the link to the compartment. More than one may be listed because a resource may be linked to a compartment more than one way.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ViNxMFMEea5pdrFDq-m2g">
              <body>Search Parameter Name, or chained params</body>
            </ownedComment>
            <ownedComment xmi:id="_5ViNyMFMEea5pdrFDq-m2g">
              <body>If no search parameters are listed, then the resource is not linked to the compartment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ViNwcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ViNwsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5ViNysFMEea5pdrFDq-m2g" name="documentation" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Vi00MFMEea5pdrFDq-m2g">
              <body>Additional doco about the resource and compartment.</body>
            </ownedComment>
            <ownedComment xmi:id="_5ViNzsFMEea5pdrFDq-m2g">
              <body>Additional doco about the resource and compartment</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ViNy8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ViNzMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Vg_pcFMEea5pdrFDq-m2g" memberEnd="_5Vg_psFMEea5pdrFDq-m2g _5Vg_ocFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Vg_psFMEea5pdrFDq-m2g" type="_5VYcwMFMEea5pdrFDq-m2g" association="_5Vg_pcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vg_p8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vg_qMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Vi00sFMEea5pdrFDq-m2g" name="ProcessResponse">
        <ownedComment xmi:id="_5Vjb58FMEea5pdrFDq-m2g">
          <body>This resource provides processing status, errors and notes from the processing of a resource.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Vjb4sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for ProcessResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5Vjb5cFMEea5pdrFDq-m2g">
          <body>ProcessResponse resource</body>
        </ownedComment>
        <generalization xmi:id="_5Vjb5MFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5VkC8MFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VkC9sFMEea5pdrFDq-m2g">
            <body>The Response business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VkC9MFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VkC8cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VkC8sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VkC-MFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VkqAsFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VkqAMFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VkC-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VkC-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VkqBMFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VkqCsFMEea5pdrFDq-m2g">
            <body>The date when the enclosed suite of services were performed or completed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VkqCMFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VkqBcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VkqBsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VlREMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5VlRFMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VlRGsFMEea5pdrFDq-m2g">
            <body>The organization who produced this adjudicated response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VlRGMFMEea5pdrFDq-m2g">
            <body>Authoring Organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VlREcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VlREsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VlRHMFMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Vl4IcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Vl4J8FMEea5pdrFDq-m2g">
            <body>Original request resource reference.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vl4JcFMEea5pdrFDq-m2g">
            <body>Request reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VlRHcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VlRHsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vl4KcFMEea5pdrFDq-m2g" name="outcome" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VmfNcFMEea5pdrFDq-m2g">
            <body>Transaction status: error, complete, held.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VmfM8FMEea5pdrFDq-m2g">
            <body>Processing outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vl4KsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vl4K8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VnGQMFMEea5pdrFDq-m2g" name="disposition" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VnGRsFMEea5pdrFDq-m2g">
            <body>A description of the status of the adjudication or processing.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VnGRMFMEea5pdrFDq-m2g">
            <body>Disposition Message</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VnGQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VnGQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VnGSMFMEea5pdrFDq-m2g" name="requestProvider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5VntUMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VntVsFMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VntVMFMEea5pdrFDq-m2g">
            <body>Responsible Practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VnGScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VnGSsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VntWMFMEea5pdrFDq-m2g" name="requestOrganization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5VoUYMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VoUZsFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VoUZMFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VntWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VntWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VoUaMFMEea5pdrFDq-m2g" name="form" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Vo7csFMEea5pdrFDq-m2g">
            <body>The form to be used for printing the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vo7cMFMEea5pdrFDq-m2g">
            <body>Printed Form Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VoUacFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VoUasFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VpigMFMEea5pdrFDq-m2g" name="note" type="_5Vo7dMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VpihMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VpiisFMEea5pdrFDq-m2g">
            <body>Suite of processing note or additional requirements is the processing has been held.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VpiiMFMEea5pdrFDq-m2g">
            <body>Notes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VpigcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VpigsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VqwpMFMEea5pdrFDq-m2g" name="error" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VrXssFMEea5pdrFDq-m2g">
            <body>Processing errors.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VrXsMFMEea5pdrFDq-m2g">
            <body>Error code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VqwpcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VqwpsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VrXtMFMEea5pdrFDq-m2g" name="communicationRequest" type="_4_maAMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Vr-wMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Vr-xsFMEea5pdrFDq-m2g">
            <body>Request for additional supporting or authorizing information, such as: documents, images or resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vr-xMFMEea5pdrFDq-m2g">
            <body>Request for additional information</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VrXtcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VrXtsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Vo7dMFMEea5pdrFDq-m2g" name="Note">
          <generalization xmi:id="_5Vo7dcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5VpijMFMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VqJlMFMEea5pdrFDq-m2g">
              <body>The note purpose: Print/Display.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VqJksFMEea5pdrFDq-m2g">
              <body>display | print | printoper</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VpijcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VpijsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5VqJlsFMEea5pdrFDq-m2g" name="text" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5VqwosFMEea5pdrFDq-m2g">
              <body>The note text.</body>
            </ownedComment>
            <ownedComment xmi:id="_5VqwoMFMEea5pdrFDq-m2g">
              <body>Notes text</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VqJl8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VqJmMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VlRFMFMEea5pdrFDq-m2g" memberEnd="_5VlRFcFMEea5pdrFDq-m2g _5VlREMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VlRFcFMEea5pdrFDq-m2g" type="_5Vi00sFMEea5pdrFDq-m2g" association="_5VlRFMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VlRFsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VlRF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Vl4IcFMEea5pdrFDq-m2g" memberEnd="_5Vl4IsFMEea5pdrFDq-m2g _5VlRHMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Vl4IsFMEea5pdrFDq-m2g" type="_5Vi00sFMEea5pdrFDq-m2g" association="_5Vl4IcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vl4I8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vl4JMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VntUMFMEea5pdrFDq-m2g" memberEnd="_5VntUcFMEea5pdrFDq-m2g _5VnGSMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VntUcFMEea5pdrFDq-m2g" type="_5Vi00sFMEea5pdrFDq-m2g" association="_5VntUMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VntUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VntU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VoUYMFMEea5pdrFDq-m2g" memberEnd="_5VoUYcFMEea5pdrFDq-m2g _5VntWMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VoUYcFMEea5pdrFDq-m2g" type="_5Vi00sFMEea5pdrFDq-m2g" association="_5VoUYMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VoUYsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VoUY8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VpihMFMEea5pdrFDq-m2g" memberEnd="_5VpihcFMEea5pdrFDq-m2g _5VpigMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VpihcFMEea5pdrFDq-m2g" type="_5Vi00sFMEea5pdrFDq-m2g" association="_5VpihMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VpihsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vpih8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Vr-wMFMEea5pdrFDq-m2g" memberEnd="_5Vr-wcFMEea5pdrFDq-m2g _5VrXtMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Vr-wcFMEea5pdrFDq-m2g" type="_5Vi00sFMEea5pdrFDq-m2g" association="_5Vr-wMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vr-wsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vr-w8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Vr-yMFMEea5pdrFDq-m2g" name="PractitionerRole">
        <ownedComment xmi:id="_5VtM4MFMEea5pdrFDq-m2g">
          <body>A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Vsl0sFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for PractitionerRole Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5Vsl1MFMEea5pdrFDq-m2g">
          <body>Need to track services that a healthcare provider is able to provide at an organization's location, and the services that they can perform there.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Vsl18FMEea5pdrFDq-m2g">
          <body>Roles/organizations the practitioner is associated with</body>
        </ownedComment>
        <generalization xmi:id="_5Vsl1sFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5VtM4sFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VtM6MFMEea5pdrFDq-m2g">
            <body>Business Identifiers that are specific to a role/location.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VtM5sFMEea5pdrFDq-m2g">
            <body>Business Identifiers that are specific to a role/location</body>
          </ownedComment>
          <ownedComment xmi:id="_5VtM6sFMEea5pdrFDq-m2g">
            <body>Often, specific identities are assigned for the agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VtM48FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VtM5MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VtM7MFMEea5pdrFDq-m2g" name="active" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Vtz8sFMEea5pdrFDq-m2g">
            <body>Whether this practitioner's record is in active use.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vtz8MFMEea5pdrFDq-m2g">
            <body>Whether this practitioner's record is in active use</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vtz9MFMEea5pdrFDq-m2g">
            <body>Default is true.   If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vtz9sFMEea5pdrFDq-m2g">
            <body>Need to be able to mark a practitioner record as not to be used because it was created in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VtM7cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VtM7sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vtz-MFMEea5pdrFDq-m2g" name="practitioner" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5VubAcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VubB8FMEea5pdrFDq-m2g">
            <body>Practitioner that is able to provide the defined services for the organation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VubBcFMEea5pdrFDq-m2g">
            <body>Practitioner that is able to provide the defined services for the organation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vtz-cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vtz-sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VubCcFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5VvCEMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VvCFsFMEea5pdrFDq-m2g">
            <body>The organization where the Practitioner performs the roles associated.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VvCFMFMEea5pdrFDq-m2g">
            <body>Organization where the roles are available</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VubCsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VubC8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VvCGMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VvpI8FMEea5pdrFDq-m2g">
            <body>Roles which this practitioner is authorized to perform for the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VvpIcFMEea5pdrFDq-m2g">
            <body>Roles which this practitioner may perform</body>
          </ownedComment>
          <ownedComment xmi:id="_5VvpJcFMEea5pdrFDq-m2g">
            <body>A person may have more than one role. At least one role is required.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VvpJ8FMEea5pdrFDq-m2g">
            <body>Need to know what authority the practitioner has - what can they do?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VvCGcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VvCGsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VvpKcFMEea5pdrFDq-m2g" name="specialty" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VwQNMFMEea5pdrFDq-m2g">
            <body>Specific specialty of the practitioner.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VwQMsFMEea5pdrFDq-m2g">
            <body>Specific specialty of the practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VvpKsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VvpK8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VwQNsFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5Vw3QMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Vw3RsFMEea5pdrFDq-m2g">
            <body>The location(s) at which this practitioner provides care.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Vw3RMFMEea5pdrFDq-m2g">
            <body>The location(s) at which this practitioner provides care</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VwQN8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VwQOMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vw3SMFMEea5pdrFDq-m2g" name="healthcareService" type="_4dqKk8FMEea5pdrFDq-m2g" isOrdered="true" association="_5VxeUMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VxeVsFMEea5pdrFDq-m2g">
            <body>The list of healthcare services that this worker provides for this role's Organization/Location(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_5VxeVMFMEea5pdrFDq-m2g">
            <body>The list of healthcare services that this worker provides for this role's Organization/Location(s)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vw3ScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vw3SsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VxeWMFMEea5pdrFDq-m2g" name="telecom" type="_4cwLocFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VxeXsFMEea5pdrFDq-m2g">
            <body>Contact details that are specific to the role/location/service.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VxeXMFMEea5pdrFDq-m2g">
            <body>Contact details that are specific to the role/location/service</body>
          </ownedComment>
          <ownedComment xmi:id="_5VyFYcFMEea5pdrFDq-m2g">
            <body>Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VxeWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VxeWsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VyFY8FMEea5pdrFDq-m2g" name="period" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5VyFacFMEea5pdrFDq-m2g">
            <body>The period during which the person is authorized to act as a practitioner in these role(s) for the organization.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VyFZ8FMEea5pdrFDq-m2g">
            <body>The period during which the practitioner is authorized to perform in these role(s)</body>
          </ownedComment>
          <ownedComment xmi:id="_5VyFa8FMEea5pdrFDq-m2g">
            <body>Even after the agencies is revoked, the fact that it existed must still be recorded.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VyFZMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VyFZcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5VysccFMEea5pdrFDq-m2g" name="availableTime" type="_5VyFbcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5VzTgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5VzThsFMEea5pdrFDq-m2g">
            <body>A collection of times that the Service Site is available.</body>
          </ownedComment>
          <ownedComment xmi:id="_5VzThMFMEea5pdrFDq-m2g">
            <body>Times the Service Site is available</body>
          </ownedComment>
          <ownedComment xmi:id="_5VzTiMFMEea5pdrFDq-m2g">
            <body>More detailed availability information may be provided in associated Schedule/Slot resources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VyscsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vysc8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V1vwcFMEea5pdrFDq-m2g" name="notAvailable" type="_5V1Is8FMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5V1vxcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V1vy8FMEea5pdrFDq-m2g">
            <body>The HealthcareService is not available during this period of time due to the provided reason.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V1vycFMEea5pdrFDq-m2g">
            <body>Not available during this time due to provided reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V1vwsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V1vw8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V294sFMEea5pdrFDq-m2g" name="availabilityExceptions" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5V296MFMEea5pdrFDq-m2g">
            <body>A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V295sFMEea5pdrFDq-m2g">
            <body>Description of availability exceptions</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V2948FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V295MFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V296sFMEea5pdrFDq-m2g" name="endpoint" type="_4c-OEMFMEea5pdrFDq-m2g" isOrdered="true" association="_5V3k8MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V3k9sFMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the practitioner with this role.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V3k9MFMEea5pdrFDq-m2g">
            <body>Technical endpoints providing access to services operated for the practitioner with this role</body>
          </ownedComment>
          <ownedComment xmi:id="_5V3k-MFMEea5pdrFDq-m2g">
            <body>Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.  So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V2968FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V297MFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5VyFbcFMEea5pdrFDq-m2g" name="AvailableTime">
          <generalization xmi:id="_5VyFbsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5VzTisFMEea5pdrFDq-m2g" name="daysOfWeek" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Vz6ksFMEea5pdrFDq-m2g">
              <body>Indicates which days of the week are available between the start and end Times.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Vz6kMFMEea5pdrFDq-m2g">
              <body>mon | tue | wed | thu | fri | sat | sun</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VzTi8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VzTjMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Vz6lMFMEea5pdrFDq-m2g" name="allDay" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Vz6msFMEea5pdrFDq-m2g">
              <body>Is this always available? (hence times are irrelevant) e.g. 24 hour service.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Vz6mMFMEea5pdrFDq-m2g">
              <body>Always available? e.g. 24 hour service</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vz6lcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vz6lsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Vz6nMFMEea5pdrFDq-m2g" name="availableStartTime" type="_4aorxcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5V0hpcFMEea5pdrFDq-m2g">
              <body>The opening time of day. Note: If the AllDay flag is set, then this time is ignored.</body>
            </ownedComment>
            <ownedComment xmi:id="_5V0ho8FMEea5pdrFDq-m2g">
              <body>Opening time of day (ignored if allDay = true)</body>
            </ownedComment>
            <ownedComment xmi:id="_5V0hp8FMEea5pdrFDq-m2g">
              <body>The timezone is expected to be for where this HealthcareService is provided at.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V0hoMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V0hocFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5V0hqcFMEea5pdrFDq-m2g" name="availableEndTime" type="_4aorxcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5V0hr8FMEea5pdrFDq-m2g">
              <body>The closing time of day. Note: If the AllDay flag is set, then this time is ignored.</body>
            </ownedComment>
            <ownedComment xmi:id="_5V0hrcFMEea5pdrFDq-m2g">
              <body>Closing time of day (ignored if allDay = true)</body>
            </ownedComment>
            <ownedComment xmi:id="_5V1IscFMEea5pdrFDq-m2g">
              <body>The timezone is expected to be for where this HealthcareService is provided at.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V0hqsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V0hq8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5V1Is8FMEea5pdrFDq-m2g" name="NotAvailable">
          <generalization xmi:id="_5V1ItMFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5V2W0cFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5V2W18FMEea5pdrFDq-m2g">
              <body>The reason that can be presented to the user as to why this time is not available.</body>
            </ownedComment>
            <ownedComment xmi:id="_5V2W1cFMEea5pdrFDq-m2g">
              <body>Reason presented to the user explaining why time not available</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V2W0sFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V2W08FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5V2W2cFMEea5pdrFDq-m2g" name="during" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5V294MFMEea5pdrFDq-m2g">
              <body>Service is not available (seasonally or for a public holiday) from this date.</body>
            </ownedComment>
            <ownedComment xmi:id="_5V2W3cFMEea5pdrFDq-m2g">
              <body>Service not availablefrom this date</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V2W2sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V2W28FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VubAcFMEea5pdrFDq-m2g" memberEnd="_5VubAsFMEea5pdrFDq-m2g _5Vtz-MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VubAsFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5VubAcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VubA8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VubBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VvCEMFMEea5pdrFDq-m2g" memberEnd="_5VvCEcFMEea5pdrFDq-m2g _5VubCcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VvCEcFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5VvCEMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VvCEsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VvCE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Vw3QMFMEea5pdrFDq-m2g" memberEnd="_5Vw3QcFMEea5pdrFDq-m2g _5VwQNsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Vw3QcFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5Vw3QMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Vw3QsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Vw3Q8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VxeUMFMEea5pdrFDq-m2g" memberEnd="_5VxeUcFMEea5pdrFDq-m2g _5Vw3SMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VxeUcFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5VxeUMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VxeUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VxeU8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5VzTgMFMEea5pdrFDq-m2g" memberEnd="_5VzTgcFMEea5pdrFDq-m2g _5VysccFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5VzTgcFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5VzTgMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5VzTgsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5VzTg8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V1vxcFMEea5pdrFDq-m2g" memberEnd="_5V1vxsFMEea5pdrFDq-m2g _5V1vwcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V1vxsFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5V1vxcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V1vx8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V1vyMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V3k8MFMEea5pdrFDq-m2g" memberEnd="_5V3k8cFMEea5pdrFDq-m2g _5V296sFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V3k8cFMEea5pdrFDq-m2g" type="_5Vr-yMFMEea5pdrFDq-m2g" association="_5V3k8MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V3k8sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V3k88FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5V4MAMFMEea5pdrFDq-m2g" name="PaymentNotice">
        <ownedComment xmi:id="_5V4zFsFMEea5pdrFDq-m2g">
          <body>This resource provides the status of the payment for goods and services rendered, and the request and response resource references.</body>
        </ownedComment>
        <ownedComment xmi:id="_5V4zEcFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for PaymentNotice Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5V4zFMFMEea5pdrFDq-m2g">
          <body>PaymentNotice request</body>
        </ownedComment>
        <generalization xmi:id="_5V4zE8FMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5V4zGMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5V4zHsFMEea5pdrFDq-m2g">
            <body>The notice business identifier.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V4zHMFMEea5pdrFDq-m2g">
            <body>Business Identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V4zGcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V4zGsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V5aIcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5V5aKMFMEea5pdrFDq-m2g">
            <body>The status of the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V5aJsFMEea5pdrFDq-m2g">
            <body>active | cancelled | draft | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V5aIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V5aI8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V6BMMFMEea5pdrFDq-m2g" name="request" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5V6BNMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V6BOsFMEea5pdrFDq-m2g">
            <body>Reference of resource for which payment is being made.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V6BOMFMEea5pdrFDq-m2g">
            <body>Request reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V6BMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V6BMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V6oQMFMEea5pdrFDq-m2g" name="response" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5V6oRMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V6oSsFMEea5pdrFDq-m2g">
            <body>Reference of response to resource for which payment is being made.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V6oSMFMEea5pdrFDq-m2g">
            <body>Response reference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V6oQcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V6oQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V7PUMFMEea5pdrFDq-m2g" name="statusDate" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5V7PVsFMEea5pdrFDq-m2g">
            <body>The date when the above payment action occurrred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V7PVMFMEea5pdrFDq-m2g">
            <body>Payment or clearing date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V7PUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V7PUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V7PWMFMEea5pdrFDq-m2g" name="created" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5V7PXsFMEea5pdrFDq-m2g">
            <body>The date when this resource was created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V7PXMFMEea5pdrFDq-m2g">
            <body>Creation date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V7PWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V7PWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V72YMFMEea5pdrFDq-m2g" name="target" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5V72ZMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V72asFMEea5pdrFDq-m2g">
            <body>The Insurer who is target  of the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V72aMFMEea5pdrFDq-m2g">
            <body>Insurer or Regulatory body</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V72YcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V72YsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V8dcMFMEea5pdrFDq-m2g" name="provider" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5V8ddMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V8desFMEea5pdrFDq-m2g">
            <body>The practitioner who is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V8deMFMEea5pdrFDq-m2g">
            <body>Responsible practitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V8dccFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V8dcsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V9EgMFMEea5pdrFDq-m2g" name="organization" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5V9EhMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V9EisFMEea5pdrFDq-m2g">
            <body>The organization which is responsible for the services rendered to the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V9EiMFMEea5pdrFDq-m2g">
            <body>Responsible organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V9EgcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V9EgsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5V9EjMFMEea5pdrFDq-m2g" name="paymentStatus" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5V-SosFMEea5pdrFDq-m2g">
            <body>The payment status, typically paid: payment sent, cleared: payment received.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V-SoMFMEea5pdrFDq-m2g">
            <body>Status of the payment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V9EjcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V9rkMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V6BNMFMEea5pdrFDq-m2g" memberEnd="_5V6BNcFMEea5pdrFDq-m2g _5V6BMMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V6BNcFMEea5pdrFDq-m2g" type="_5V4MAMFMEea5pdrFDq-m2g" association="_5V6BNMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V6BNsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V6BN8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V6oRMFMEea5pdrFDq-m2g" memberEnd="_5V6oRcFMEea5pdrFDq-m2g _5V6oQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V6oRcFMEea5pdrFDq-m2g" type="_5V4MAMFMEea5pdrFDq-m2g" association="_5V6oRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V6oRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V6oR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V72ZMFMEea5pdrFDq-m2g" memberEnd="_5V72ZcFMEea5pdrFDq-m2g _5V72YMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V72ZcFMEea5pdrFDq-m2g" type="_5V4MAMFMEea5pdrFDq-m2g" association="_5V72ZMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V72ZsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V72Z8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V8ddMFMEea5pdrFDq-m2g" memberEnd="_5V8ddcFMEea5pdrFDq-m2g _5V8dcMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V8ddcFMEea5pdrFDq-m2g" type="_5V4MAMFMEea5pdrFDq-m2g" association="_5V8ddMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V8ddsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V8dd8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V9EhMFMEea5pdrFDq-m2g" memberEnd="_5V9EhcFMEea5pdrFDq-m2g _5V9EgMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V9EhcFMEea5pdrFDq-m2g" type="_5V4MAMFMEea5pdrFDq-m2g" association="_5V9EhMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V9EhsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V9Eh8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5V-SpMFMEea5pdrFDq-m2g" name="Linkage">
        <ownedComment xmi:id="_5V-5t8FMEea5pdrFDq-m2g">
          <body>Identifies two or more records (resource instances) that are referring to the same real-world &quot;occurrence&quot;.</body>
        </ownedComment>
        <ownedComment xmi:id="_5V-5ssFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Linkage Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5V-5tcFMEea5pdrFDq-m2g">
          <body>Links records for 'same' item</body>
        </ownedComment>
        <generalization xmi:id="_5V-5tMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5V-5ucFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5V_gwcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5V_gx8FMEea5pdrFDq-m2g">
            <body>Identifies the user or organization responsible for asserting the linkages and who establishes the context for evaluating the nature of each linkage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5V_gxcFMEea5pdrFDq-m2g">
            <body>Who is responsible for linkages</body>
          </ownedComment>
          <ownedComment xmi:id="_5V_gycFMEea5pdrFDq-m2g">
            <body>&quot;Primary&quot; for the same set of linked resources may be different from different user's/organization's perspectives.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V-5usFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V-5u8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WAH1cFMEea5pdrFDq-m2g" name="item" type="_5WAH0sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5WAu48FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WAu6cFMEea5pdrFDq-m2g">
            <body>Identifies one of the records that is considered to refer to the same real-world occurrence as well as how the items hould be evaluated within the collection of linked items.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WAu58FMEea5pdrFDq-m2g">
            <body>Item to be linked</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WAu4MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WAu4cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5WAH0sFMEea5pdrFDq-m2g" name="Item">
          <generalization xmi:id="_5WAH08FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5WAu68FMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WB9AMFMEea5pdrFDq-m2g">
              <body>Distinguishes which item is &quot;source of truth&quot; (if any) and which items are no longer considered to be current representations.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WBV9MFMEea5pdrFDq-m2g">
              <body>source | alternate | historical</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WAu7MFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WAu7cFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5WB9AsFMEea5pdrFDq-m2g" name="resource" type="_4lCk_MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WB9CMFMEea5pdrFDq-m2g">
              <body>The resource instance being linked as part of the group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WB9BsFMEea5pdrFDq-m2g">
              <body>Resource being linked</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WB9A8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WB9BMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5V_gwcFMEea5pdrFDq-m2g" memberEnd="_5V_gwsFMEea5pdrFDq-m2g _5V-5ucFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5V_gwsFMEea5pdrFDq-m2g" type="_5V-SpMFMEea5pdrFDq-m2g" association="_5V_gwcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5V_gw8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5V_gxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WAu48FMEea5pdrFDq-m2g" memberEnd="_5WAu5MFMEea5pdrFDq-m2g _5WAH1cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WAu5MFMEea5pdrFDq-m2g" type="_5V-SpMFMEea5pdrFDq-m2g" association="_5WAu48FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WAu5cFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WAu5sFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5WCkEMFMEea5pdrFDq-m2g" name="SupplyRequest">
        <ownedComment xmi:id="_5WDLJ8FMEea5pdrFDq-m2g">
          <body>A record of a request for a medication, substance or device used in the healthcare setting.</body>
        </ownedComment>
        <ownedComment xmi:id="_5WDLIsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for SupplyRequest Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5WDLJcFMEea5pdrFDq-m2g">
          <body>Request for a medication, substance or device</body>
        </ownedComment>
        <generalization xmi:id="_5WDLJMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5WDLKcFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5WDyMcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WDyN8FMEea5pdrFDq-m2g">
            <body>A link to a resource representing the person whom the ordered item is for.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WDyNcFMEea5pdrFDq-m2g">
            <body>Patient for whom the item is supplied</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WDLKsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WDLK8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WDyOcFMEea5pdrFDq-m2g" name="source" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WEZQcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WEZR8FMEea5pdrFDq-m2g">
            <body>The Practitioner , Organization or Patient who initiated this order for the supply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WEZRcFMEea5pdrFDq-m2g">
            <body>Who initiated this order</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WDyOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WDyO8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WFAUMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WFAVsFMEea5pdrFDq-m2g">
            <body>When the request was made.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WFAVMFMEea5pdrFDq-m2g">
            <body>When the request was made</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WFAUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WFAUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WFAWMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WFAXsFMEea5pdrFDq-m2g">
            <body>Unique identifier for this supply request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WFAXMFMEea5pdrFDq-m2g">
            <body>Unique identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_5WFnYMFMEea5pdrFDq-m2g">
            <body>This is assigned by the orderer, and used to refer to this order in other external standards.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WFAWcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WFAWsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WFnYsFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WGOcsFMEea5pdrFDq-m2g">
            <body>Status of the supply request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WGOcMFMEea5pdrFDq-m2g">
            <body>requested | completed | failed | cancelled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WFnY8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WFnZMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WGOdMFMEea5pdrFDq-m2g" name="kind" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WG1hMFMEea5pdrFDq-m2g">
            <body>Category of supply, e.g.  central, non-stock, etc. This is used to support work flows associated with the supply process.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WG1gsFMEea5pdrFDq-m2g">
            <body>The kind of supply (central, non-stock, etc.)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WGOdcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WGOdsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WHckMFMEea5pdrFDq-m2g" name="orderedItem[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WIDosFMEea5pdrFDq-m2g">
            <body>The item that is requested to be supplied. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WIDoMFMEea5pdrFDq-m2g">
            <body>Medication, Substance, or Device requested to be supplied</body>
          </ownedComment>
          <ownedComment xmi:id="_5WIDpMFMEea5pdrFDq-m2g">
            <body>Note that there's a difference between a prescription - an instruction to take a medication, along with a (sometimes) implicit supply, and an explicit request to supply, with no explicit instructions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WHckcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WHcksFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WIqsMFMEea5pdrFDq-m2g" name="supplier" type="_4cqsFMFMEea5pdrFDq-m2g" isOrdered="true" association="_5WIqtMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WIqusFMEea5pdrFDq-m2g">
            <body>Who is intended to fulfill the request.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WIquMFMEea5pdrFDq-m2g">
            <body>Who is intended to fulfill the request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WIqscFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WIqssFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WIqvMFMEea5pdrFDq-m2g" name="reason[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WJ40cFMEea5pdrFDq-m2g">
            <body>Why the supply item was requested.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WJRxsFMEea5pdrFDq-m2g">
            <body>Why the supply item was requested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WJRwMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WJRwcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WKf4cFMEea5pdrFDq-m2g" name="when" type="_5WJ41MFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5WKf5cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WLG8MFMEea5pdrFDq-m2g">
            <body>When the request should be fulfilled.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WKf6cFMEea5pdrFDq-m2g">
            <body>When the request should be fulfilled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WKf4sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WKf48FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5WJ41MFMEea5pdrFDq-m2g" name="When">
          <generalization xmi:id="_5WJ41cFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5WLG8sFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WLuAsFMEea5pdrFDq-m2g">
              <body>Code indicating when the request should be fulfilled.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WLuAMFMEea5pdrFDq-m2g">
              <body>Fulfilment code</body>
            </ownedComment>
            <ownedComment xmi:id="_5WLuBMFMEea5pdrFDq-m2g">
              <body>Code may simply be a priority code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WLG88FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WLG9MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5WLuBsFMEea5pdrFDq-m2g" name="schedule" type="_4lVf6MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WMVEMFMEea5pdrFDq-m2g">
              <body>Formal fulfillment schedule.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WLuCsFMEea5pdrFDq-m2g">
              <body>Formal fulfillment schedule</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WLuB8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WLuCMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WDyMcFMEea5pdrFDq-m2g" memberEnd="_5WDyMsFMEea5pdrFDq-m2g _5WDLKcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WDyMsFMEea5pdrFDq-m2g" type="_5WCkEMFMEea5pdrFDq-m2g" association="_5WDyMcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WDyM8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WDyNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WEZQcFMEea5pdrFDq-m2g" memberEnd="_5WEZQsFMEea5pdrFDq-m2g _5WDyOcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WEZQsFMEea5pdrFDq-m2g" type="_5WCkEMFMEea5pdrFDq-m2g" association="_5WEZQcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WEZQ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WEZRMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WIqtMFMEea5pdrFDq-m2g" memberEnd="_5WIqtcFMEea5pdrFDq-m2g _5WIqsMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WIqtcFMEea5pdrFDq-m2g" type="_5WCkEMFMEea5pdrFDq-m2g" association="_5WIqtMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WIqtsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WIqt8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WKf5cFMEea5pdrFDq-m2g" memberEnd="_5WKf5sFMEea5pdrFDq-m2g _5WKf4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WKf5sFMEea5pdrFDq-m2g" type="_5WCkEMFMEea5pdrFDq-m2g" association="_5WKf5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WKf58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WKf6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5WMVEsFMEea5pdrFDq-m2g" name="GuidanceResponse">
        <ownedComment xmi:id="_5WM8J8FMEea5pdrFDq-m2g">
          <body>A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken.</body>
        </ownedComment>
        <ownedComment xmi:id="_5WM8IsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for GuidanceResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5WM8JcFMEea5pdrFDq-m2g">
          <body>The formal response to a guidance request</body>
        </ownedComment>
        <generalization xmi:id="_5WM8JMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5WNjMMFMEea5pdrFDq-m2g" name="requestId" type="_4acehcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WNjNsFMEea5pdrFDq-m2g">
            <body>The id of the request associated with this response. If an id was given as part of the request, it will be reproduced here to enable the requester to more easily identify the response in a multi-request scenario.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WNjNMFMEea5pdrFDq-m2g">
            <body>The id of the request associated with this response, if any</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WNjMcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WNjMsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WNjOMFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WNjPsFMEea5pdrFDq-m2g">
            <body>Allows a service to provide a unique, business identifier for the response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WNjPMFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WNjOcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WNjOsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WOKQMFMEea5pdrFDq-m2g" name="module" type="_5NH4oMFMEea5pdrFDq-m2g" isOrdered="true" association="_5WOKRMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WOKSsFMEea5pdrFDq-m2g">
            <body>A reference to the knowledge module that was invoked.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WOKSMFMEea5pdrFDq-m2g">
            <body>A reference to a knowledge module</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WOKQcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WOKQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WOxUcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WPYYsFMEea5pdrFDq-m2g">
            <body>The status of the response. If the evaluation is completed successfully, the status will indicate success. However, in order to complete the evaluation, the engine may require more information. In this case, the status will be data-required, and the response will contain a description of the additional required information. If the evaluation completed successfully, but the engine determines that a potentially more accurate response could be provided if more data was available, the status will be data-requested, and the response will contain a description of the additional requested information.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WPYYMFMEea5pdrFDq-m2g">
            <body>success | data-requested | data-required | in-progress | failure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WOxUsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WOxU8FMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5WPYZMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WP_cMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WP_dsFMEea5pdrFDq-m2g">
            <body>The patient for which the request was processed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WP_dMFMEea5pdrFDq-m2g">
            <body>Patient the request was performed for</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WPYZcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WPYZsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5WP_ecFMEea5pdrFDq-m2g" name="context" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WQmgMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WQmhsFMEea5pdrFDq-m2g">
            <body>Allows the context of the guidance response to be provided if available. In a service context, this would likely be unavailable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WQmhMFMEea5pdrFDq-m2g">
            <body>Encounter or Episode during which the response was returned</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WP_esFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WP_e8FMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5WQmicFMEea5pdrFDq-m2g" name="occurrenceDateTime" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WRNlcFMEea5pdrFDq-m2g">
            <body>Indicates when the guidance response was processed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WRNk8FMEea5pdrFDq-m2g">
            <body>When the guidance response was processed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WRNkMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WRNkcFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5WRNl8FMEea5pdrFDq-m2g" name="performer" type="_4lLH2sFMEea5pdrFDq-m2g" isOrdered="true" association="_5WR0oMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WR0psFMEea5pdrFDq-m2g">
            <body>Provides a reference to the device that performed the guidance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WR0pMFMEea5pdrFDq-m2g">
            <body>Device returning the guidance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WRNmMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WRNmcFMEea5pdrFDq-m2g" value="1"/>
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          <ownedComment xmi:id="_5WR0rsFMEea5pdrFDq-m2g">
            <body>Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WR0rMFMEea5pdrFDq-m2g">
            <body>Reason for the response</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WR0qcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WR0qsFMEea5pdrFDq-m2g" value="1"/>
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        <ownedAttribute xmi:id="_5WSbscFMEea5pdrFDq-m2g" name="note" type="_4a5xjsFMEea5pdrFDq-m2g" isOrdered="true">
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            <body>Provides a mechanism to communicate additional information about the response.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WSbtcFMEea5pdrFDq-m2g">
            <body>Additional notes about the response</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WSbssFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WSbs8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WSbucFMEea5pdrFDq-m2g" name="evaluationMessage" type="_5MowcMFMEea5pdrFDq-m2g" isOrdered="true" association="_5WTCwMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WTCxsFMEea5pdrFDq-m2g">
            <body>Messages resulting from the evaluation of the artifact or artifacts. As part of evaluating the request, the engine may produce informational or warning messages. These messages will be provided by this element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WTCxMFMEea5pdrFDq-m2g">
            <body>Messages resulting from the evaluation of the artifact or artifacts</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WSbusFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WSbu8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WTCyMFMEea5pdrFDq-m2g" name="outputParameters" type="_5PIDw8FMEea5pdrFDq-m2g" isOrdered="true" association="_5WTp0MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WTp1sFMEea5pdrFDq-m2g">
            <body>The output parameters of the evaluation, if any. Many modules will result in the return of specific resources such as procedure or communication requests that are returned as part of the operation result. However, modules may define specific outputs that would be returned as the result of the evaluation, and these would be returned in this element.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WTp1MFMEea5pdrFDq-m2g">
            <body>The output parameters of the evaluation, if any</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WTCycFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WTCysFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WTp2MFMEea5pdrFDq-m2g" name="result" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WUQ4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WUQ5sFMEea5pdrFDq-m2g">
            <body>The actions, if any, produced by the evaluation of the artifact.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WUQ5MFMEea5pdrFDq-m2g">
            <body>Proposed actions, if any</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WTp2cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WTp2sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WUQ6cFMEea5pdrFDq-m2g" name="dataRequirement" type="_4nteeMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WU38sFMEea5pdrFDq-m2g">
            <body>If the evaluation could not be completed due to lack of information, or additional information would potentially result in a more accurate response, this element will a description of the data required in order to proceed with the evaluation. A subsequent request to the service should include this data.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WU38MFMEea5pdrFDq-m2g">
            <body>Additional required data</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WUQ6sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WUQ68FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WOKRMFMEea5pdrFDq-m2g" memberEnd="_5WOKRcFMEea5pdrFDq-m2g _5WOKQMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WOKRcFMEea5pdrFDq-m2g" type="_5WMVEsFMEea5pdrFDq-m2g" association="_5WOKRMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WOKRsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WOKR8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WP_cMFMEea5pdrFDq-m2g" memberEnd="_5WP_ccFMEea5pdrFDq-m2g _5WPYZMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WP_ccFMEea5pdrFDq-m2g" type="_5WMVEsFMEea5pdrFDq-m2g" association="_5WP_cMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WP_c8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WQmgMFMEea5pdrFDq-m2g" memberEnd="_5WQmgcFMEea5pdrFDq-m2g _5WP_ecFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WQmgcFMEea5pdrFDq-m2g" type="_5WMVEsFMEea5pdrFDq-m2g" association="_5WQmgMFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WQmg8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WR0oMFMEea5pdrFDq-m2g" memberEnd="_5WR0ocFMEea5pdrFDq-m2g _5WRNl8FMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WR0o8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WTCwMFMEea5pdrFDq-m2g" memberEnd="_5WTCwcFMEea5pdrFDq-m2g _5WSbucFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WTCw8FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WTp0MFMEea5pdrFDq-m2g" memberEnd="_5WTp0cFMEea5pdrFDq-m2g _5WTCyMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WTp0cFMEea5pdrFDq-m2g" type="_5WMVEsFMEea5pdrFDq-m2g" association="_5WTp0MFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WTp08FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WUQ4MFMEea5pdrFDq-m2g" memberEnd="_5WUQ4cFMEea5pdrFDq-m2g _5WTp2MFMEea5pdrFDq-m2g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WUQ48FMEea5pdrFDq-m2g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5WU39MFMEea5pdrFDq-m2g" name="MessageDefinition">
        <ownedComment xmi:id="_5WWGGcFMEea5pdrFDq-m2g">
          <body>Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted.</body>
        </ownedComment>
        <ownedComment xmi:id="_5WWGEsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for MessageDefinition Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5WWGFMFMEea5pdrFDq-m2g">
          <body>Allows messages to be defined once and re-used across systems.</body>
        </ownedComment>
        <ownedComment xmi:id="_5WWGF8FMEea5pdrFDq-m2g">
          <body>A resource that defines a type of message that can be exchanged between systems</body>
        </ownedComment>
        <ownedRule xmi:id="_5WU39cFMEea5pdrFDq-m2g" name="md-1" constrainedElement="_5WgeIcFMEea5pdrFDq-m2g _5Wi6YsFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5WU39sFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>f:/max@value='*' or f:max/@value > 0</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5WWGFsFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5WWGG8FMEea5pdrFDq-m2g" name="url" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WWtJMFMEea5pdrFDq-m2g">
            <body>An absolute URL that is used to identify this message definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this message definition is (or will be) published. The URL SHOULD include the major version of the message definition. For more information see [Technical and Business Versions](resource.html#versions).</body>
          </ownedComment>
          <ownedComment xmi:id="_5WWtIsFMEea5pdrFDq-m2g">
            <body>Logical uri to reference this message definition (globally unique)</body>
          </ownedComment>
          <ownedComment xmi:id="_5WWtJsFMEea5pdrFDq-m2g">
            <body>Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WWtKMFMEea5pdrFDq-m2g">
            <body>Allows the message definition to be referenced by a single globally unique identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WWGHMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WWtIMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WWtKsFMEea5pdrFDq-m2g" name="version" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WXUMMFMEea5pdrFDq-m2g">
            <body>The identifier that is used to identify this version of the message definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the message definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WWtLsFMEea5pdrFDq-m2g">
            <body>Business version of the message definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5WXUMsFMEea5pdrFDq-m2g">
            <body>There may be multiple different instances of a message definition that have the same identifier but different versions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WWtK8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WWtLMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WXUNMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WXUOsFMEea5pdrFDq-m2g">
            <body>A natural language name identifying the message definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WXUOMFMEea5pdrFDq-m2g">
            <body>Name for this message definition (Computer friendly)</body>
          </ownedComment>
          <ownedComment xmi:id="_5WX7QcFMEea5pdrFDq-m2g">
            <body>The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure it is computable friendly.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WX7Q8FMEea5pdrFDq-m2g">
            <body>Support human navigation &amp; code generation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WXUNcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WXUNsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WX7RcFMEea5pdrFDq-m2g" name="title" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WX7S8FMEea5pdrFDq-m2g">
            <body>A short, descriptive, user-friendly title for the message definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WX7ScFMEea5pdrFDq-m2g">
            <body>Name for this message definition (Human friendly)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WX7RsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WX7R8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WX7TcFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WYiVsFMEea5pdrFDq-m2g">
            <body>The status of this message definition. Enables tracking the life-cycle of the content.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WYiVMFMEea5pdrFDq-m2g">
            <body>draft | active | retired</body>
          </ownedComment>
          <ownedComment xmi:id="_5WYiWMFMEea5pdrFDq-m2g">
            <body>Allows filtering of message definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WYiUMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WYiUcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WZJYMFMEea5pdrFDq-m2g" name="experimental" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WZJZsFMEea5pdrFDq-m2g">
            <body>A flag to indicate that this message definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WZJZMFMEea5pdrFDq-m2g">
            <body>If for testing purposes, not real usage</body>
          </ownedComment>
          <ownedComment xmi:id="_5WZJaMFMEea5pdrFDq-m2g">
            <body>Allows filtering of message definition that are appropriate for use vs. not.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WZJasFMEea5pdrFDq-m2g">
            <body>Enables experimental content to be developed following the same life-cycle as a production-level message definition would.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WZJYcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WZJYsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WZJbMFMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WZwc8FMEea5pdrFDq-m2g">
            <body>The date  (and optionally time) when the message definition was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the message definition changes.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WZwccFMEea5pdrFDq-m2g">
            <body>Date this was last changed</body>
          </ownedComment>
          <ownedComment xmi:id="_5WZwdcFMEea5pdrFDq-m2g">
            <body>Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the message definition. Additional specific dates may be added as extensions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WZJbcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WZJbsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WZwd8FMEea5pdrFDq-m2g" name="publisher" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WaXgMFMEea5pdrFDq-m2g">
            <body>The name of the individual or organization that published the message definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WZwe8FMEea5pdrFDq-m2g">
            <body>Name of the publisher (Organization or individual)</body>
          </ownedComment>
          <ownedComment xmi:id="_5WaXgsFMEea5pdrFDq-m2g">
            <body>Usually an organization, but may be an individual. The publisher (or steward) of the message definition is the organization or individual primarily responsible for the maintenance and upkeep of the message definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the message definition. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WaXhMFMEea5pdrFDq-m2g">
            <body>Helps establish the &quot;authority/credibility&quot; of the message definition.  May also allow for contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WZweMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WZwecFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WaXhsFMEea5pdrFDq-m2g" name="contact" type="_4l45g8FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WaXjMFMEea5pdrFDq-m2g">
            <body>Contact details to assist a user in finding and communicating with the publisher.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WaXisFMEea5pdrFDq-m2g">
            <body>Contact details for the publisher</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wa-kMFMEea5pdrFDq-m2g">
            <body>May be a web site, an email address, a telephone number, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WaXh8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WaXiMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wa-ksFMEea5pdrFDq-m2g" name="description" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Wa-mMFMEea5pdrFDq-m2g">
            <body>A free text natural language description of the message definition from the consumer's perspective.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wa-lsFMEea5pdrFDq-m2g">
            <body>Natural language description of the message definition</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wa-msFMEea5pdrFDq-m2g">
            <body>This description can be used to capture details such as why the message definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wa-k8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wa-lMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wa-nMFMEea5pdrFDq-m2g" name="useContext" type="_4lyy58FMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Wblo8FMEea5pdrFDq-m2g">
            <body>The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitions.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WblocFMEea5pdrFDq-m2g">
            <body>Content intends to support these contexts</body>
          </ownedComment>
          <ownedComment xmi:id="_5WblpcFMEea5pdrFDq-m2g">
            <body>When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wblp8FMEea5pdrFDq-m2g">
            <body>Assist in searching for appropriate content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wa-ncFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wa-nsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WblqcFMEea5pdrFDq-m2g" name="jurisdiction" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WcMs8FMEea5pdrFDq-m2g">
            <body>A jurisdiction in which the message definition is intended to be used.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WcMscFMEea5pdrFDq-m2g">
            <body>Intended jurisdiction for message definition (if applicable)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WblqsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wblq8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WcMtcFMEea5pdrFDq-m2g" name="purpose" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WcMu8FMEea5pdrFDq-m2g">
            <body>Explains why this message definition is needed and why it has been designed as it has.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WcMucFMEea5pdrFDq-m2g">
            <body>Why this message definition is defined</body>
          </ownedComment>
          <ownedComment xmi:id="_5WczwMFMEea5pdrFDq-m2g">
            <body>This element does not describe the usage of the message definition (See, e.g, the comments element, or relatedArtifacts), rather it's for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this message definition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WcMtsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WcMt8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WczwsFMEea5pdrFDq-m2g" name="copyright" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WczyMFMEea5pdrFDq-m2g">
            <body>A copyright statement relating to the message definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the message definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WczxsFMEea5pdrFDq-m2g">
            <body>Use and/or publishing restrictions</body>
          </ownedComment>
          <ownedComment xmi:id="_5WczysFMEea5pdrFDq-m2g">
            <body>Consumers of the library must be able to determine any legal restrictions on the use of the message definition and/or its content.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wczw8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WczxMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WczzMFMEea5pdrFDq-m2g" name="base" type="_5WU39MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Wda0cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Wda18FMEea5pdrFDq-m2g">
            <body>The MessageDefinition this new definition is a profile of.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wda1cFMEea5pdrFDq-m2g">
            <body>Definition this one is based on</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WczzcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WczzsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wda2cFMEea5pdrFDq-m2g" name="parent" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WeB4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WeB5sFMEea5pdrFDq-m2g">
            <body>Identifies a protocol or workflow that this MessageDefinition represents a step in.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WeB5MFMEea5pdrFDq-m2g">
            <body>Protocol/workflow this is part of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wda2sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wda28FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WeB6cFMEea5pdrFDq-m2g" name="replaces" type="_5WU39MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Weo8cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Weo98FMEea5pdrFDq-m2g">
            <body>A MessageDefinition that is superseded by this definition.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Weo9cFMEea5pdrFDq-m2g">
            <body>Takes the place of</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WeB6sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WeB68FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Weo-cFMEea5pdrFDq-m2g" name="event" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WfQA8FMEea5pdrFDq-m2g">
            <body>A coded identifier of a supported messaging event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WfQAcFMEea5pdrFDq-m2g">
            <body>Event type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Weo-sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Weo-8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WfQBcFMEea5pdrFDq-m2g" name="category" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Wf3E8FMEea5pdrFDq-m2g">
            <body>The impact of the content of the message.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wf3EcFMEea5pdrFDq-m2g">
            <body>Consequence | Currency | Notification</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WfQBsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WfQB8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WgeIcFMEea5pdrFDq-m2g" name="focus" type="_5Wf3FcFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5WgeJcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WgeK8FMEea5pdrFDq-m2g">
            <body>Identifies the resource (or resources) that are being addressed by the event.  For example, the Encounter for an admit message or two Account records for a merge.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WgeKcFMEea5pdrFDq-m2g">
            <body>Resource(s) that are the subject of the event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WgeIsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WgeI8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wi6asFMEea5pdrFDq-m2g" name="responseRequired" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WjhdMFMEea5pdrFDq-m2g">
            <body>Indicates whether a response is required for this message.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WjhcsFMEea5pdrFDq-m2g">
            <body>Is a response required?</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wi6a8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WjhcMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WkIgcFMEea5pdrFDq-m2g" name="allowedResponse" type="_5WjhdsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5WkIhcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WkvksFMEea5pdrFDq-m2g">
            <body>Indicates what types of messages may be sent as an application-level response to this message.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WkvkMFMEea5pdrFDq-m2g">
            <body>Responses to this message</body>
          </ownedComment>
          <ownedComment xmi:id="_5WkvlMFMEea5pdrFDq-m2g">
            <body>This indicates an application level response to &quot;close&quot; a transaction implicit in a particular request message.  To define a complete workflow scenario, look to the [[PlanDefinition]] resource which allows the definition of complex orchestrations, conditionality, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WkIgsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WkIg8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5Wf3FcFMEea5pdrFDq-m2g" name="Focus">
          <generalization xmi:id="_5Wf3FsFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5WhFMcFMEea5pdrFDq-m2g" name="code" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WhFOMFMEea5pdrFDq-m2g">
              <body>The kind of resource that must be the focus for this message.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WhFNsFMEea5pdrFDq-m2g">
              <body>Type of resource</body>
            </ownedComment>
            <ownedComment xmi:id="_5WhsQMFMEea5pdrFDq-m2g">
              <body>Multiple focuses addressing different resources may occasionally occur.  E.g. to link or unlink a resource from a particular account or encounter, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WhFMsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WhFM8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5WhsQsFMEea5pdrFDq-m2g" name="profile" type="_4mEftsFMEea5pdrFDq-m2g" isOrdered="true" association="_5WhsRsFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5WhsTMFMEea5pdrFDq-m2g">
              <body>A profile that reflects constraints for the focal resource (and potentially for related resources).</body>
            </ownedComment>
            <ownedComment xmi:id="_5WhsSsFMEea5pdrFDq-m2g">
              <body>Profile that must be adhered to by focus</body>
            </ownedComment>
            <ownedComment xmi:id="_5WiTUMFMEea5pdrFDq-m2g">
              <body>This should be present for most message definitions.  However, if the message focus is only a single resource and there is no need to include referenced resources or otherwise enforce the presence of particular elements, it can be omitted.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WiTUsFMEea5pdrFDq-m2g">
              <body>This profile allows setting boundaries for what content must appear within the message bundle vs. outside based on the declared aggregation constraints on referenced resources on this and related profiles.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WhsQ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WhsRMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5WiTVMFMEea5pdrFDq-m2g" name="min" type="_4aqg9MFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Wi6YMFMEea5pdrFDq-m2g">
              <body>Identifies the minimum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WiTWMFMEea5pdrFDq-m2g">
              <body>Minimum number of focuses of this type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WiTVcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WiTVsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Wi6YsFMEea5pdrFDq-m2g" name="max" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Wi6aMFMEea5pdrFDq-m2g">
              <body>Identifies the maximum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Wi6ZsFMEea5pdrFDq-m2g">
              <body>Maximum number of focuses of this type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wi6Y8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wi6ZMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5WjhdsFMEea5pdrFDq-m2g" name="AllowedResponse">
          <generalization xmi:id="_5Wjhd8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5WkvlsFMEea5pdrFDq-m2g" name="message" type="_5WU39MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WlWoMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5WlWpsFMEea5pdrFDq-m2g">
              <body>A reference to the message definition that must be adhered to by this supported response.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WlWpMFMEea5pdrFDq-m2g">
              <body>MessageDefinition for response</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wkvl8FMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WkvmMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5WlWqMFMEea5pdrFDq-m2g" name="situation" type="_4ailJcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WlWrsFMEea5pdrFDq-m2g">
              <body>Provides a description of the circumstances in which this response should be used (as opposed to one of the alternative responses).</body>
            </ownedComment>
            <ownedComment xmi:id="_5WlWrMFMEea5pdrFDq-m2g">
              <body>When should this response be used</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WlWqcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WlWqsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Wda0cFMEea5pdrFDq-m2g" memberEnd="_5Wda0sFMEea5pdrFDq-m2g _5WczzMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Wda0sFMEea5pdrFDq-m2g" type="_5WU39MFMEea5pdrFDq-m2g" association="_5Wda0cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wda08FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wda1MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WeB4MFMEea5pdrFDq-m2g" memberEnd="_5WeB4cFMEea5pdrFDq-m2g _5Wda2cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WeB4cFMEea5pdrFDq-m2g" type="_5WU39MFMEea5pdrFDq-m2g" association="_5WeB4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WeB4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WeB48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Weo8cFMEea5pdrFDq-m2g" memberEnd="_5Weo8sFMEea5pdrFDq-m2g _5WeB6cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Weo8sFMEea5pdrFDq-m2g" type="_5WU39MFMEea5pdrFDq-m2g" association="_5Weo8cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Weo88FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Weo9MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WgeJcFMEea5pdrFDq-m2g" memberEnd="_5WgeJsFMEea5pdrFDq-m2g _5WgeIcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WgeJsFMEea5pdrFDq-m2g" type="_5WU39MFMEea5pdrFDq-m2g" association="_5WgeJcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WgeJ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WgeKMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WhsRsFMEea5pdrFDq-m2g" memberEnd="_5WhsR8FMEea5pdrFDq-m2g _5WhsQsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WhsR8FMEea5pdrFDq-m2g" type="_5Wf3FcFMEea5pdrFDq-m2g" association="_5WhsRsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WhsSMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WhsScFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WkIhcFMEea5pdrFDq-m2g" memberEnd="_5WkIhsFMEea5pdrFDq-m2g _5WkIgcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WkIhsFMEea5pdrFDq-m2g" type="_5WU39MFMEea5pdrFDq-m2g" association="_5WkIhcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WkIh8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WkIiMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WlWoMFMEea5pdrFDq-m2g" memberEnd="_5WlWocFMEea5pdrFDq-m2g _5WkvlsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WlWocFMEea5pdrFDq-m2g" type="_5WjhdsFMEea5pdrFDq-m2g" association="_5WlWoMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WlWosFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WlWo8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5Wl9sMFMEea5pdrFDq-m2g" name="DetectedIssue">
        <ownedComment xmi:id="_5Wmkx8FMEea5pdrFDq-m2g">
          <body>Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.</body>
        </ownedComment>
        <ownedComment xmi:id="_5WmkwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for DetectedIssue Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5WmkxcFMEea5pdrFDq-m2g">
          <body>Clinical issue with action</body>
        </ownedComment>
        <generalization xmi:id="_5WmkxMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5WnL0MFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5WnL1MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WnL2sFMEea5pdrFDq-m2g">
            <body>Indicates the patient whose record the detected issue is associated with.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WnL2MFMEea5pdrFDq-m2g">
            <body>Associated patient</body>
          </ownedComment>
          <ownedComment xmi:id="_5WnL3MFMEea5pdrFDq-m2g">
            <body>While the subject could be inferred by tracing the subject of the implicated resources, it's useful to have a direct link for query purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WnL0cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WnL0sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wny4MFMEea5pdrFDq-m2g" name="category" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WoZ8sFMEea5pdrFDq-m2g">
            <body>Identifies the general type of issue identified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WoZ8MFMEea5pdrFDq-m2g">
            <body>Issue Category, e.g. drug-drug, duplicate therapy, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wny4cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wny4sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WoZ9MFMEea5pdrFDq-m2g" name="severity" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WpBBMFMEea5pdrFDq-m2g">
            <body>Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WpBAsFMEea5pdrFDq-m2g">
            <body>high | moderate | low</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WoZ9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WoZ9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WpBBsFMEea5pdrFDq-m2g" name="implicated" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WpoEMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WpoFsFMEea5pdrFDq-m2g">
            <body>Indicates the resource representing the current activity or proposed activity that is potentially problematic.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WpoFMFMEea5pdrFDq-m2g">
            <body>Problem resource</body>
          </ownedComment>
          <ownedComment xmi:id="_5WpoGMFMEea5pdrFDq-m2g">
            <body>There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one.  For timing, there would typically only be one.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WpBB8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WpBCMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WpoGsFMEea5pdrFDq-m2g" name="detail" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WqPI8FMEea5pdrFDq-m2g">
            <body>A textual explanation of the detected issue.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WqPIcFMEea5pdrFDq-m2g">
            <body>Description and context</body>
          </ownedComment>
          <ownedComment xmi:id="_5WqPJcFMEea5pdrFDq-m2g">
            <body>Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WpoG8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WpoHMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WqPJ8FMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WqPLcFMEea5pdrFDq-m2g">
            <body>The date or date-time when the detected issue was initially identified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WqPK8FMEea5pdrFDq-m2g">
            <body>When identified</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wq2MMFMEea5pdrFDq-m2g">
            <body>No-one can be responsible for mitigation prior to the issue being identified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WqPKMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WqPKcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wq2MsFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Wq2NsFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Wq2PMFMEea5pdrFDq-m2g">
            <body>Individual or device responsible for the issue being raised.  For example, a decision support application or a pharmacist conducting a medication review.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wq2OsFMEea5pdrFDq-m2g">
            <body>The provider or device that identified the issue</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wq2M8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wq2NMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WrdQsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WrdSMFMEea5pdrFDq-m2g">
            <body>Business identifier associated with the detected issue record.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WrdRsFMEea5pdrFDq-m2g">
            <body>Unique id for the detected issue</body>
          </ownedComment>
          <ownedComment xmi:id="_5WrdSsFMEea5pdrFDq-m2g">
            <body>Allows linking instances of the same detected issue found on different servers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WrdQ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WrdRMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WsEUMFMEea5pdrFDq-m2g" name="reference" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WsEVsFMEea5pdrFDq-m2g">
            <body>The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WsEVMFMEea5pdrFDq-m2g">
            <body>Authority for issue</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WsEUcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WsEUsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WsrYcFMEea5pdrFDq-m2g" name="mitigation" type="_5WsEWMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5WtScMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WtSdsFMEea5pdrFDq-m2g">
            <body>Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting.  Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WtSdMFMEea5pdrFDq-m2g">
            <body>Step taken to address</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WsrYsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WsrY8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5WsEWMFMEea5pdrFDq-m2g" name="Mitigation">
          <generalization xmi:id="_5WsEWcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5WtSeMFMEea5pdrFDq-m2g" name="action" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5Wt5hMFMEea5pdrFDq-m2g">
              <body>Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Wt5gsFMEea5pdrFDq-m2g">
              <body>What mitigation?</body>
            </ownedComment>
            <ownedComment xmi:id="_5WugkcFMEea5pdrFDq-m2g">
              <body>The &quot;text&quot; component can be used for detail or when no appropriate code exists.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WtSecFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WtSesFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Wugk8FMEea5pdrFDq-m2g" name="date" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5WugmcFMEea5pdrFDq-m2g">
              <body>Indicates when the mitigating action was documented.</body>
            </ownedComment>
            <ownedComment xmi:id="_5Wugl8FMEea5pdrFDq-m2g">
              <body>Date committed</body>
            </ownedComment>
            <ownedComment xmi:id="_5Wugm8FMEea5pdrFDq-m2g">
              <body>This may not be the same as when the mitigating step was actually taken.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WuglMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WuglcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5WvHoMFMEea5pdrFDq-m2g" name="author" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5WvHpMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5WvHqsFMEea5pdrFDq-m2g">
              <body>Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.</body>
            </ownedComment>
            <ownedComment xmi:id="_5WvHqMFMEea5pdrFDq-m2g">
              <body>Who is committing?</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WvHocFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WvHosFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WnL1MFMEea5pdrFDq-m2g" memberEnd="_5WnL1cFMEea5pdrFDq-m2g _5WnL0MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WnL1cFMEea5pdrFDq-m2g" type="_5Wl9sMFMEea5pdrFDq-m2g" association="_5WnL1MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WnL1sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WnL18FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WpoEMFMEea5pdrFDq-m2g" memberEnd="_5WpoEcFMEea5pdrFDq-m2g _5WpBBsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WpoEcFMEea5pdrFDq-m2g" type="_5Wl9sMFMEea5pdrFDq-m2g" association="_5WpoEMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WpoEsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WpoE8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Wq2NsFMEea5pdrFDq-m2g" memberEnd="_5Wq2N8FMEea5pdrFDq-m2g _5Wq2MsFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Wq2N8FMEea5pdrFDq-m2g" type="_5Wl9sMFMEea5pdrFDq-m2g" association="_5Wq2NsFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wq2OMFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wq2OcFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WtScMFMEea5pdrFDq-m2g" memberEnd="_5WtSccFMEea5pdrFDq-m2g _5WsrYcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WtSccFMEea5pdrFDq-m2g" type="_5Wl9sMFMEea5pdrFDq-m2g" association="_5WtScMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WtScsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WtSc8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WvHpMFMEea5pdrFDq-m2g" memberEnd="_5WvHpcFMEea5pdrFDq-m2g _5WvHoMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WvHpcFMEea5pdrFDq-m2g" type="_5WsEWMFMEea5pdrFDq-m2g" association="_5WvHpMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WvHpsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WvHp8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5WvusMFMEea5pdrFDq-m2g" name="AppointmentResponse">
        <ownedComment xmi:id="_5Ww80cFMEea5pdrFDq-m2g">
          <body>A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection.</body>
        </ownedComment>
        <ownedComment xmi:id="_5WwVwsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for AppointmentResponse Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5WwVxcFMEea5pdrFDq-m2g">
          <body>A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection</body>
        </ownedComment>
        <ownedRule xmi:id="_5WvuscFMEea5pdrFDq-m2g" name="apr-1" constrainedElement="_5WvusMFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5WvussFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>(exists(f:participantType) or exists(f:actor))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5WwVxMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5Ww808FMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Ww82cFMEea5pdrFDq-m2g">
            <body>This records identifiers associated with this appointment response concern that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Ww818FMEea5pdrFDq-m2g">
            <body>External Ids for this item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ww81MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ww81cFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Ww828FMEea5pdrFDq-m2g" name="appointment" type="_4_RC3MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Wxj4MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Wxj5sFMEea5pdrFDq-m2g">
            <body>Appointment that this response is replying to.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wxj5MFMEea5pdrFDq-m2g">
            <body>Appointment this response relates to</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Ww83MFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Ww83cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Wxj6MFMEea5pdrFDq-m2g" name="start" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WyK8MFMEea5pdrFDq-m2g">
            <body>Date/Time that the appointment is to take place, or requested new start time.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Wxj7MFMEea5pdrFDq-m2g">
            <body>Time from appointment, or requested new start time</body>
          </ownedComment>
          <ownedComment xmi:id="_5WyK8sFMEea5pdrFDq-m2g">
            <body>This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the start time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wxj6cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wxj6sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WyK9MFMEea5pdrFDq-m2g" name="end" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WyK-sFMEea5pdrFDq-m2g">
            <body>This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the end time.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WyK-MFMEea5pdrFDq-m2g">
            <body>Time from appointment, or requested new end time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WyK9cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WyK9sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WyK_MFMEea5pdrFDq-m2g" name="participantType" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5WyyBMFMEea5pdrFDq-m2g">
            <body>Role of participant in the appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WyyAsFMEea5pdrFDq-m2g">
            <body>Role of participant in the appointment</body>
          </ownedComment>
          <ownedComment xmi:id="_5WyyBsFMEea5pdrFDq-m2g">
            <body>The role of the participant can be used to declare what the actor will be doing in the scope of the referenced appointment.  If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.  This value MUST be the same as specified on the referenced Appointment so that they can be matched, and subsequently updated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WyK_cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WyK_sFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WzZEMFMEea5pdrFDq-m2g" name="actor" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5WzZFMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5WzZGsFMEea5pdrFDq-m2g">
            <body>A Person, Location/HealthcareService or Device that is participating in the appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_5WzZGMFMEea5pdrFDq-m2g">
            <body>Person, Location/HealthcareService or Device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WzZEcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WzZEsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5W0AIcFMEea5pdrFDq-m2g" name="participantStatus" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5W0nMMFMEea5pdrFDq-m2g">
            <body>Participation status of the participant. When the status is declined or tentative if the start/end times are different to the appointment, then these times should be interpreted as a requested time change. When the status is accepted, the times can either be the time of the appointment (as a confirmation of the time) or can be empty.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W0AJsFMEea5pdrFDq-m2g">
            <body>accepted | declined | tentative | in-process | completed | needs-action | entered-in-error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W0AIsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W0AI8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5W0nMsFMEea5pdrFDq-m2g" name="comment" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5W0nOMFMEea5pdrFDq-m2g">
            <body>Additional comments about the appointment.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W0nNsFMEea5pdrFDq-m2g">
            <body>Additional comments</body>
          </ownedComment>
          <ownedComment xmi:id="_5W0nOsFMEea5pdrFDq-m2g">
            <body>This comment is particularly important when the responder is declining, tentatively accepting or requesting another time to indicate the reasons why.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W0nM8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W0nNMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Wxj4MFMEea5pdrFDq-m2g" memberEnd="_5Wxj4cFMEea5pdrFDq-m2g _5Ww828FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Wxj4cFMEea5pdrFDq-m2g" type="_5WvusMFMEea5pdrFDq-m2g" association="_5Wxj4MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Wxj4sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Wxj48FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5WzZFMFMEea5pdrFDq-m2g" memberEnd="_5WzZFcFMEea5pdrFDq-m2g _5WzZEMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5WzZFcFMEea5pdrFDq-m2g" type="_5WvusMFMEea5pdrFDq-m2g" association="_5WzZFMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5WzZFsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5WzZF8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5W1OQMFMEea5pdrFDq-m2g" name="AuditEvent">
        <ownedComment xmi:id="_5W2cYsFMEea5pdrFDq-m2g">
          <body>A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.</body>
        </ownedComment>
        <ownedComment xmi:id="_5W11U8FMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for AuditEvent Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5W2cYMFMEea5pdrFDq-m2g">
          <body>Event record kept for security purposes</body>
        </ownedComment>
        <ownedComment xmi:id="_5W2cZMFMEea5pdrFDq-m2g">
          <body>Based on ATNA (RFC 3881).</body>
        </ownedComment>
        <ownedRule xmi:id="_5W1OQcFMEea5pdrFDq-m2g" name="sev-1" constrainedElement="_5XR6McFMEea5pdrFDq-m2g _5XXZxMFMEea5pdrFDq-m2g _5XYn4MFMEea5pdrFDq-m2g">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_5W1OQsFMEea5pdrFDq-m2g">
            <language>XPath</language>
            <body>not(exists(f:name)) or not(exists(f:query))</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_5W11VcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5W2cZsFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5W5ftMFMEea5pdrFDq-m2g">
            <body>Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W5fssFMEea5pdrFDq-m2g">
            <body>Type/identifier of event</body>
          </ownedComment>
          <ownedComment xmi:id="_5W5ftsFMEea5pdrFDq-m2g">
            <body>This identifies the performed function. For &quot;Execute&quot; Event Action Code audit records, this identifies the application function performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W2cZ8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W2caMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5W5fuMFMEea5pdrFDq-m2g" name="subtype" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5W9xJMFMEea5pdrFDq-m2g">
            <body>Identifier for the category of event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W9xIsFMEea5pdrFDq-m2g">
            <body>More specific type/id for the event</body>
          </ownedComment>
          <ownedComment xmi:id="_5W9xJsFMEea5pdrFDq-m2g">
            <body>This field enables queries of messages by implementation-defined event categories.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W6GwMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W6GwcFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5W9xKMFMEea5pdrFDq-m2g" name="action" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5W-_QcFMEea5pdrFDq-m2g">
            <body>Indicator for type of action performed during the event that generated the audit.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W-YNMFMEea5pdrFDq-m2g">
            <body>Type of action performed during the event</body>
          </ownedComment>
          <ownedComment xmi:id="_5W-_Q8FMEea5pdrFDq-m2g">
            <body>This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W9xKcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W9xKsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5W-_RcFMEea5pdrFDq-m2g" name="recorded" type="_4ae6wMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5W-_S8FMEea5pdrFDq-m2g">
            <body>The time when the event occurred on the source.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W-_ScFMEea5pdrFDq-m2g">
            <body>Time when the event occurred on source</body>
          </ownedComment>
          <ownedComment xmi:id="_5W-_TcFMEea5pdrFDq-m2g">
            <body>In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.</body>
          </ownedComment>
          <ownedComment xmi:id="_5W_mUMFMEea5pdrFDq-m2g">
            <body>This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W-_RsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W-_R8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5W_mUsFMEea5pdrFDq-m2g" name="outcome" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XANYsFMEea5pdrFDq-m2g">
            <body>Indicates whether the event succeeded or failed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XANYMFMEea5pdrFDq-m2g">
            <body>Whether the event succeeded or failed</body>
          </ownedComment>
          <ownedComment xmi:id="_5XANZMFMEea5pdrFDq-m2g">
            <body>In some cases a &quot;success&quot; may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W_mU8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W_mVMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XANZsFMEea5pdrFDq-m2g" name="outcomeDesc" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XANbMFMEea5pdrFDq-m2g">
            <body>A free text description of the outcome of the event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XANasFMEea5pdrFDq-m2g">
            <body>Description of the event outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XANZ8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XANaMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XA0ccFMEea5pdrFDq-m2g" name="purposeOfEvent" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XBbgsFMEea5pdrFDq-m2g">
            <body>The purposeOfUse (reason) that was used during the event being recorded.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XBbgMFMEea5pdrFDq-m2g">
            <body>The purposeOfUse of the event</body>
          </ownedComment>
          <ownedComment xmi:id="_5XBbhMFMEea5pdrFDq-m2g">
            <body>Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XA0csFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XA0c8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XCCkcFMEea5pdrFDq-m2g" name="agent" type="_5XBbhsFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5XCClcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XCpoMFMEea5pdrFDq-m2g">
            <body>An actor taking an active role in the event or activity that is logged.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XCCmcFMEea5pdrFDq-m2g">
            <body>Actor involved in the event</body>
          </ownedComment>
          <ownedComment xmi:id="_5XCposFMEea5pdrFDq-m2g">
            <body>Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.  For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XCppMFMEea5pdrFDq-m2g">
            <body>An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XCCksFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XCCk8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XO24cFMEea5pdrFDq-m2g" name="source" type="_5XOP1sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5XO25cFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XPd8MFMEea5pdrFDq-m2g">
            <body>The system that is reporting the event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XO26cFMEea5pdrFDq-m2g">
            <body>Audit Event Reporter</body>
          </ownedComment>
          <ownedComment xmi:id="_5XPd8sFMEea5pdrFDq-m2g">
            <body>Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XPd9MFMEea5pdrFDq-m2g">
            <body>The event is reported by one source.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XO24sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XO248FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XR6McFMEea5pdrFDq-m2g" name="entity" type="_5XRTJMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5XR6NcFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XR6O8FMEea5pdrFDq-m2g">
            <body>Specific instances of data or objects that have been accessed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XR6OcFMEea5pdrFDq-m2g">
            <body>Data or objects used</body>
          </ownedComment>
          <ownedComment xmi:id="_5XShQcFMEea5pdrFDq-m2g">
            <body>Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XShQ8FMEea5pdrFDq-m2g">
            <body>The event may have other entities involved.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XR6MsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XR6M8FMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5XBbhsFMEea5pdrFDq-m2g" name="Agent">
          <generalization xmi:id="_5XBbh8FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5XCppsFMEea5pdrFDq-m2g" name="role" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XEe1MFMEea5pdrFDq-m2g">
              <body>Specification of the role(s) the user plays when performing the event. Additional may contain security role codes that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XEe0sFMEea5pdrFDq-m2g">
              <body>Agent role in the event</body>
            </ownedComment>
            <ownedComment xmi:id="_5XEe1sFMEea5pdrFDq-m2g">
              <body>should be roles relevant to the event. Should  not be an exhaustive list of roles.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XEe2MFMEea5pdrFDq-m2g">
              <body>This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XCpp8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XCpqMFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XFF4cFMEea5pdrFDq-m2g" name="reference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5XFF5cFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5XFF68FMEea5pdrFDq-m2g">
              <body>Direct reference to a resource that identifies the agent.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XFF6cFMEea5pdrFDq-m2g">
              <body>Direct reference to resource</body>
            </ownedComment>
            <ownedComment xmi:id="_5XFs8cFMEea5pdrFDq-m2g">
              <body>This field ties an audit event to a specific resource.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XFF4sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XFF48FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XFs9MFMEea5pdrFDq-m2g" name="userId" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XFs-sFMEea5pdrFDq-m2g">
              <body>Unique identifier for the user actively participating in the event.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XFs-MFMEea5pdrFDq-m2g">
              <body>Unique identifier for the user</body>
            </ownedComment>
            <ownedComment xmi:id="_5XFs_MFMEea5pdrFDq-m2g">
              <body>a unique value within the Audit Source ID. For node-based authentication -- where only the system hardware or process, but not a human user, is identified -- User ID would be the node name.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XGUAMFMEea5pdrFDq-m2g">
              <body>This field ties an audit event to a specific user.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XFs9cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XFs9sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XGUAsFMEea5pdrFDq-m2g" name="altId" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XGUCMFMEea5pdrFDq-m2g">
              <body>Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XGUBsFMEea5pdrFDq-m2g">
              <body>Alternative User id e.g. authentication</body>
            </ownedComment>
            <ownedComment xmi:id="_5XGUCsFMEea5pdrFDq-m2g">
              <body>In some situations a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some &quot;single sign on&quot; implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XGUA8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XGUBMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XGUDMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XG7FcFMEea5pdrFDq-m2g">
              <body>Human-meaningful name for the agent.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XG7E8FMEea5pdrFDq-m2g">
              <body>Human-meaningful name for the agent</body>
            </ownedComment>
            <ownedComment xmi:id="_5XG7F8FMEea5pdrFDq-m2g">
              <body>The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XG7EMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XG7EcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XG7GcFMEea5pdrFDq-m2g" name="requestor" type="_4aStgsFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XG7H8FMEea5pdrFDq-m2g">
              <body>Indicator that the user is or is not the requestor, or initiator, for the event being audited.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XG7HcFMEea5pdrFDq-m2g">
              <body>Whether user is initiator</body>
            </ownedComment>
            <ownedComment xmi:id="_5XHiIcFMEea5pdrFDq-m2g">
              <body>There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XHiI8FMEea5pdrFDq-m2g">
              <body>This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XG7GsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XG7G8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XHiJcFMEea5pdrFDq-m2g" name="location" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5XIJMMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5XIJNsFMEea5pdrFDq-m2g">
              <body>Where the event occurred.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XIJNMFMEea5pdrFDq-m2g">
              <body>Where</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XHiJsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XHiJ8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XIJOMFMEea5pdrFDq-m2g" name="policy" type="_4aMm5sFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XIJPsFMEea5pdrFDq-m2g">
              <body>The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XIJPMFMEea5pdrFDq-m2g">
              <body>Policy that authorized event</body>
            </ownedComment>
            <ownedComment xmi:id="_5XIJQMFMEea5pdrFDq-m2g">
              <body>For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XIwQMFMEea5pdrFDq-m2g">
              <body>This value is used retrospectively to determine the authorization policies.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XIJOcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XIJOsFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XIwQsFMEea5pdrFDq-m2g" name="media" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XKldcFMEea5pdrFDq-m2g">
              <body>Type of media involved. Used when the event is about exporting/importing onto media.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XKlc8FMEea5pdrFDq-m2g">
              <body>Type of media</body>
            </ownedComment>
            <ownedComment xmi:id="_5XKld8FMEea5pdrFDq-m2g">
              <body>Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XIwQ8FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XIwRMFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XLzkMFMEea5pdrFDq-m2g" name="network" type="_5XLMgMFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5XLzlMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5XLzmsFMEea5pdrFDq-m2g">
              <body>Logical network location for application activity, if the activity has a network location.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XLzmMFMEea5pdrFDq-m2g">
              <body>Logical network location for application activity</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XLzkcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XLzksFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XNoxcFMEea5pdrFDq-m2g" name="purposeOfUse" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XOP0sFMEea5pdrFDq-m2g">
              <body>The reason (purpose of use), specific to this agent, that was used during the event being recorded.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XOP0MFMEea5pdrFDq-m2g">
              <body>Reason given for this user</body>
            </ownedComment>
            <ownedComment xmi:id="_5XOP1MFMEea5pdrFDq-m2g">
              <body>Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XNoxsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XNox8FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5XLMgMFMEea5pdrFDq-m2g" name="Network">
            <generalization xmi:id="_5XLMgcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5XMaoMFMEea5pdrFDq-m2g" name="address" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5XMapsFMEea5pdrFDq-m2g">
                <body>An identifier for the network access point of the user device for the audit event.</body>
              </ownedComment>
              <ownedComment xmi:id="_5XMapMFMEea5pdrFDq-m2g">
                <body>Identifier for the network access point of the user device</body>
              </ownedComment>
              <ownedComment xmi:id="_5XMaqMFMEea5pdrFDq-m2g">
                <body>This could be a device id, IP address or some other identifier associated with a device.</body>
              </ownedComment>
              <ownedComment xmi:id="_5XMaqsFMEea5pdrFDq-m2g">
                <body>This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XMaocFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XMaosFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5XMarMFMEea5pdrFDq-m2g" name="type" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5XNowcFMEea5pdrFDq-m2g">
                <body>An identifier for the type of network access point that originated the audit event.</body>
              </ownedComment>
              <ownedComment xmi:id="_5XNBtMFMEea5pdrFDq-m2g">
                <body>The type of network access point</body>
              </ownedComment>
              <ownedComment xmi:id="_5XNow8FMEea5pdrFDq-m2g">
                <body>This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XMarcFMEea5pdrFDq-m2g"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XMarsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5XOP1sFMEea5pdrFDq-m2g" name="Source">
          <generalization xmi:id="_5XOP18FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5XPd9sFMEea5pdrFDq-m2g" name="site" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XPd_MFMEea5pdrFDq-m2g">
              <body>Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XPd-sFMEea5pdrFDq-m2g">
              <body>Logical source location within the enterprise</body>
            </ownedComment>
            <ownedComment xmi:id="_5XPd_sFMEea5pdrFDq-m2g">
              <body>This value differentiates among the sites in a multi-site enterprise health information system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XPd98FMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XPd-MFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XQFAcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XQFB8FMEea5pdrFDq-m2g">
              <body>Identifier of the source where the event was detected.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XQFBcFMEea5pdrFDq-m2g">
              <body>The identity of source detecting the event</body>
            </ownedComment>
            <ownedComment xmi:id="_5XQFCcFMEea5pdrFDq-m2g">
              <body>This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XQFAsFMEea5pdrFDq-m2g" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XQFA8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XQFC8FMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XRTIMFMEea5pdrFDq-m2g">
              <body>Code specifying the type of source where event originated.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XQsE8FMEea5pdrFDq-m2g">
              <body>The type of source where event originated</body>
            </ownedComment>
            <ownedComment xmi:id="_5XRTIsFMEea5pdrFDq-m2g">
              <body>This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XQFDMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XQFDcFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_5XRTJMFMEea5pdrFDq-m2g" name="Entity">
          <generalization xmi:id="_5XRTJcFMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
          <ownedAttribute xmi:id="_5XShRcFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XShS8FMEea5pdrFDq-m2g">
              <body>Identifies a specific instance of the entity. The reference should always be version specific.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XShScFMEea5pdrFDq-m2g">
              <body>Specific instance of object</body>
            </ownedComment>
            <ownedComment xmi:id="_5XShTcFMEea5pdrFDq-m2g">
              <body>Identifier detail depends on entity type.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XShRsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XShR8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XTIUcFMEea5pdrFDq-m2g" name="reference" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5XTIVcFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5XTIW8FMEea5pdrFDq-m2g">
              <body>Identifies a specific instance of the entity. The reference should be version specific.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XTIWcFMEea5pdrFDq-m2g">
              <body>Specific instance of resource</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XTIUsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XTIU8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XTvYcFMEea5pdrFDq-m2g" name="type" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XUWcsFMEea5pdrFDq-m2g">
              <body>The type of the object that was involved in this audit event.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XUWcMFMEea5pdrFDq-m2g">
              <body>Type of entity involved</body>
            </ownedComment>
            <ownedComment xmi:id="_5XUWdMFMEea5pdrFDq-m2g">
              <body>This value is distinct from the user's role or any user relationship to the entity.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XUWdsFMEea5pdrFDq-m2g">
              <body>To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XTvYsFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XTvY8FMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XUWeMFMEea5pdrFDq-m2g" name="role" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XU9hcFMEea5pdrFDq-m2g">
              <body>Code representing the role the entity played in the event being audited.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XU9g8FMEea5pdrFDq-m2g">
              <body>What role the entity played</body>
            </ownedComment>
            <ownedComment xmi:id="_5XVkkcFMEea5pdrFDq-m2g">
              <body>For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XUWecFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XUWesFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XVkk8FMEea5pdrFDq-m2g" name="lifecycle" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XWLpMFMEea5pdrFDq-m2g">
              <body>Identifier for the data life-cycle stage for the entity.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XWLosFMEea5pdrFDq-m2g">
              <body>Life-cycle stage for the entity</body>
            </ownedComment>
            <ownedComment xmi:id="_5XWLpsFMEea5pdrFDq-m2g">
              <body>This can be used to provide an audit trail for data, over time, as it passes through the system.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XWLqMFMEea5pdrFDq-m2g">
              <body>Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XVklMFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XVklcFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XWysMFMEea5pdrFDq-m2g" name="securityLabel" type="_4bBtUcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XWyt8FMEea5pdrFDq-m2g">
              <body>Denotes security labels for the identified entity.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XWytcFMEea5pdrFDq-m2g">
              <body>Security labels on the entity</body>
            </ownedComment>
            <ownedComment xmi:id="_5XXZwMFMEea5pdrFDq-m2g">
              <body>copied from entity meta security tags.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XXZwsFMEea5pdrFDq-m2g">
              <body>This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XWyscFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XWyssFMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XXZxMFMEea5pdrFDq-m2g" name="name" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XXZysFMEea5pdrFDq-m2g">
              <body>A name of the entity in the audit event.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XXZyMFMEea5pdrFDq-m2g">
              <body>Descriptor for entity</body>
            </ownedComment>
            <ownedComment xmi:id="_5XYA0MFMEea5pdrFDq-m2g">
              <body>This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifers (patient number, medical record number, encounter number, etc.) have been used.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XYA0sFMEea5pdrFDq-m2g">
              <body>Use only where entity can't be identified with an identifier.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XXZxcFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XXZxsFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XYA1MFMEea5pdrFDq-m2g" name="description" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XYA2sFMEea5pdrFDq-m2g">
              <body>Text that describes the entity in more detail.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XYA2MFMEea5pdrFDq-m2g">
              <body>Descriptive text</body>
            </ownedComment>
            <ownedComment xmi:id="_5XYA3MFMEea5pdrFDq-m2g">
              <body>Use only where entity can't be identified with an identifier.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XYA1cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XYA1sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XYn4MFMEea5pdrFDq-m2g" name="query" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
            <ownedComment xmi:id="_5XYn5sFMEea5pdrFDq-m2g">
              <body>The query parameters for a query-type entities.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XYn5MFMEea5pdrFDq-m2g">
              <body>Query parameters</body>
            </ownedComment>
            <ownedComment xmi:id="_5XYn6MFMEea5pdrFDq-m2g">
              <body>For query events it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XYn4cFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XYn4sFMEea5pdrFDq-m2g" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5XZO8cFMEea5pdrFDq-m2g" name="detail" type="_5XYn6sFMEea5pdrFDq-m2g" isOrdered="true" aggregation="composite" association="_5XZ2AMFMEea5pdrFDq-m2g">
            <ownedComment xmi:id="_5XZ2BsFMEea5pdrFDq-m2g">
              <body>Additional Information about the entity.</body>
            </ownedComment>
            <ownedComment xmi:id="_5XZ2BMFMEea5pdrFDq-m2g">
              <body>Additional Information about the entity</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XZO8sFMEea5pdrFDq-m2g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XZO88FMEea5pdrFDq-m2g" value="*"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_5XYn6sFMEea5pdrFDq-m2g" name="Detail">
            <generalization xmi:id="_5XYn68FMEea5pdrFDq-m2g" general="_4bQ94cFMEea5pdrFDq-m2g"/>
            <ownedAttribute xmi:id="_5XZ2CMFMEea5pdrFDq-m2g" name="type" type="_4aHuYcFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5XZ2DsFMEea5pdrFDq-m2g">
                <body>Name of the property.</body>
              </ownedComment>
              <ownedComment xmi:id="_5XZ2DMFMEea5pdrFDq-m2g">
                <body>Name of the property</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XZ2CcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XZ2CsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_5XadEMFMEea5pdrFDq-m2g" name="value" type="_4aQRRMFMEea5pdrFDq-m2g" isOrdered="true">
              <ownedComment xmi:id="_5XadFsFMEea5pdrFDq-m2g">
                <body>Property value.</body>
              </ownedComment>
              <ownedComment xmi:id="_5XadFMFMEea5pdrFDq-m2g">
                <body>Property value</body>
              </ownedComment>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XadEcFMEea5pdrFDq-m2g" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XadEsFMEea5pdrFDq-m2g" value="1"/>
            </ownedAttribute>
          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XCClcFMEea5pdrFDq-m2g" memberEnd="_5XCClsFMEea5pdrFDq-m2g _5XCCkcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XCClsFMEea5pdrFDq-m2g" type="_5W1OQMFMEea5pdrFDq-m2g" association="_5XCClcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XCCl8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XCCmMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XFF5cFMEea5pdrFDq-m2g" memberEnd="_5XFF5sFMEea5pdrFDq-m2g _5XFF4cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XFF5sFMEea5pdrFDq-m2g" type="_5XBbhsFMEea5pdrFDq-m2g" association="_5XFF5cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XFF58FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XFF6MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XIJMMFMEea5pdrFDq-m2g" memberEnd="_5XIJMcFMEea5pdrFDq-m2g _5XHiJcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XIJMcFMEea5pdrFDq-m2g" type="_5XBbhsFMEea5pdrFDq-m2g" association="_5XIJMMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XIJMsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XIJM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XLzlMFMEea5pdrFDq-m2g" memberEnd="_5XLzlcFMEea5pdrFDq-m2g _5XLzkMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XLzlcFMEea5pdrFDq-m2g" type="_5XBbhsFMEea5pdrFDq-m2g" association="_5XLzlMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XLzlsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XLzl8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XO25cFMEea5pdrFDq-m2g" memberEnd="_5XO25sFMEea5pdrFDq-m2g _5XO24cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XO25sFMEea5pdrFDq-m2g" type="_5W1OQMFMEea5pdrFDq-m2g" association="_5XO25cFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XO258FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XO26MFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XR6NcFMEea5pdrFDq-m2g" memberEnd="_5XR6NsFMEea5pdrFDq-m2g _5XR6McFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XR6NsFMEea5pdrFDq-m2g" type="_5W1OQMFMEea5pdrFDq-m2g" association="_5XR6NcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XR6N8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XR6OMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XTIVcFMEea5pdrFDq-m2g" memberEnd="_5XTIVsFMEea5pdrFDq-m2g _5XTIUcFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XTIVsFMEea5pdrFDq-m2g" type="_5XRTJMFMEea5pdrFDq-m2g" association="_5XTIVcFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XTIV8FMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XTIWMFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XZ2AMFMEea5pdrFDq-m2g" memberEnd="_5XZ2AcFMEea5pdrFDq-m2g _5XZO8cFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XZ2AcFMEea5pdrFDq-m2g" type="_5XRTJMFMEea5pdrFDq-m2g" association="_5XZ2AMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XZ2AsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XZ2A8FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5XadGMFMEea5pdrFDq-m2g" name="Basic">
        <ownedComment xmi:id="_5XbrNMFMEea5pdrFDq-m2g">
          <body>Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.</body>
        </ownedComment>
        <ownedComment xmi:id="_5XbEIsFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for Basic Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5XbEJMFMEea5pdrFDq-m2g">
          <body>Need some way to safely (without breaking interoperability) allow implementers to exchange content not supported by the initial set of declared resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_5XbrMsFMEea5pdrFDq-m2g">
          <body>Resource for non-supported content</body>
        </ownedComment>
        <generalization xmi:id="_5XbrMcFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5XbrNsFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XbrPMFMEea5pdrFDq-m2g">
            <body>Identifier assigned to the resource for business purposes, outside the context of FHIR.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XbrOsFMEea5pdrFDq-m2g">
            <body>Business identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XbrN8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XbrOMFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XcSQMFMEea5pdrFDq-m2g" name="code" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Xc5UsFMEea5pdrFDq-m2g">
            <body>Identifies the 'type' of resource - equivalent to the resource name for other resources.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xc5UMFMEea5pdrFDq-m2g">
            <body>Kind of Resource</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xc5VMFMEea5pdrFDq-m2g">
            <body>Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource.  Refer to the resource notes section for information on appropriate terminologies for this code.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xc5VsFMEea5pdrFDq-m2g">
            <body>Must be able to distinguish different types of &quot;basic&quot; resources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XcSQcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XcSQsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Xc5WMFMEea5pdrFDq-m2g" name="subject" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5XdgY8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XdgacFMEea5pdrFDq-m2g">
            <body>Identifies the patient, practitioner, device or any other resource that is the &quot;focus&quot; of this resource.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XdgZ8FMEea5pdrFDq-m2g">
            <body>Identifies the focus of this resource</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xdga8FMEea5pdrFDq-m2g">
            <body>Optional as not all resources potential resources will have subjects.  Resources associated with multiple subjects can handle this via extension.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XeHcMFMEea5pdrFDq-m2g">
            <body>Needed for partitioning the resource by Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XdgYMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XdgYcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XeHcsFMEea5pdrFDq-m2g" name="created" type="_4aWX5cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XeHeMFMEea5pdrFDq-m2g">
            <body>Identifies when the resource was first created.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XeHdsFMEea5pdrFDq-m2g">
            <body>When created</body>
          </ownedComment>
          <ownedComment xmi:id="_5XeHesFMEea5pdrFDq-m2g">
            <body>Allows ordering resource instances by time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XeHc8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XeHdMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XeHfMFMEea5pdrFDq-m2g" name="author" type="_4a-C9MFMEea5pdrFDq-m2g" isOrdered="true" association="_5Xeug8FMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XeuicFMEea5pdrFDq-m2g">
            <body>Indicates who was responsible for creating the resource instance.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xeuh8FMEea5pdrFDq-m2g">
            <body>Who created</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xeui8FMEea5pdrFDq-m2g">
            <body>Needed for partitioning the resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XeugMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XeugcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5XdgY8FMEea5pdrFDq-m2g" memberEnd="_5XdgZMFMEea5pdrFDq-m2g _5Xc5WMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XdgZMFMEea5pdrFDq-m2g" type="_5XadGMFMEea5pdrFDq-m2g" association="_5XdgY8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XdgZcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XdgZsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Xeug8FMEea5pdrFDq-m2g" memberEnd="_5XeuhMFMEea5pdrFDq-m2g _5XeHfMFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5XeuhMFMEea5pdrFDq-m2g" type="_5XadGMFMEea5pdrFDq-m2g" association="_5Xeug8FMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XeuhcFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XeuhsFMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5XfVkcFMEea5pdrFDq-m2g" name="SupplyDelivery">
        <ownedComment xmi:id="_5XgjsMFMEea5pdrFDq-m2g">
          <body>Record of delivery of what is supplied.</body>
        </ownedComment>
        <ownedComment xmi:id="_5Xf8osFMEea5pdrFDq-m2g">
          <body>Base StructureDefinition for SupplyDelivery Resource</body>
        </ownedComment>
        <ownedComment xmi:id="_5Xf8pcFMEea5pdrFDq-m2g">
          <body>Delivery of Supply</body>
        </ownedComment>
        <generalization xmi:id="_5Xf8pMFMEea5pdrFDq-m2g" general="_4a8NwMFMEea5pdrFDq-m2g"/>
        <ownedAttribute xmi:id="_5XgjssFMEea5pdrFDq-m2g" name="identifier" type="_4ciwRMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XgjuMFMEea5pdrFDq-m2g">
            <body>Identifier assigned by the dispensing facility when the item(s) is dispensed.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XgjtsFMEea5pdrFDq-m2g">
            <body>External identifier</body>
          </ownedComment>
          <ownedComment xmi:id="_5XgjusFMEea5pdrFDq-m2g">
            <body>This is assigned by the dispenser, and used to refer to this order in other external standards.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Xgjs8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XgjtMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XgjvMFMEea5pdrFDq-m2g" name="status" type="_4aUissFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Xhx0sFMEea5pdrFDq-m2g">
            <body>A code specifying the state of the dispense event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xhx0MFMEea5pdrFDq-m2g">
            <body>in-progress | completed | abandoned</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XgjvcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XhKwMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Xhx1MFMEea5pdrFDq-m2g" name="patient" type="_4eScuMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Xhx2MFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XiY4cFMEea5pdrFDq-m2g">
            <body>A link to a resource representing the person whom the delivered item is for.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xhx3MFMEea5pdrFDq-m2g">
            <body>Patient for whom the item is supplied</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Xhx1cFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Xhx1sFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XiY48FMEea5pdrFDq-m2g" name="type" type="_4ckleMFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Xi_88FMEea5pdrFDq-m2g">
            <body>Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xi_8cFMEea5pdrFDq-m2g">
            <body>Category of dispense event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XiY5MFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XiY5cFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Xi_9cFMEea5pdrFDq-m2g" name="quantity" type="_4k-TisFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XjnAMFMEea5pdrFDq-m2g">
            <body>The amount of supply that has been dispensed. Includes unit of measure.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xi_-cFMEea5pdrFDq-m2g">
            <body>Amount dispensed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Xi_9sFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Xi_98FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XjnAsFMEea5pdrFDq-m2g" name="suppliedItem[x]" type="_4aDc8cFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XkOEMFMEea5pdrFDq-m2g">
            <body>Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XjnB8FMEea5pdrFDq-m2g">
            <body>Medication, Substance, or Device supplied</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XjnA8FMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XjnBMFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XkOE8FMEea5pdrFDq-m2g" name="supplier" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5Xk1IMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5Xk1JsFMEea5pdrFDq-m2g">
            <body>The individual responsible for dispensing the medication, supplier or device.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xk1JMFMEea5pdrFDq-m2g">
            <body>Dispenser</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XkOFMFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XkOFcFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Xk1KMFMEea5pdrFDq-m2g" name="whenPrepared" type="_4ax1tcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5Xk1LsFMEea5pdrFDq-m2g">
            <body>The time the dispense event occurred.</body>
          </ownedComment>
          <ownedComment xmi:id="_5Xk1LMFMEea5pdrFDq-m2g">
            <body>Dispensing time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Xk1KcFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Xk1KsFMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XlcMcFMEea5pdrFDq-m2g" name="time" type="_4aYNFcFMEea5pdrFDq-m2g" isOrdered="true">
          <ownedComment xmi:id="_5XlcN8FMEea5pdrFDq-m2g">
            <body>The time the dispensed item was sent or handed to the patient (or agent).</body>
          </ownedComment>
          <ownedComment xmi:id="_5XlcNcFMEea5pdrFDq-m2g">
            <body>Handover time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XlcMsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XlcM8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XlcOcFMEea5pdrFDq-m2g" name="destination" type="_4dfLecFMEea5pdrFDq-m2g" isOrdered="true" association="_5XmDQMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XmDRsFMEea5pdrFDq-m2g">
            <body>Identification of the facility/location where the Supply was shipped to, as part of the dispense event.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XmDRMFMEea5pdrFDq-m2g">
            <body>Where the Supply was sent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XlcOsFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XlcO8FMEea5pdrFDq-m2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5XmDSMFMEea5pdrFDq-m2g" name="receiver" type="_4a6_qMFMEea5pdrFDq-m2g" isOrdered="true" association="_5XmqUMFMEea5pdrFDq-m2g">
          <ownedComment xmi:id="_5XmqVsFMEea5pdrFDq-m2g">
            <body>Identifies the person who picked up the Supply.</body>
          </ownedComment>
          <ownedComment xmi:id="_5XmqVMFMEea5pdrFDq-m2g">
            <body>Who collected the Supply</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XmDScFMEea5pdrFDq-m2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XmDSsFMEea5pdrFDq-m2g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Xhx2MFMEea5pdrFDq-m2g" memberEnd="_5Xhx2cFMEea5pdrFDq-m2g _5Xhx1MFMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Xhx2cFMEea5pdrFDq-m2g" type="_5XfVkcFMEea5pdrFDq-m2g" association="_5Xhx2MFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Xhx2sFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Xhx28FMEea5pdrFDq-m2g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5Xk1IMFMEea5pdrFDq-m2g" memberEnd="_5Xk1IcFMEea5pdrFDq-m2g _5XkOE8FMEea5pdrFDq-m2g">
        <ownedEnd xmi:id="_5Xk1IcFMEea5pdrFDq-m2g" type="_5XfVkcFMEea5pdrFDq-m2g" association="_5Xk1IMFMEea5pdrFDq-m2g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Xk1IsFMEea5pdrFDq-m2g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Xk1I8FMEea5pdrFDq-m2g" value="1"/>
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  <fhir:StructureDefinition xmi:id="_4andocFMEea5pdrFDq-m2g" id="positiveInt" uri="http://hl7.org/fhir/StructureDefinition/positiveInt" name="positiveInt" publisher="HL7 FHIR Standard" base_Class="_4am2lcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4ando8FMEea5pdrFDq-m2g" base_Comment="_4andosFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4aoEsMFMEea5pdrFDq-m2g" base_Comment="_4andpcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4aoEssFMEea5pdrFDq-m2g" base_Comment="_4aoEscFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4aoEtsFMEea5pdrFDq-m2g" id="positiveInt.value" base_Property="_4aoEs8FMEea5pdrFDq-m2g" name="positiveInt.value">
    <representation>xmlAttr</representation>
  </fhir:ElementDefinition>
  <Ecore:EAttribute xmi:id="_4aorwMFMEea5pdrFDq-m2g" xmlFeatureKind="Attribute" base_Property="_4aoEs8FMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4aorwsFMEea5pdrFDq-m2g" base_Comment="_4aorwcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4aorxMFMEea5pdrFDq-m2g" base_Comment="_4aorw8FMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4apS0MFMEea5pdrFDq-m2g" base_Class="_4aorxcFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
  </Ecore:EClass>
  <fhir:StructureDefinition xmi:id="_4apS0cFMEea5pdrFDq-m2g" id="time" uri="http://hl7.org/fhir/StructureDefinition/time" name="time" publisher="HL7 FHIR Standard" base_Class="_4aorxcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4apS08FMEea5pdrFDq-m2g" base_Comment="_4apS0sFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4apS1sFMEea5pdrFDq-m2g" base_Comment="_4apS1cFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4apS2MFMEea5pdrFDq-m2g" base_Comment="_4apS18FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4ap548FMEea5pdrFDq-m2g" id="time.value" base_Property="_4ap54MFMEea5pdrFDq-m2g" name="time.value">
    <representation>xmlAttr</representation>
  </fhir:ElementDefinition>
  <Ecore:EAttribute xmi:id="_4ap55MFMEea5pdrFDq-m2g" xmlFeatureKind="Attribute" base_Property="_4ap54MFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4aqg8cFMEea5pdrFDq-m2g" base_Comment="_4aqg8MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4aqg88FMEea5pdrFDq-m2g" base_Comment="_4aqg8sFMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4aqg9cFMEea5pdrFDq-m2g" base_Class="_4aqg9MFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
  </Ecore:EClass>
  <fhir:StructureDefinition xmi:id="_4arIAMFMEea5pdrFDq-m2g" id="unsignedInt" uri="http://hl7.org/fhir/StructureDefinition/unsignedInt" name="unsignedInt" publisher="HL7 FHIR Standard" base_Class="_4aqg9MFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4arIAsFMEea5pdrFDq-m2g" base_Comment="_4arIAcFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4arIBcFMEea5pdrFDq-m2g" base_Comment="_4arIBMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4arIB8FMEea5pdrFDq-m2g" base_Comment="_4arIBsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4arIC8FMEea5pdrFDq-m2g" id="unsignedInt.value" base_Property="_4arICMFMEea5pdrFDq-m2g" name="unsignedInt.value">
    <representation>xmlAttr</representation>
  </fhir:ElementDefinition>
  <Ecore:EAttribute xmi:id="_4arvEMFMEea5pdrFDq-m2g" xmlFeatureKind="Attribute" base_Property="_4arICMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4arvEsFMEea5pdrFDq-m2g" base_Comment="_4arvEcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4arvFMFMEea5pdrFDq-m2g" base_Comment="_4arvE8FMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4asWIMFMEea5pdrFDq-m2g" base_Class="_4arvFcFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
  </Ecore:EClass>
  <fhir:StructureDefinition xmi:id="_4asWIcFMEea5pdrFDq-m2g" id="Address" uri="http://hl7.org/fhir/StructureDefinition/Address" name="Address" publisher="HL7 FHIR Standard" base_Class="_4arvFcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4asWI8FMEea5pdrFDq-m2g" base_Comment="_4asWIsFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4asWJcFMEea5pdrFDq-m2g" base_Comment="_4asWJMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4as9McFMEea5pdrFDq-m2g" base_Comment="_4as9MMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4as9M8FMEea5pdrFDq-m2g" base_Comment="_4as9MsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4as9NcFMEea5pdrFDq-m2g" base_Comment="_4as9NMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4as9OcFMEea5pdrFDq-m2g" id="Address.use" base_Property="_4as9NsFMEea5pdrFDq-m2g" name="Address.use" isModifier="true" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4as9OsFMEea5pdrFDq-m2g" base_Property="_4as9NsFMEea5pdrFDq-m2g" strength="required" description="The use of an address" valueSetReference="_4atkQcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4atkQcFMEea5pdrFDq-m2g" id="address-use" uri="http://hl7.org/fhir/ValueSet/address-use" version="1.8.0" name="AddressUse" publisher="HL7 (FHIR Project)" base_Enumeration="_4atkQMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4atkQ8FMEea5pdrFDq-m2g" base_Comment="_4atkQsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4auLUcFMEea5pdrFDq-m2g" base_Comment="_4auLUMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4auLU8FMEea5pdrFDq-m2g" base_Comment="_4auLUsFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4auLVcFMEea5pdrFDq-m2g" base_Comment="_4auLVMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4auLWcFMEea5pdrFDq-m2g" id="Address.type" base_Property="_4auLVsFMEea5pdrFDq-m2g" name="Address.type" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4auLWsFMEea5pdrFDq-m2g" base_Property="_4auLVsFMEea5pdrFDq-m2g" strength="required" description="The type of an address (physical / postal)" valueSetReference="_4auyYcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4auyYcFMEea5pdrFDq-m2g" id="address-type" uri="http://hl7.org/fhir/ValueSet/address-type" version="1.8.0" name="AddressType" publisher="HL7 (FHIR Project)" base_Enumeration="_4auyYMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4auyY8FMEea5pdrFDq-m2g" base_Comment="_4auyYsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4auyZcFMEea5pdrFDq-m2g" base_Comment="_4auyZMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4auyacFMEea5pdrFDq-m2g" id="Address.text" base_Property="_4auyZsFMEea5pdrFDq-m2g" name="Address.text" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4avZccFMEea5pdrFDq-m2g" base_Comment="_4avZcMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4avZc8FMEea5pdrFDq-m2g" base_Comment="_4avZcsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4avZdcFMEea5pdrFDq-m2g" base_Comment="_4avZdMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4avZd8FMEea5pdrFDq-m2g" base_Comment="_4avZdsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4avZe8FMEea5pdrFDq-m2g" id="Address.line" base_Property="_4avZeMFMEea5pdrFDq-m2g" name="Address.line" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4avZfcFMEea5pdrFDq-m2g" base_Comment="_4avZfMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4awAgcFMEea5pdrFDq-m2g" base_Comment="_4awAgMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4awAg8FMEea5pdrFDq-m2g" base_Comment="_4awAgsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4awAh8FMEea5pdrFDq-m2g" id="Address.city" base_Property="_4awAhMFMEea5pdrFDq-m2g" name="Address.city" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4awAicFMEea5pdrFDq-m2g" base_Comment="_4awAiMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4awAi8FMEea5pdrFDq-m2g" base_Comment="_4awAisFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4awnksFMEea5pdrFDq-m2g" id="Address.district" base_Property="_4awAjMFMEea5pdrFDq-m2g" name="Address.district" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4awnlMFMEea5pdrFDq-m2g" base_Comment="_4awnk8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4awnlsFMEea5pdrFDq-m2g" base_Comment="_4awnlcFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4awnmMFMEea5pdrFDq-m2g" base_Comment="_4awnl8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4awnnMFMEea5pdrFDq-m2g" id="Address.state" base_Property="_4awnmcFMEea5pdrFDq-m2g" name="Address.state" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4awnnsFMEea5pdrFDq-m2g" base_Comment="_4awnncFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4axOocFMEea5pdrFDq-m2g" base_Comment="_4axOoMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4axOpcFMEea5pdrFDq-m2g" id="Address.postalCode" base_Property="_4axOosFMEea5pdrFDq-m2g" name="Address.postalCode" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4axOp8FMEea5pdrFDq-m2g" base_Comment="_4axOpsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4axOqcFMEea5pdrFDq-m2g" base_Comment="_4axOqMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4axOrcFMEea5pdrFDq-m2g" id="Address.country" base_Property="_4axOqsFMEea5pdrFDq-m2g" name="Address.country" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4ax1sMFMEea5pdrFDq-m2g" base_Comment="_4axOrsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4ax1ssFMEea5pdrFDq-m2g" base_Comment="_4ax1scFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4ax1tMFMEea5pdrFDq-m2g" base_Comment="_4ax1s8FMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4aycwMFMEea5pdrFDq-m2g" base_Constraint="_4ax1tsFMEea5pdrFDq-m2g" code="-1" message="If present, start SHALL have a lower value than end"/>
  <Ecore:EClass xmi:id="_4aycwcFMEea5pdrFDq-m2g" base_Class="_4ax1tcFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
  </Ecore:EClass>
  <fhir:StructureDefinition xmi:id="_4azD0MFMEea5pdrFDq-m2g" id="Period" uri="http://hl7.org/fhir/StructureDefinition/Period" name="Period" publisher="HL7 FHIR Standard" base_Class="_4ax1tcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4azD0sFMEea5pdrFDq-m2g" base_Comment="_4azD0cFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4azD1cFMEea5pdrFDq-m2g" base_Comment="_4azD1MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4azD18FMEea5pdrFDq-m2g" base_Comment="_4azD1sFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4azD2cFMEea5pdrFDq-m2g" base_Comment="_4azD2MFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4azD3cFMEea5pdrFDq-m2g" id="Period.start" base_Property="_4azD2sFMEea5pdrFDq-m2g" name="Period.start" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4azq4MFMEea5pdrFDq-m2g" base_Comment="_4azD3sFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4azq4sFMEea5pdrFDq-m2g" base_Comment="_4azq4cFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4azq5MFMEea5pdrFDq-m2g" base_Comment="_4azq48FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4azq6MFMEea5pdrFDq-m2g" id="Period.end" base_Property="_4azq5cFMEea5pdrFDq-m2g" name="Period.end" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4azq6sFMEea5pdrFDq-m2g" base_Comment="_4azq6cFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4azq7MFMEea5pdrFDq-m2g" base_Comment="_4azq68FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4azq7sFMEea5pdrFDq-m2g" base_Comment="_4azq7cFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4a0R88FMEea5pdrFDq-m2g" id="Address.period" base_Property="_4a0R8MFMEea5pdrFDq-m2g" name="Address.period" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4a0R9cFMEea5pdrFDq-m2g" base_Comment="_4a0R9MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a0R98FMEea5pdrFDq-m2g" base_Comment="_4a0R9sFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a0R-cFMEea5pdrFDq-m2g" base_Comment="_4a0R-MFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4a05AMFMEea5pdrFDq-m2g" base_Constraint="_4a0R-8FMEea5pdrFDq-m2g" code="-1" message="There SHALL be a code if there is a value and it SHALL be an expression of time.  If system is present, it SHALL be UCUM.  If value is present, it SHALL be positive."/>
  <Ecore:EClass xmi:id="_4a1gEMFMEea5pdrFDq-m2g" base_Class="_4a0R-sFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
  </Ecore:EClass>
  <fhir:StructureDefinition xmi:id="_4a1gEcFMEea5pdrFDq-m2g" id="Age" uri="http://hl7.org/fhir/StructureDefinition/Age" name="Age" publisher="HL7 FHIR Standard" base_Class="_4a0R-sFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4a1gE8FMEea5pdrFDq-m2g" base_Comment="_4a1gEsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4a2HIMFMEea5pdrFDq-m2g" base_Constraint="_4a1gFcFMEea5pdrFDq-m2g" code="-1" message="If a code for the unit is present, the system SHALL also be present"/>
  <Ecore:EClass xmi:id="_4a2HIcFMEea5pdrFDq-m2g" base_Class="_4a1gFMFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4a2uMMFMEea5pdrFDq-m2g" id="Quantity" uri="http://hl7.org/fhir/StructureDefinition/Quantity" name="Quantity" publisher="HL7 FHIR Standard" base_Class="_4a1gFMFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4a2uMsFMEea5pdrFDq-m2g" base_Comment="_4a2uMcFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a2uNMFMEea5pdrFDq-m2g" base_Comment="_4a2uM8FMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4a2uN8FMEea5pdrFDq-m2g" base_Comment="_4a2uNsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a2uOcFMEea5pdrFDq-m2g" base_Comment="_4a2uOMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4a2uO8FMEea5pdrFDq-m2g" base_Comment="_4a2uOsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4a3VQ8FMEea5pdrFDq-m2g" id="Quantity.value" base_Property="_4a3VQMFMEea5pdrFDq-m2g" name="Quantity.value" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4a3VRcFMEea5pdrFDq-m2g" base_Comment="_4a3VRMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a3VR8FMEea5pdrFDq-m2g" base_Comment="_4a3VRsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4a3VScFMEea5pdrFDq-m2g" base_Comment="_4a3VSMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a3VS8FMEea5pdrFDq-m2g" base_Comment="_4a3VSsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4a38UcFMEea5pdrFDq-m2g" id="Quantity.comparator" base_Property="_4a3VTMFMEea5pdrFDq-m2g" name="Quantity.comparator" isModifier="true" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4a38UsFMEea5pdrFDq-m2g" base_Property="_4a3VTMFMEea5pdrFDq-m2g" strength="required" description="How the Quantity should be understood and represented." valueSetReference="_4a38VMFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4a38VMFMEea5pdrFDq-m2g" id="quantity-comparator" uri="http://hl7.org/fhir/ValueSet/quantity-comparator" version="1.8.0" name="QuantityComparator" publisher="HL7 (FHIR Project)" base_Enumeration="_4a38U8FMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4a4jYMFMEea5pdrFDq-m2g" base_Comment="_4a38VcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a4jYsFMEea5pdrFDq-m2g" base_Comment="_4a4jYcFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4a4jZMFMEea5pdrFDq-m2g" base_Comment="_4a4jY8FMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a4jZsFMEea5pdrFDq-m2g" base_Comment="_4a4jZcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4a4jasFMEea5pdrFDq-m2g" id="Quantity.unit" base_Property="_4a4jZ8FMEea5pdrFDq-m2g" name="Quantity.unit" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4a4jbMFMEea5pdrFDq-m2g" base_Comment="_4a4ja8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a5KcMFMEea5pdrFDq-m2g" base_Comment="_4a4jbcFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a5KcsFMEea5pdrFDq-m2g" base_Comment="_4a5KccFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4a5KdsFMEea5pdrFDq-m2g" id="Quantity.system" base_Property="_4a5Kc8FMEea5pdrFDq-m2g" name="Quantity.system" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4a5KeMFMEea5pdrFDq-m2g" base_Comment="_4a5Kd8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a5KesFMEea5pdrFDq-m2g" base_Comment="_4a5KecFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a5KfMFMEea5pdrFDq-m2g" base_Comment="_4a5Ke8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4a5xgMFMEea5pdrFDq-m2g" id="Quantity.code" base_Property="_4a5KfcFMEea5pdrFDq-m2g" name="Quantity.code" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4a5xgsFMEea5pdrFDq-m2g" base_Comment="_4a5xgcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4a5xhMFMEea5pdrFDq-m2g" base_Comment="_4a5xg8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4a5xhsFMEea5pdrFDq-m2g" base_Comment="_4a5xhcFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4a5xiMFMEea5pdrFDq-m2g" base_Comment="_4a5xh8FMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4a5xi8FMEea5pdrFDq-m2g" base_Comment="_4a5xisFMEea5pdrFDq-m2g"/>
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  <Ecore:EClass xmi:id="_4a6YkMFMEea5pdrFDq-m2g" base_Class="_4a5xjsFMEea5pdrFDq-m2g">
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:ValueSetMember xmi:id="_4bKQNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bKQNMFMEea5pdrFDq-m2g" display="Italian (Italy)"/>
  <fhir:ValueSetMember xmi:id="_4bKQN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bKQNsFMEea5pdrFDq-m2g" display="Japanese"/>
  <fhir:ValueSetMember xmi:id="_4bKQOcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bKQOMFMEea5pdrFDq-m2g" display="Korean"/>
  <fhir:ValueSetMember xmi:id="_4bK3QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bK3QMFMEea5pdrFDq-m2g" display="Dutch"/>
  <fhir:ValueSetMember xmi:id="_4bK3Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bK3QsFMEea5pdrFDq-m2g" display="Dutch (Belgium)"/>
  <fhir:ValueSetMember xmi:id="_4bK3RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bK3RMFMEea5pdrFDq-m2g" display="Dutch (Netherlands)"/>
  <fhir:ValueSetMember xmi:id="_4bK3R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bK3RsFMEea5pdrFDq-m2g" display="Norwegian"/>
  <fhir:ValueSetMember xmi:id="_4bK3ScFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bK3SMFMEea5pdrFDq-m2g" display="Norwegian (Norway)"/>
  <fhir:ValueSetMember xmi:id="_4bLeUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bK3SsFMEea5pdrFDq-m2g" display="Portuguese"/>
  <fhir:ValueSetMember xmi:id="_4bLeUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bLeUcFMEea5pdrFDq-m2g" display="Portuguese (Brazil)"/>
  <fhir:ValueSetMember xmi:id="_4bLeVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bLeU8FMEea5pdrFDq-m2g" display="Russian"/>
  <fhir:ValueSetMember xmi:id="_4bLeVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bLeVcFMEea5pdrFDq-m2g" display="Russian (Russia)"/>
  <fhir:ValueSetMember xmi:id="_4bLeWMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bLeV8FMEea5pdrFDq-m2g" display="Serbian"/>
  <fhir:ValueSetMember xmi:id="_4bLeWsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bLeWcFMEea5pdrFDq-m2g" display="Serbian (Serbia)"/>
  <fhir:ValueSetMember xmi:id="_4bMFYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMFYMFMEea5pdrFDq-m2g" display="Swedish"/>
  <fhir:ValueSetMember xmi:id="_4bMFY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMFYsFMEea5pdrFDq-m2g" display="Swedish (Sweden)"/>
  <fhir:ValueSetMember xmi:id="_4bMFZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMFZMFMEea5pdrFDq-m2g" display="Telegu"/>
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  <fhir:ValueSetMember xmi:id="_4bMFacFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMFaMFMEea5pdrFDq-m2g" display="Chinese (China)"/>
  <fhir:ValueSetMember xmi:id="_4bMsccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMscMFMEea5pdrFDq-m2g" display="Chinese (Hong Kong)"/>
  <fhir:ValueSetMember xmi:id="_4bMsc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMscsFMEea5pdrFDq-m2g" display="Chinese (Singapore)"/>
  <fhir:ValueSetMember xmi:id="_4bMsdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4bMsdMFMEea5pdrFDq-m2g" display="Chinese (Taiwan)"/>
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  <fhir:Definition xmi:id="_4bNThsFMEea5pdrFDq-m2g" base_Comment="_4bNThcFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4bN6kMFMEea5pdrFDq-m2g" base_Constraint="_4bNTiMFMEea5pdrFDq-m2g" code="-1" message="The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a> elements (either name or href), images and internally contained style attributes"/>
  <validation:Diagnostic xmi:id="_4bOhoMFMEea5pdrFDq-m2g" base_Constraint="_4bN6kcFMEea5pdrFDq-m2g" code="-1" message="The narrative SHALL have some non-whitespace content"/>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:Definition xmi:id="_4cfF5sFMEea5pdrFDq-m2g" base_Comment="_4cfF5cFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_4cfs88FMEea5pdrFDq-m2g" base_Comment="_4cfs8sFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_4ciJOcFMEea5pdrFDq-m2g" base_Comment="_4ciJOMFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetMember xmi:id="_4dwRNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dwRNMFMEea5pdrFDq-m2g" display="Clinical oncology"/>
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  <fhir:ValueSetMember xmi:id="_4dxfVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dxfU8FMEea5pdrFDq-m2g" display="Dermatology"/>
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  <fhir:ValueSetMember xmi:id="_4dyGY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dyGYsFMEea5pdrFDq-m2g" display="Endocrinology"/>
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  <fhir:ValueSetMember xmi:id="_4dytc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dytcsFMEea5pdrFDq-m2g" display="General medicine"/>
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  <fhir:ValueSetMember xmi:id="_4dytd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dytdsFMEea5pdrFDq-m2g" display="General practice"/>
  <fhir:ValueSetMember xmi:id="_4dzUgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dzUgMFMEea5pdrFDq-m2g" display="Genito-urinary medicine"/>
  <fhir:ValueSetMember xmi:id="_4dzUg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4dzUgsFMEea5pdrFDq-m2g" display="Geriatric medicine"/>
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  <fhir:ValueSetMember xmi:id="_4d0ipsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d0ipcFMEea5pdrFDq-m2g" display="Internal medicine"/>
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  <fhir:ValueSetMember xmi:id="_4d1JscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d1JsMFMEea5pdrFDq-m2g" display="Medical oncology"/>
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  <fhir:ValueSetMember xmi:id="_4d2X18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d2X1sFMEea5pdrFDq-m2g" display="Ophthalmology"/>
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  <fhir:ValueSetMember xmi:id="_4d6pQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d6pQcFMEea5pdrFDq-m2g" display="Pulmonary medicine"/>
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  <fhir:ValueSetMember xmi:id="_4d7QUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d7QUcFMEea5pdrFDq-m2g" display="Rehabilitation"/>
  <fhir:ValueSetMember xmi:id="_4d7QVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d7QU8FMEea5pdrFDq-m2g" display="Respite care"/>
  <fhir:ValueSetMember xmi:id="_4d7QVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d7QVcFMEea5pdrFDq-m2g" display="Rheumatology"/>
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  <fhir:ValueSetMember xmi:id="_4d73YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d73YMFMEea5pdrFDq-m2g" display="Surgery-Bone and marrow transplantation"/>
  <fhir:ValueSetMember xmi:id="_4d73Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d73YsFMEea5pdrFDq-m2g" display="Surgery-Breast surgery"/>
  <fhir:ValueSetMember xmi:id="_4d73ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d73ZMFMEea5pdrFDq-m2g" display="Surgery-Cardiac surgery"/>
  <fhir:ValueSetMember xmi:id="_4d73Z8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d73ZsFMEea5pdrFDq-m2g" display="Surgery-Cardiothoracic transplantation"/>
  <fhir:ValueSetMember xmi:id="_4d8eccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d8ecMFMEea5pdrFDq-m2g" display="Surgery-Colorectal surgery"/>
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  <fhir:ValueSetMember xmi:id="_4d8edcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d8edMFMEea5pdrFDq-m2g" display="Surgery-Dental-Oral and maxillofacial surgery"/>
  <fhir:ValueSetMember xmi:id="_4d8ed8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d8edsFMEea5pdrFDq-m2g" display="Surgery-Dental-Oral surgery"/>
  <fhir:ValueSetMember xmi:id="_4d9FgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d9FgMFMEea5pdrFDq-m2g" display="Surgery-Dental-Orthodontics"/>
  <fhir:ValueSetMember xmi:id="_4d9Fg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d9FgsFMEea5pdrFDq-m2g" display="Surgery-Dental-Periodontal surgery"/>
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  <fhir:ValueSetMember xmi:id="_4d9Fh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d9FhsFMEea5pdrFDq-m2g" display="Surgery-Dental-surgical-Prosthodontics"/>
  <fhir:ValueSetMember xmi:id="_4d9skcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d9skMFMEea5pdrFDq-m2g" display="Surgery-Dentistry-Restorative dentistry"/>
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  <fhir:ValueSetMember xmi:id="_4d9slcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d9slMFMEea5pdrFDq-m2g" display="Surgery-Dentistry-surgical-Orthodontics"/>
  <fhir:ValueSetMember xmi:id="_4d9sl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d9slsFMEea5pdrFDq-m2g" display="Surgery-Dermatologic surgery"/>
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  <fhir:ValueSetMember xmi:id="_4d-6t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d-6tsFMEea5pdrFDq-m2g" display="Surgery-Vascular"/>
  <fhir:ValueSetMember xmi:id="_4d_hwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d_hwMFMEea5pdrFDq-m2g" display="Surgical oncology"/>
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  <fhir:ValueSetMember xmi:id="_4d_hxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4d_hxMFMEea5pdrFDq-m2g" display="Thoracic medicine"/>
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  <fhir:Definition xmi:id="_4eBW8cFMEea5pdrFDq-m2g" base_Comment="_4eBW8MFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetMember xmi:id="_4elXosFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4elXocFMEea5pdrFDq-m2g" display="Leicester sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4elXpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4elXo8FMEea5pdrFDq-m2g" display="Horned Hereford (organism)"/>
  <fhir:ValueSetMember xmi:id="_4elXpsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4elXpcFMEea5pdrFDq-m2g" display="Camarron goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4elXqMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4elXp8FMEea5pdrFDq-m2g" display="Polled Hereford (organism)"/>
  <fhir:ValueSetMember xmi:id="_4el-scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4el-sMFMEea5pdrFDq-m2g" display="Kerry Hill sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4el-s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4el-ssFMEea5pdrFDq-m2g" display="Panama sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4el-tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4el-tMFMEea5pdrFDq-m2g" display="Anglo nubian goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4el-t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4el-tsFMEea5pdrFDq-m2g" display="Beefmaster cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4emlwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4emlwMFMEea5pdrFDq-m2g" display="Domestic goose (organism)"/>
  <fhir:ValueSetMember xmi:id="_4emlw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4emlwsFMEea5pdrFDq-m2g" display="Pekin duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4emlxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4emlxMFMEea5pdrFDq-m2g" display="Barbados sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enM0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4emlxsFMEea5pdrFDq-m2g" display="Brangus cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enM0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4enM0cFMEea5pdrFDq-m2g" display="Swiss alpine goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enM1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4enM08FMEea5pdrFDq-m2g" display="Toggenburg goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enM1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4enM1cFMEea5pdrFDq-m2g" display="Romanov sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enz4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4enz4MFMEea5pdrFDq-m2g" display="Wiltshire horn sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enz48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4enz4sFMEea5pdrFDq-m2g" display="Perendale sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4enz5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4enz5MFMEea5pdrFDq-m2g" display="Debouillet sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eoa8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eoa8MFMEea5pdrFDq-m2g" display="Mouflon sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eoa88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eoa8sFMEea5pdrFDq-m2g" display="Delaine merino sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eoa9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eoa9MFMEea5pdrFDq-m2g" display="Clun Forest sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eoa98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eoa9sFMEea5pdrFDq-m2g" display="Cheviot sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4epCAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4epCAMFMEea5pdrFDq-m2g" display="Oxford Down sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4epCA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4epCAsFMEea5pdrFDq-m2g" display="La Mancha goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4epCBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4epCBMFMEea5pdrFDq-m2g" display="Navajo sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4epCB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4epCBsFMEea5pdrFDq-m2g" display="Angora goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eppEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eppEMFMEea5pdrFDq-m2g" display="Karakul sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eppE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eppEsFMEea5pdrFDq-m2g" display="Black faced Highland sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eppFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eppFMFMEea5pdrFDq-m2g" display="Lincoln sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eppF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eppFsFMEea5pdrFDq-m2g" display="Cotswold sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eqQIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eqQIMFMEea5pdrFDq-m2g" display="Corriedale sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eqQI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eqQIsFMEea5pdrFDq-m2g" display="Alpine goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eqQJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eqQJMFMEea5pdrFDq-m2g" display="Finnish landrace sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eqQJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eqQJsFMEea5pdrFDq-m2g" display="Suffolk sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eq3McFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eq3MMFMEea5pdrFDq-m2g" display="American merino sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eq3M8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eq3MsFMEea5pdrFDq-m2g" display="Rock alpine goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eq3NcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eq3NMFMEea5pdrFDq-m2g" display="Romedale sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ereQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eq3NsFMEea5pdrFDq-m2g" display="Hampshire Down sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ereQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ereQcFMEea5pdrFDq-m2g" display="Hungarian goose (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ereRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ereQ8FMEea5pdrFDq-m2g" display="Horned dorset sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4esFUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ereRcFMEea5pdrFDq-m2g" display="North County cheviot sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4esFUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4esFUcFMEea5pdrFDq-m2g" display="Targhee sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4esFVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4esFU8FMEea5pdrFDq-m2g" display="Chamoisee goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4esFVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4esFVcFMEea5pdrFDq-m2g" display="Chinese goose (organism)"/>
  <fhir:ValueSetMember xmi:id="_4essYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4essYMFMEea5pdrFDq-m2g" display="No-tail sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4essY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4essYsFMEea5pdrFDq-m2g" display="Romnelet sheep (organism)"/>
  <fhir:ValueSetMember xmi:id="_4essZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4essZMFMEea5pdrFDq-m2g" display="Pilgrim goose (organism)"/>
  <fhir:ValueSetMember xmi:id="_4essZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4essZsFMEea5pdrFDq-m2g" display="Mixed Breed Goat (organism)"/>
  <fhir:ValueSetMember xmi:id="_4etTccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4etTcMFMEea5pdrFDq-m2g" display="Australian Goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4etTc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4etTcsFMEea5pdrFDq-m2g" display="Arapawa Island goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4etTdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4etTdMFMEea5pdrFDq-m2g" display="Maltese goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4etTd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4etTdsFMEea5pdrFDq-m2g" display="Provençale goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4et6gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4et6gMFMEea5pdrFDq-m2g" display="Negra Serrana goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4et6g8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4et6gsFMEea5pdrFDq-m2g" display="Orobica goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4et6hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4et6hMFMEea5pdrFDq-m2g" display="Roya-Vesubie goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4et6h8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4et6hsFMEea5pdrFDq-m2g" display="Retinta Extremena goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4euhkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4euhkMFMEea5pdrFDq-m2g" display="Appenzell goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4euhk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4euhksFMEea5pdrFDq-m2g" display="American Cashmere goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4euhlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4euhlMFMEea5pdrFDq-m2g" display="Altai Mountain goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evIocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evIoMFMEea5pdrFDq-m2g" display="Pyrenean goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evIo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evIosFMEea5pdrFDq-m2g" display="Bagot goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evIpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evIpMFMEea5pdrFDq-m2g" display="Russian White goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evvscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evvsMFMEea5pdrFDq-m2g" display="Moxotó goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evvs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evvssFMEea5pdrFDq-m2g" display="Myotonic goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evvtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evvtMFMEea5pdrFDq-m2g" display="Nachi goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4evvt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4evvtsFMEea5pdrFDq-m2g" display="Nigerian Dwarf goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ewWwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ewWwMFMEea5pdrFDq-m2g" display="Sarda goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ewWw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ewWwsFMEea5pdrFDq-m2g" display="Serpentina goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ewWxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ewWxMFMEea5pdrFDq-m2g" display="Serrana goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ew90cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ew90MFMEea5pdrFDq-m2g" display="Verata goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ew908FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ew90sFMEea5pdrFDq-m2g" display="Verzasca black goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ew91cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ew91MFMEea5pdrFDq-m2g" display="Norwegian goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ew918FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ew91sFMEea5pdrFDq-m2g" display="Oberhasli goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4exk4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4exk4MFMEea5pdrFDq-m2g" display="Peacock Goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4exk48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4exk4sFMEea5pdrFDq-m2g" display="Philippine goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4exk5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4exk5MFMEea5pdrFDq-m2g" display="Loashan goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4exk58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4exk5sFMEea5pdrFDq-m2g" display="San Clemente goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyL8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyL8MFMEea5pdrFDq-m2g" display="Somali goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyL88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyL8sFMEea5pdrFDq-m2g" display="Spanish goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyL9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyL9MFMEea5pdrFDq-m2g" display="Rove goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyzAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyzAMFMEea5pdrFDq-m2g" display="SRD goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyzA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyzAsFMEea5pdrFDq-m2g" display="Swedish Landrace goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyzBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyzBMFMEea5pdrFDq-m2g" display="Thuringian goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4eyzB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4eyzBsFMEea5pdrFDq-m2g" display="Uzbek Black goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ezaEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ezaEMFMEea5pdrFDq-m2g" display="Zhongwei goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ezaE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ezaEsFMEea5pdrFDq-m2g" display="Barbari goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ezaFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ezaFMFMEea5pdrFDq-m2g" display="Poitou goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ezaF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ezaFsFMEea5pdrFDq-m2g" display="Repartida goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0BIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0BIMFMEea5pdrFDq-m2g" display="Booted Goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0BI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0BIsFMEea5pdrFDq-m2g" display="Corsican goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0BJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0BJMFMEea5pdrFDq-m2g" display="Chapar goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0BJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0BJsFMEea5pdrFDq-m2g" display="Canindé goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0oMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0oMMFMEea5pdrFDq-m2g" display="Canary Island goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0oM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0oMsFMEea5pdrFDq-m2g" display="Daera Din Panah goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0oNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0oNMFMEea5pdrFDq-m2g" display="British Alpine goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e0oN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e0oNsFMEea5pdrFDq-m2g" display="Bhuj goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e1PQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e1PQMFMEea5pdrFDq-m2g" display="Boer goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e1PQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e1PQsFMEea5pdrFDq-m2g" display="Benadir goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e1PRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e1PRMFMEea5pdrFDq-m2g" display="Créole Antilles goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e1PR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e1PRsFMEea5pdrFDq-m2g" display="Beetal goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e12UcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e12UMFMEea5pdrFDq-m2g" display="Golden Guernsey goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e12U8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e12UsFMEea5pdrFDq-m2g" display="Danish Landrace goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e12VcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e12VMFMEea5pdrFDq-m2g" display="Kaghani goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e12V8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e12VsFMEea5pdrFDq-m2g" display="Irish Goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e2dYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e2dYMFMEea5pdrFDq-m2g" display="Grisons Striped goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e2dY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e2dYsFMEea5pdrFDq-m2g" display="Jining Gray goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e2dZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e2dZMFMEea5pdrFDq-m2g" display="Finnish Landrace goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e2dZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e2dZsFMEea5pdrFDq-m2g" display="Erzgebirg goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3EccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3EcMFMEea5pdrFDq-m2g" display="Kamori goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3Ec8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3EcsFMEea5pdrFDq-m2g" display="Don goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3EdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3EdMFMEea5pdrFDq-m2g" display="Kiko goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3rgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3EdsFMEea5pdrFDq-m2g" display="Kinder goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3rgsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3rgcFMEea5pdrFDq-m2g" display="Pygora goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3rhMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3rg8FMEea5pdrFDq-m2g" display="Wooden Leg goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e3rhsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3rhcFMEea5pdrFDq-m2g" display="Alpine Chamoisee goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e4SkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e3rh8FMEea5pdrFDq-m2g" display="Massif Central goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e4SksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e4SkcFMEea5pdrFDq-m2g" display="Malagueña goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e4SlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e4Sk8FMEea5pdrFDq-m2g" display="Algarvia goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e4SlsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e4SlcFMEea5pdrFDq-m2g" display="British Saanen goat breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e5gs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e5gssFMEea5pdrFDq-m2g" display="Chamois of the Alps goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e5gtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e5gtMFMEea5pdrFDq-m2g" display="Charnequeria goat breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e6HxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e6HxMFMEea5pdrFDq-m2g" display="Des Fosses (Communes de l'Ouest) goat breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e6Hx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e6HxsFMEea5pdrFDq-m2g" display="English goat breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e6u2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e6u18FMEea5pdrFDq-m2g" display="Girgentana goat breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e7V48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e7V4sFMEea5pdrFDq-m2g" display="Murciana-Granadina goat breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e789cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e789MFMEea5pdrFDq-m2g" display="Cholistani sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e8kAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e8kAMFMEea5pdrFDq-m2g" display="Bibrik sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e8kA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e8kAsFMEea5pdrFDq-m2g" display="Columbia sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e8kBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e8kBMFMEea5pdrFDq-m2g" display="Black Welsh Mountain Sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e8kB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e8kBsFMEea5pdrFDq-m2g" display="Blackhead Persian sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e9LFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e9LFMFMEea5pdrFDq-m2g" display="Bond sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e9LF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e9LFsFMEea5pdrFDq-m2g" display="Border Leicester sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e9yIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e9yIMFMEea5pdrFDq-m2g" display="Boreray sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e9yI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e9yIsFMEea5pdrFDq-m2g" display="Bovska sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e9yJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e9yJMFMEea5pdrFDq-m2g" display="Braunes Bergschaf sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e-ZMMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e9yKMFMEea5pdrFDq-m2g" display="Beulah Speckled-Face sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e-ZMsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e-ZMcFMEea5pdrFDq-m2g" display="Dartmoor sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e_AQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e-ZN8FMEea5pdrFDq-m2g" display="Elliottdale sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e_AQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e_AQcFMEea5pdrFDq-m2g" display="Drysdale sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e_ASMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e_AR8FMEea5pdrFDq-m2g" display="Kooka sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e_nUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e_nUMFMEea5pdrFDq-m2g" display="Friesian Milk Sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4e_nVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e_nVMFMEea5pdrFDq-m2g" display="German Whiteheaded Mutton sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4e_nV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e_nVsFMEea5pdrFDq-m2g" display="Graue Gehoernte Heidschnucke sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fAOYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4e_nWMFMEea5pdrFDq-m2g" display="Han sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fAOYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fAOYcFMEea5pdrFDq-m2g" display="Gromark sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fAOZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fAOY8FMEea5pdrFDq-m2g" display="Gulf Coast Native sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fAOZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fAOZcFMEea5pdrFDq-m2g" display="Dorper sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fA1ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fA1cMFMEea5pdrFDq-m2g" display="Devon Closewool sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fA1c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fA1csFMEea5pdrFDq-m2g" display="Deutsches Blaukoepfiges Fleischschaf sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fA1dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fA1dMFMEea5pdrFDq-m2g" display="Derbyshire Gritstone sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fBcgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fBcgMFMEea5pdrFDq-m2g" display="Danish Landrace sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fBcg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fBcgsFMEea5pdrFDq-m2g" display="Gute sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fBchcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fBchMFMEea5pdrFDq-m2g" display="Hampshire sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fBch8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fBchsFMEea5pdrFDq-m2g" display="Gentile di Puglia sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fCDkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fCDkMFMEea5pdrFDq-m2g" display="German Mountain sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fCDk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fCDksFMEea5pdrFDq-m2g" display="Luzein sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fCDlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fCDlMFMEea5pdrFDq-m2g" display="Katahdin sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fCDl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fCDlsFMEea5pdrFDq-m2g" display="Leineschaf sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fCqocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fCqoMFMEea5pdrFDq-m2g" display="Lincoln Longwool sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fCqpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fCqpMFMEea5pdrFDq-m2g" display="Lleyn sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fDRscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fDRsMFMEea5pdrFDq-m2g" display="Damara sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fDRs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fDRssFMEea5pdrFDq-m2g" display="Damani sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fDRtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fDRtMFMEea5pdrFDq-m2g" display="Dalesbred sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fDRt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fDRtsFMEea5pdrFDq-m2g" display="Dala sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fD4wMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fDRuMFMEea5pdrFDq-m2g" display="Criollo sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fD4wsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fD4wcFMEea5pdrFDq-m2g" display="Cormo sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fD4xMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fD4w8FMEea5pdrFDq-m2g" display="Lati sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fD4xsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fD4xcFMEea5pdrFDq-m2g" display="Lonk sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fEf0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fD4x8FMEea5pdrFDq-m2g" display="Langhe sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fEf0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fEf0cFMEea5pdrFDq-m2g" display="Manx Loaghtan sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fEf1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fEf08FMEea5pdrFDq-m2g" display="Masai sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fEf1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fEf1cFMEea5pdrFDq-m2g" display="Merinolandschaf sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFG4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fEf18FMEea5pdrFDq-m2g" display="Lohi sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFG4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFG4cFMEea5pdrFDq-m2g" display="Ile-de-France sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFG5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFG48FMEea5pdrFDq-m2g" display="Hasht Nagri sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFG5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFG5cFMEea5pdrFDq-m2g" display="Hazaragie sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFG6MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFG58FMEea5pdrFDq-m2g" display="Coopworth sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFt8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFt8MFMEea5pdrFDq-m2g" display="Comisana sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFt88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFt8sFMEea5pdrFDq-m2g" display="Comeback sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFt9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFt9MFMEea5pdrFDq-m2g" display="Sicilian Barbary sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fFt98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fFt9sFMEea5pdrFDq-m2g" display="Africana sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fGVA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fGVAsFMEea5pdrFDq-m2g" display="Hebridean sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fG8EMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fGVBMFMEea5pdrFDq-m2g" display="Heidschnucke sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fG8EsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fG8EcFMEea5pdrFDq-m2g" display="Herdwick sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fG8FMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fG8E8FMEea5pdrFDq-m2g" display="Hill Radnor sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fG8FsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fG8FcFMEea5pdrFDq-m2g" display="Icelandic sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fG8GMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fG8F8FMEea5pdrFDq-m2g" display="Harnai sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fHjIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fHjIMFMEea5pdrFDq-m2g" display="Istrian Pramenka sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fHjI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fHjIsFMEea5pdrFDq-m2g" display="Jacob sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fHjJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fHjJMFMEea5pdrFDq-m2g" display="Jezerskosolcavska sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fHjJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fHjJsFMEea5pdrFDq-m2g" display="Kachhi sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIKMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIKMMFMEea5pdrFDq-m2g" display="Wensleydale sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIKM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIKMsFMEea5pdrFDq-m2g" display="West African Dwarf sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIKNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIKNMFMEea5pdrFDq-m2g" display="White Suffolk sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIxQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIKNsFMEea5pdrFDq-m2g" display="Whiteface Dartmoor sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIxQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIxQcFMEea5pdrFDq-m2g" display="Whiteface Woodland sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIxRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIxQ8FMEea5pdrFDq-m2g" display="Xinjiang Finewool sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fIxRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fIxRcFMEea5pdrFDq-m2g" display="Kajli sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJYUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJYUMFMEea5pdrFDq-m2g" display="Hog Island Sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJYU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJYUsFMEea5pdrFDq-m2g" display="Biellese sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJYVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJYVMFMEea5pdrFDq-m2g" display="Chios sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJYV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJYVsFMEea5pdrFDq-m2g" display="Santa Cruz sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJ_YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJ_YMFMEea5pdrFDq-m2g" display="Charollais sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJ_Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJ_YsFMEea5pdrFDq-m2g" display="Castlemilk Moorit sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJ_ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJ_ZMFMEea5pdrFDq-m2g" display="Campanian Barbary sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fJ_Z8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fJ_ZsFMEea5pdrFDq-m2g" display="California Variegated Mutant sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fKmccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fKmcMFMEea5pdrFDq-m2g" display="California Red sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fKmc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fKmcsFMEea5pdrFDq-m2g" display="Sopravissana sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fKmdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fKmdMFMEea5pdrFDq-m2g" display="Somali sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fKmd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fKmdsFMEea5pdrFDq-m2g" display="Welsh Hill Speckled Face sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fLNgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fLNgMFMEea5pdrFDq-m2g" display="Skudde sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fLNg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fLNgsFMEea5pdrFDq-m2g" display="Waziri sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fLNhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fLNhMFMEea5pdrFDq-m2g" display="Shetland sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fLNh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fLNhsFMEea5pdrFDq-m2g" display="Cambridge sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fL0kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fL0kMFMEea5pdrFDq-m2g" display="Solognote sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fL0k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fL0ksFMEea5pdrFDq-m2g" display="Cayuga breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fL0lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fL0lMFMEea5pdrFDq-m2g" display="Runner breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fL0l8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fL0lsFMEea5pdrFDq-m2g" display="Call breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fMbocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fMboMFMEea5pdrFDq-m2g" display="Orpington breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fMbo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fMbosFMEea5pdrFDq-m2g" display="Crested breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fMbpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fMbpMFMEea5pdrFDq-m2g" display="Pommeranian breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fMbp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fMbpsFMEea5pdrFDq-m2g" display="Rough Fell sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNCscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNCsMFMEea5pdrFDq-m2g" display="Blue Swedish breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNCs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNCssFMEea5pdrFDq-m2g" display="Golden 300 hybrid breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNCtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNCtMFMEea5pdrFDq-m2g" display="Ancona breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNCt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNCtsFMEea5pdrFDq-m2g" display="Australian Spotted breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNpwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNCuMFMEea5pdrFDq-m2g" display="Swaledale sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNpwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNpwcFMEea5pdrFDq-m2g" display="Polypay sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNpxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNpw8FMEea5pdrFDq-m2g" display="Aylesbury breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNpxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNpxcFMEea5pdrFDq-m2g" display="Black East Indies breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fNpyMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fNpx8FMEea5pdrFDq-m2g" display="Coast breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fOQ0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fOQ0MFMEea5pdrFDq-m2g" display="Kromsnaveleend breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fOQ08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fOQ0sFMEea5pdrFDq-m2g" display="Silver appleyard breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fOQ1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fOQ1MFMEea5pdrFDq-m2g" display="Pagliarola sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fOQ18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fOQ1sFMEea5pdrFDq-m2g" display="Pomeranian Coarsewool sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fO34cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fO34MFMEea5pdrFDq-m2g" display="Sheep, Breed Undetermined sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fO348FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fO34sFMEea5pdrFDq-m2g" display="Orkney sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fO35cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fO35MFMEea5pdrFDq-m2g" display="Old Norwegian sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fO358FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fO35sFMEea5pdrFDq-m2g" display="Old Format Sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fPe8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fPe8MFMEea5pdrFDq-m2g" display="Norwegian Fur sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fPe88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fPe8sFMEea5pdrFDq-m2g" display="Norfolk Horn sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fPe9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fPe9MFMEea5pdrFDq-m2g" display="Navajo-Churro sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fPe98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fPe9sFMEea5pdrFDq-m2g" display="Swedish yellow breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQGAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQGAMFMEea5pdrFDq-m2g" display="Diepholz goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQGA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQGAsFMEea5pdrFDq-m2g" display="African goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQGBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQGBMFMEea5pdrFDq-m2g" display="Embden goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQGB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQGBsFMEea5pdrFDq-m2g" display="Chinese white goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQtEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQtEMFMEea5pdrFDq-m2g" display="Chinese brown goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQtE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQtEsFMEea5pdrFDq-m2g" display="American buff goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fQtFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fQtFMFMEea5pdrFDq-m2g" display="Pomeranian goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fRUIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fRUIMFMEea5pdrFDq-m2g" display="Roman goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fRUI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fRUIsFMEea5pdrFDq-m2g" display="Scania goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fRUJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fRUJMFMEea5pdrFDq-m2g" display="Racka sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fRUJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fRUJsFMEea5pdrFDq-m2g" display="Rasa Aragonesa sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fR7McFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fR7MMFMEea5pdrFDq-m2g" display="Red Engadine sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fR7M8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fR7MsFMEea5pdrFDq-m2g" display="Rhoenschaf sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fR7NcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fR7NMFMEea5pdrFDq-m2g" display="Sebastopol goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fR7N8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fR7NsFMEea5pdrFDq-m2g" display="Swedish Island goose breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fSiQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fSiQMFMEea5pdrFDq-m2g" display="Vendéen sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fSiQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fSiQsFMEea5pdrFDq-m2g" display="Saxony breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fSiRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fSiRMFMEea5pdrFDq-m2g" display="Bergamasca sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fSiR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fSiRsFMEea5pdrFDq-m2g" display="Portland sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTJUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fSiSMFMEea5pdrFDq-m2g" display="Weisse Hornlose Heidschnucke sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTJUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTJUcFMEea5pdrFDq-m2g" display="Drents Heideschaap sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTJVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTJU8FMEea5pdrFDq-m2g" display="Kameroen sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTJVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTJVcFMEea5pdrFDq-m2g" display="Mergelland sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTJWMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTJV8FMEea5pdrFDq-m2g" display="Ouessant sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTwYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTwYMFMEea5pdrFDq-m2g" display="Canadian Arcott sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTwY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTwYsFMEea5pdrFDq-m2g" display="Noordhollander sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTwZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTwZMFMEea5pdrFDq-m2g" display="Rijnlam-A sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fTwZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fTwZsFMEea5pdrFDq-m2g" display="Schoonebeker sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fUXccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fUXcMFMEea5pdrFDq-m2g" display="Wallis Blacknosed Sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fUXc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fUXcsFMEea5pdrFDq-m2g" display="Khaki Campbell breed duck (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fUXdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fUXdMFMEea5pdrFDq-m2g" display="Newfoundland sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fUXd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fUXdsFMEea5pdrFDq-m2g" display="Wallis Country Sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fU-gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fU-gMFMEea5pdrFDq-m2g" display="Rideau Arcott sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fU-g8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fU-gsFMEea5pdrFDq-m2g" display="Tukidale sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fU-hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fU-hMFMEea5pdrFDq-m2g" display="Polwarth sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fU-h8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fU-hsFMEea5pdrFDq-m2g" display="Ryeland sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fVlkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fU-iMFMEea5pdrFDq-m2g" display="Thalli sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fVlksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fVlkcFMEea5pdrFDq-m2g" display="Tong sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fVllMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fVlk8FMEea5pdrFDq-m2g" display="Touabire sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fVllsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fVllcFMEea5pdrFDq-m2g" display="Tunis sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fVlmMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fVll8FMEea5pdrFDq-m2g" display="Tyrol Mountain sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWMocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWMoMFMEea5pdrFDq-m2g" display="Uda sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWMo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWMosFMEea5pdrFDq-m2g" display="German Mutton Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWMpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWMpMFMEea5pdrFDq-m2g" display="Medium-Wool Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWMp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWMpsFMEea5pdrFDq-m2g" display="Fonthill Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWzscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWzsMFMEea5pdrFDq-m2g" display="South African Mutton Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWzs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWzssFMEea5pdrFDq-m2g" display="Strong Wool Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWztcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWztMFMEea5pdrFDq-m2g" display="Poll Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fWzt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fWztsFMEea5pdrFDq-m2g" display="Fine Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fXawcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fXawMFMEea5pdrFDq-m2g" display="South African Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fXaw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fXawsFMEea5pdrFDq-m2g" display="Superfine Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fXaxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fXaxMFMEea5pdrFDq-m2g" display="Booroola Merino sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fXax8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fXaxsFMEea5pdrFDq-m2g" display="Miniature Hereford cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYB0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fXayMFMEea5pdrFDq-m2g" display="Sar Planina sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYB0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYB0cFMEea5pdrFDq-m2g" display="Santa Inês sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYB1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYB08FMEea5pdrFDq-m2g" display="Sahel-type sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYB1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYB1cFMEea5pdrFDq-m2g" display="Rygja sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYB2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYB18FMEea5pdrFDq-m2g" display="Rya sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYo4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYo4MFMEea5pdrFDq-m2g" display="Moghani sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYo48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYo4sFMEea5pdrFDq-m2g" display="Rouge de l'Quest sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYo5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYo5MFMEea5pdrFDq-m2g" display="Soay sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fYo58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fYo5sFMEea5pdrFDq-m2g" display="South Suffolk sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZP8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZP8MFMEea5pdrFDq-m2g" display="South Wales Mountain sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZP88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZP8sFMEea5pdrFDq-m2g" display="Spælsau sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZP9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZP9MFMEea5pdrFDq-m2g" display="Spiegel sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZP98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZP9sFMEea5pdrFDq-m2g" display="St. Croix sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZ3AMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZP-MFMEea5pdrFDq-m2g" display="Steigar sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZ3AsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZ3AcFMEea5pdrFDq-m2g" display="Steinschaf sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZ3BMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZ3A8FMEea5pdrFDq-m2g" display="Welsh Mountain sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fZ3BsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fZ3BcFMEea5pdrFDq-m2g" display="Swedish Fur Sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4faeEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4faeEMFMEea5pdrFDq-m2g" display="Teeswater sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4faeE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4faeEsFMEea5pdrFDq-m2g" display="Texel sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4faeFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4faeFMFMEea5pdrFDq-m2g" display="Pelibüey sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4faeF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4faeFsFMEea5pdrFDq-m2g" display="Morada Nova sheep breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fbFIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fbFIMFMEea5pdrFDq-m2g" display="Balkhi sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fbFJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fbFJMFMEea5pdrFDq-m2g" display="Barbados Blackbelly sheep breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fldMsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fldMcFMEea5pdrFDq-m2g" display="Cuban Zebu cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fmER8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fmERsFMEea5pdrFDq-m2g" display="Guzerando cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fmrVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fmrVMFMEea5pdrFDq-m2g" display="Iraqi cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fogh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4foghsFMEea5pdrFDq-m2g" display="Pitangueiras cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4fqVscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fqVsMFMEea5pdrFDq-m2g" display="Suia cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fqVs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fqVssFMEea5pdrFDq-m2g" display="Suisbu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fqVtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fqVtMFMEea5pdrFDq-m2g" display="Sunandini cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fqVt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fqVtsFMEea5pdrFDq-m2g" display="Taino cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fq8wMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fqVuMFMEea5pdrFDq-m2g" display="Thibar cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fq8wsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fq8wcFMEea5pdrFDq-m2g" display="Toubou cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fq8xMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fq8w8FMEea5pdrFDq-m2g" display="Tropical cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fq8xsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fq8xcFMEea5pdrFDq-m2g" display="TSSH-1 cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4fq8yMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4fq8x8FMEea5pdrFDq-m2g" display="Victoria cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4frj18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4frj1sFMEea5pdrFDq-m2g" display="Mixed breed sheep (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4f93scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4f93sMFMEea5pdrFDq-m2g" display="Hanoverian horse (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gBiF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gBiFsFMEea5pdrFDq-m2g" display="Landais horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gCwNsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gCwNcFMEea5pdrFDq-m2g" display="Malopolski horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gDXQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gDXQsFMEea5pdrFDq-m2g" display="Dulmen Pony horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gD-VcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gD-VMFMEea5pdrFDq-m2g" display="Guanzhong horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gElYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gD-VsFMEea5pdrFDq-m2g" display="Guizhou horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gElYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gElYcFMEea5pdrFDq-m2g" display="Guoxia horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gFMdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gFMdMFMEea5pdrFDq-m2g" display="Hessen horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gFMd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gFMdsFMEea5pdrFDq-m2g" display="Hinis horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gFzhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gFzhMFMEea5pdrFDq-m2g" display="Hungarian Dun horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gGalcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gGalMFMEea5pdrFDq-m2g" display="Irish Cob horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gHBocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gHBoMFMEea5pdrFDq-m2g" display="French Saddle pony horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gHot8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gHotsFMEea5pdrFDq-m2g" display="Jianchang horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gIPx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gIPxsFMEea5pdrFDq-m2g" display="English Hunter horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gKE8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKE8MFMEea5pdrFDq-m2g" display="Don horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gKE88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKE8sFMEea5pdrFDq-m2g" display="East Bulgarian horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gKE9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKE9MFMEea5pdrFDq-m2g" display="East Friesian (Old Type) horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gKE98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKE9sFMEea5pdrFDq-m2g" display="French Trotter horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gKsAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKsAMFMEea5pdrFDq-m2g" display="Furioso horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gKsA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKsAsFMEea5pdrFDq-m2g" display="Danish Oldenborg horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gKsB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gKsBsFMEea5pdrFDq-m2g" display="Dutch Draft horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gLTEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gLTEMFMEea5pdrFDq-m2g" display="Egyptian horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gL6IsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gL6IcFMEea5pdrFDq-m2g" display="Falabella horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gL6JMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gL6I8FMEea5pdrFDq-m2g" display="Dongola horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gOWY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gOWYsFMEea5pdrFDq-m2g" display="Karabakh horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gOWZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gOWZMFMEea5pdrFDq-m2g" display="Kazakh horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gOWZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gOWZsFMEea5pdrFDq-m2g" display="Mangalarga horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gO9ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gO9cMFMEea5pdrFDq-m2g" display="Kirdi Pony horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gO9dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gO9dMFMEea5pdrFDq-m2g" display="Kladruby horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gO9d8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gO9dsFMEea5pdrFDq-m2g" display="Knabstrup horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gPkgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gPkgMFMEea5pdrFDq-m2g" display="Kushum horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gPkg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gPkgsFMEea5pdrFDq-m2g" display="Kustanai horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gPkhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gPkhMFMEea5pdrFDq-m2g" display="Latvian horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gQLkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gQLkMFMEea5pdrFDq-m2g" display="Lithuanian Heavy Draft horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gVEEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gVEEMFMEea5pdrFDq-m2g" display="Palomino horse (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gVrJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gVrJsFMEea5pdrFDq-m2g" display="Spanish mustang horse (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gWSMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gWSMMFMEea5pdrFDq-m2g" display="Quarter horse (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gWSM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gWSMsFMEea5pdrFDq-m2g" display="Maremmana horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gWSNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gWSNMFMEea5pdrFDq-m2g" display="Marwari horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gWSN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gWSNsFMEea5pdrFDq-m2g" display="Megezh horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gW5RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gW5RMFMEea5pdrFDq-m2g" display="Messara horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gajpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gajo8FMEea5pdrFDq-m2g" display="Oriental Horse horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gbKscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbKsMFMEea5pdrFDq-m2g" display="Romanian Saddle Horse horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gbKs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbKssFMEea5pdrFDq-m2g" display="Rottal horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gbKt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbKtsFMEea5pdrFDq-m2g" display="Russian Saddle Horse horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gbxw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbxwsFMEea5pdrFDq-m2g" display="Panje horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gbxxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbxxMFMEea5pdrFDq-m2g" display="Patibarcina horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gbxx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbxxsFMEea5pdrFDq-m2g" display="Pechora horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gcY0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gbxyMFMEea5pdrFDq-m2g" display="Peneia horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gcY1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gcY08FMEea5pdrFDq-m2g" display="Persian Arab horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4geOAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4geOAMFMEea5pdrFDq-m2g" display="Russian Trotter horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4geOA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4geOAsFMEea5pdrFDq-m2g" display="National Show Horse horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4geOBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4geOBMFMEea5pdrFDq-m2g" display="Tawleed horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4geOB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4geOBsFMEea5pdrFDq-m2g" display="New Kirgiz horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ge1EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ge1EMFMEea5pdrFDq-m2g" display="Oldenburg horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ge1FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ge1FMFMEea5pdrFDq-m2g" display="Miyako horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gfcI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gfcIsFMEea5pdrFDq-m2g" display="Morab horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gfcJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gfcJMFMEea5pdrFDq-m2g" display="Moyle horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ggDN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ggDNsFMEea5pdrFDq-m2g" display="Nordland horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ggqQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ggDOMFMEea5pdrFDq-m2g" display="Noric horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ggqQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ggqQcFMEea5pdrFDq-m2g" display="North Swedish Horse horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ggqRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ggqQ8FMEea5pdrFDq-m2g" display="Northeastern horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ggqRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ggqRcFMEea5pdrFDq-m2g" display="Nonius horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ggqSMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ggqR8FMEea5pdrFDq-m2g" display="Nooitgedacht horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ghRUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ghRUMFMEea5pdrFDq-m2g" display="Pony of the Americas horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ghRVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ghRVMFMEea5pdrFDq-m2g" display="Pantaneiro horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ghRV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ghRVsFMEea5pdrFDq-m2g" display="Orlov Trotter horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gh4YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gh4YMFMEea5pdrFDq-m2g" display="Northern Ardennais horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gh4Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gh4YsFMEea5pdrFDq-m2g" display="Poitou Mule Producer horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gmw4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gmw4MFMEea5pdrFDq-m2g" display="Russian Heavy Draft horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gnX8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gnX8MFMEea5pdrFDq-m2g" display="Quarab horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gnX9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gnX9MFMEea5pdrFDq-m2g" display="Murgese horse (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gn_AcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gn_AMFMEea5pdrFDq-m2g" display="Pony (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gn_BcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gn_BMFMEea5pdrFDq-m2g" display="Trakehner horse (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gomEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gomEMFMEea5pdrFDq-m2g" display="Westphalian horse (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gpNJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gpNJMFMEea5pdrFDq-m2g" display="Turkoman horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gpNJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gpNJsFMEea5pdrFDq-m2g" display="Tushin horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gqbQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gqbQcFMEea5pdrFDq-m2g" display="Wurttemberg horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4grCWMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4grCV8FMEea5pdrFDq-m2g" display="Wielkopolski horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4grpY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4grpYsFMEea5pdrFDq-m2g" display="Welsh Pony of Cob Type horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4grpZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4grpZMFMEea5pdrFDq-m2g" display="West African Barb horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4grpZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4grpZsFMEea5pdrFDq-m2g" display="Zhemaichu horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gsQccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gsQcMFMEea5pdrFDq-m2g" display="Yonaguni horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gsQc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gsQcsFMEea5pdrFDq-m2g" display="Yakut horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gs3gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gs3gMFMEea5pdrFDq-m2g" display="Vyatka horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gs3hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gs3hMFMEea5pdrFDq-m2g" display="Vlaamperd horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gtek8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gteksFMEea5pdrFDq-m2g" display="Tokara horse breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gtelcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gtelMFMEea5pdrFDq-m2g" display="Waler horse breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gwh4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gwh4MFMEea5pdrFDq-m2g" display="Alur cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gwh5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gwh5MFMEea5pdrFDq-m2g" display="Africangus cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gxwAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gxwAMFMEea5pdrFDq-m2g" display="Amerifaxcattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gyXEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gyXEMFMEea5pdrFDq-m2g" display="Alistana-Sanabresa cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gyXE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gyXEsFMEea5pdrFDq-m2g" display="Andalusian Blond cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gyXFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gyXFMFMEea5pdrFDq-m2g" display="Abondance cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gyXF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gyXFsFMEea5pdrFDq-m2g" display="Ala-Tau cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4gy-JcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gy-JMFMEea5pdrFDq-m2g" display="Aleppo cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gy-J8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gy-JsFMEea5pdrFDq-m2g" display="Almanzorena cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4gzlMMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4gy-KMFMEea5pdrFDq-m2g" display="Ankole cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hFSBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hFSBcFMEea5pdrFDq-m2g" display="Cinisara cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hLYo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hLYosFMEea5pdrFDq-m2g" display="Cildir cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hPDBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hPDA8FMEea5pdrFDq-m2g" display="East Macedonian cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hSGU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hSGUsFMEea5pdrFDq-m2g" display="German Black Pied Dairy cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hXl4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hXl4cFMEea5pdrFDq-m2g" display="Kedah-Kelantan cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4hXl5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hXl48FMEea5pdrFDq-m2g" display="Kigezi cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4hXl5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hXl5cFMEea5pdrFDq-m2g" display="Kisantu cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hY0AcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hY0AMFMEea5pdrFDq-m2g" display="Marianas cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4he6ocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4he6oMFMEea5pdrFDq-m2g" display="Mirandesa cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4he6o8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4he6osFMEea5pdrFDq-m2g" display="Mixed dairy cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4he6pcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4he6pMFMEea5pdrFDq-m2g" display="Mongolian cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hfhs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hfhssFMEea5pdrFDq-m2g" display="N'dama cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hilA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hilAsFMEea5pdrFDq-m2g" display="Japanese Poll cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hmPZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hmPZMFMEea5pdrFDq-m2g" display="Lim cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4hmPZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hmPZsFMEea5pdrFDq-m2g" display="Limiana cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hpSscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hpSsMFMEea5pdrFDq-m2g" display="Monchina cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hpSt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hpStsFMEea5pdrFDq-m2g" display="Morenas del Noroeste cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4hp5wcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hp5wMFMEea5pdrFDq-m2g" display="Murcian cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hp5x8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hp5xsFMEea5pdrFDq-m2g" display="Nejdi cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4hqg18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4hqg1sFMEea5pdrFDq-m2g" display="Oulmes Blond cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4h5KVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h5KVcFMEea5pdrFDq-m2g" display="Polled Simmental cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4h7mk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h7mksFMEea5pdrFDq-m2g" display="Rio Limon Dairy Criollo cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4h7mlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h7mlMFMEea5pdrFDq-m2g" display="Rodopi cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4h8NpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h8NpMFMEea5pdrFDq-m2g" display="Sardinian cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4h8Np8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h8NpsFMEea5pdrFDq-m2g" display="Sardinian brown cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4h80scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h80sMFMEea5pdrFDq-m2g" display="Savinja Gray cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4h80s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h80ssFMEea5pdrFDq-m2g" display="Sayaguesa cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4h80tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h80tMFMEea5pdrFDq-m2g" display="Seferihisar cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4h_Q98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4h_Q9sFMEea5pdrFDq-m2g" display="Tarina cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iAfEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iAfEMFMEea5pdrFDq-m2g" display="Tinos cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iAfE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iAfEsFMEea5pdrFDq-m2g" display="Transylvanian Pinzgau cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iAfFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iAfFMFMEea5pdrFDq-m2g" display="Tropical Dairy Cattle cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iAfF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iAfFsFMEea5pdrFDq-m2g" display="Tropicana cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iBGIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iBGIMFMEea5pdrFDq-m2g" display="Tudanca cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iBGI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iBGIsFMEea5pdrFDq-m2g" display="Turino cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iBGJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iBGJMFMEea5pdrFDq-m2g" display="Turkish Brown cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iBGJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iBGJsFMEea5pdrFDq-m2g" display="Tux-Zillertal cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iBtMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iBtMMFMEea5pdrFDq-m2g" display="Tyrol Gray cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iCUQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iBtNsFMEea5pdrFDq-m2g" display="Valdres cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iCUQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iCUQcFMEea5pdrFDq-m2g" display="Vaynol cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iCURMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iCUQ8FMEea5pdrFDq-m2g" display="Verinesa cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iCURsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iCURcFMEea5pdrFDq-m2g" display="Vianesa cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iC7UMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iCUR8FMEea5pdrFDq-m2g" display="Villard-de-Lans cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iC7UsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iC7UcFMEea5pdrFDq-m2g" display="Vogelsberg cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iC7VsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iC7VcFMEea5pdrFDq-m2g" display="Vorderwald cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iC7WMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iC7V8FMEea5pdrFDq-m2g" display="West African Dwarf Shorthorn cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iDiYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iDiYMFMEea5pdrFDq-m2g" display="West Finnish cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iDiY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iDiYsFMEea5pdrFDq-m2g" display="West Macedonian cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iDiZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iDiZsFMEea5pdrFDq-m2g" display="White Galloway cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iEJccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEJcMFMEea5pdrFDq-m2g" display="White Welsh cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iEJc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEJcsFMEea5pdrFDq-m2g" display="Witrik cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iEwgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEwgMFMEea5pdrFDq-m2g" display="Red Friesian cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iEwg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEwgsFMEea5pdrFDq-m2g" display="Senegus cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iEwhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEwhMFMEea5pdrFDq-m2g" display="Southern Crioulo cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iEwh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEwhsFMEea5pdrFDq-m2g" display="Vosges cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iFXkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iEwiMFMEea5pdrFDq-m2g" display="Pantaneiro cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iFXksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iFXkcFMEea5pdrFDq-m2g" display="Yunnan Zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iFXlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iFXk8FMEea5pdrFDq-m2g" display="Zambia Angoni cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iF-oMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iFXlcFMEea5pdrFDq-m2g" display="Yanbian cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iF-osFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iF-ocFMEea5pdrFDq-m2g" display="Zaobei cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iF-pMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iF-o8FMEea5pdrFDq-m2g" display="Zavot cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iF-psFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iF-pcFMEea5pdrFDq-m2g" display="Znamensk cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iGlscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iGlsMFMEea5pdrFDq-m2g" display="Yaroslavl cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iGls8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iGlssFMEea5pdrFDq-m2g" display="Yurino cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iGltcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iGltMFMEea5pdrFDq-m2g" display="Commercial white egg layer type chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iGlt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iGltsFMEea5pdrFDq-m2g" display="Braekel chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iHMwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iGluMFMEea5pdrFDq-m2g" display="Cochin, Standard chicken breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iHMxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iHMw8FMEea5pdrFDq-m2g" display="Groninger Meeuwen chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iHMxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iHMxcFMEea5pdrFDq-m2g" display="Chocolate turkey breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iHz08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iHz0sFMEea5pdrFDq-m2g" display="Wild cross turkey (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iIa48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iIa4sFMEea5pdrFDq-m2g" display="Gimmizah chicken breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iJB8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iJB8MFMEea5pdrFDq-m2g" display="Old English Game chicken breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iJB9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iJB9MFMEea5pdrFDq-m2g" display="Sulmtaler chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iJB98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iJB9sFMEea5pdrFDq-m2g" display="Svart Höna chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iJpAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iJpAMFMEea5pdrFDq-m2g" display="Vorwerks chicken breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iJpBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iJpBMFMEea5pdrFDq-m2g" display="Yamato Gunkei chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iJpB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iJpBsFMEea5pdrFDq-m2g" display="Frieslands chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iKQEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iKQEMFMEea5pdrFDq-m2g" display="Ameraucana chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iKQE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iKQEsFMEea5pdrFDq-m2g" display="Åsbos chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iKQFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iKQFMFMEea5pdrFDq-m2g" display="Augsburger chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iKQF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iKQFsFMEea5pdrFDq-m2g" display="Bielefelder chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iK3IMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iKQGMFMEea5pdrFDq-m2g" display="Norfolk Gray chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iK3IsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iK3IcFMEea5pdrFDq-m2g" display="Hedemora chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iK3JMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iK3I8FMEea5pdrFDq-m2g" display="Hungarian Yellow chicken breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iLeNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iLeNMFMEea5pdrFDq-m2g" display="Tomaru chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iLeN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iLeNsFMEea5pdrFDq-m2g" display="Onagadori chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMFQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMFQMFMEea5pdrFDq-m2g" display="Manx Rumpies chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMFQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMFQsFMEea5pdrFDq-m2g" display="Maline chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMFRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMFRMFMEea5pdrFDq-m2g" display="Nankin chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMsUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMsUMFMEea5pdrFDq-m2g" display="Øland chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMsU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMsUsFMEea5pdrFDq-m2g" display="Orust chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMsVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMsVMFMEea5pdrFDq-m2g" display="Penedesenca chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iMsV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iMsVsFMEea5pdrFDq-m2g" display="Rhode Island White chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iNTYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iNTYMFMEea5pdrFDq-m2g" display="Sablepoot chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iNTY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iNTYsFMEea5pdrFDq-m2g" display="Saipan Jungle Fowl chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iNTZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iNTZMFMEea5pdrFDq-m2g" display="Scots Dumpy chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iNTZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iNTZsFMEea5pdrFDq-m2g" display="Green chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iN6ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iN6cMFMEea5pdrFDq-m2g" display="Gallus Inauris chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iN6c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iN6csFMEea5pdrFDq-m2g" display="Shamo chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iN6dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iN6dMFMEea5pdrFDq-m2g" display="Domestic fowl (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iN6d8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iN6dsFMEea5pdrFDq-m2g" display="Mixed breed chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iOhgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iOhgMFMEea5pdrFDq-m2g" display="Gallus gallus (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iOhg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iOhgsFMEea5pdrFDq-m2g" display="Meleagris gallopavo (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iOhhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iOhhMFMEea5pdrFDq-m2g" display="White turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iOhh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iOhhsFMEea5pdrFDq-m2g" display="Marans chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPIkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPIkMFMEea5pdrFDq-m2g" display="Japanese chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPIk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPIksFMEea5pdrFDq-m2g" display="Beltsville white turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPIlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPIlMFMEea5pdrFDq-m2g" display="Fayoumi chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPIl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPIlsFMEea5pdrFDq-m2g" display="Rhode Island red chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPvoMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPImMFMEea5pdrFDq-m2g" display="Wyandotte chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPvosFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPvocFMEea5pdrFDq-m2g" display="Nebraskan spotted turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPvpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPvo8FMEea5pdrFDq-m2g" display="Lamona chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPvpsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPvpcFMEea5pdrFDq-m2g" display="Arucana chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iPvqMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iPvp8FMEea5pdrFDq-m2g" display="Delaware chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQWscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQWsMFMEea5pdrFDq-m2g" display="Redcap chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQWs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQWssFMEea5pdrFDq-m2g" display="Crevecoeur chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQWtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQWtMFMEea5pdrFDq-m2g" display="Spanish chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQWt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQWtsFMEea5pdrFDq-m2g" display="Orpington chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQ9wcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQ9wMFMEea5pdrFDq-m2g" display="Black-winged bronze turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQ9w8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQ9wsFMEea5pdrFDq-m2g" display="Penna palm turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQ9xcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQ9xMFMEea5pdrFDq-m2g" display="Small white turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iQ9x8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iQ9xsFMEea5pdrFDq-m2g" display="Slate turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iRk0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iRk0MFMEea5pdrFDq-m2g" display="Faverolle chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iRk08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iRk0sFMEea5pdrFDq-m2g" display="La Fleche chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iRk1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iRk1MFMEea5pdrFDq-m2g" display="Broad breasted bronze turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iRk18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iRk1sFMEea5pdrFDq-m2g" display="Black turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSL4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSL4MFMEea5pdrFDq-m2g" display="Commercial meat type chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSL48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSL4sFMEea5pdrFDq-m2g" display="Phoenix chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSL5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSL5MFMEea5pdrFDq-m2g" display="Buttercup chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSL58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSL5sFMEea5pdrFDq-m2g" display="Leghorn chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSy8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSy8MFMEea5pdrFDq-m2g" display="Broad breasted white turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSy88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSy8sFMEea5pdrFDq-m2g" display="Buckeye chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSy9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSy9MFMEea5pdrFDq-m2g" display="Plymouth Rock chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iSy98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iSy9sFMEea5pdrFDq-m2g" display="Jungle fowl chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iTaAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iTaAMFMEea5pdrFDq-m2g" display="Minorca chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iTaA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iTaAsFMEea5pdrFDq-m2g" display="Jersey giant chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iTaBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iTaBMFMEea5pdrFDq-m2g" display="Yokohama chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iTaB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iTaBsFMEea5pdrFDq-m2g" display="Rouen duck breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUBEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUBEMFMEea5pdrFDq-m2g" display="Midget white turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUBE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUBEsFMEea5pdrFDq-m2g" display="Dark brown turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUBFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUBFMFMEea5pdrFDq-m2g" display="Java chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUBF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUBFsFMEea5pdrFDq-m2g" display="Silkie chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUoIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUBGMFMEea5pdrFDq-m2g" display="Lankenvelder chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUoIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUoIcFMEea5pdrFDq-m2g" display="Blue slate turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUoJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUoI8FMEea5pdrFDq-m2g" display="Dominique chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iUoJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iUoJcFMEea5pdrFDq-m2g" display="New Hampshire chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iVPMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iVPMMFMEea5pdrFDq-m2g" display="Australorp chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iVPM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iVPMsFMEea5pdrFDq-m2g" display="Gray turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iVPNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iVPNMFMEea5pdrFDq-m2g" display="Jersey buff turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iVPN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iVPNsFMEea5pdrFDq-m2g" display="Holland chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iVPOcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iVPOMFMEea5pdrFDq-m2g" display="Brahma chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iV2QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iV2QMFMEea5pdrFDq-m2g" display="Spitzhauben chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iV2Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iV2QsFMEea5pdrFDq-m2g" display="Welsummer chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iV2RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iV2RMFMEea5pdrFDq-m2g" display="Sumatra chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iWdUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iV2RsFMEea5pdrFDq-m2g" display="Brabanter chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iWdUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iWdUcFMEea5pdrFDq-m2g" display="Ko Shamo chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iWdVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iWdU8FMEea5pdrFDq-m2g" display="Golden Montazah chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXEYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXEYMFMEea5pdrFDq-m2g" display="Bantam (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXEY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXEYsFMEea5pdrFDq-m2g" display="Belgian bearded chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXEZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXEZMFMEea5pdrFDq-m2g" display="Lilac buff turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXEZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXEZsFMEea5pdrFDq-m2g" display="Dorking chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXrccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXrcMFMEea5pdrFDq-m2g" display="Cornish chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXrc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXrcsFMEea5pdrFDq-m2g" display="Polish chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXrdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXrdMFMEea5pdrFDq-m2g" display="Royal palm turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iXrd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iXrdsFMEea5pdrFDq-m2g" display="Chantecler chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iYSgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iYSgMFMEea5pdrFDq-m2g" display="Light brown turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iYSg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iYSgsFMEea5pdrFDq-m2g" display="Barnevelder chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iYShcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iYShMFMEea5pdrFDq-m2g" display="Sebright chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iYSh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iYShsFMEea5pdrFDq-m2g" display="Turken chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iYSicFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iYSiMFMEea5pdrFDq-m2g" display="Sultan chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iY5kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iY5kMFMEea5pdrFDq-m2g" display="Ancona chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iY5k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iY5ksFMEea5pdrFDq-m2g" display="Orloff chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iY5lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iY5lMFMEea5pdrFDq-m2g" display="Langshan chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iY5l8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iY5lsFMEea5pdrFDq-m2g" display="Cubalaya chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iZgocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iZgoMFMEea5pdrFDq-m2g" display="Game chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iZgo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iZgosFMEea5pdrFDq-m2g" display="Commercial brown egg layer type chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iZgpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iZgpMFMEea5pdrFDq-m2g" display="Penna white turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iZgp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iZgpsFMEea5pdrFDq-m2g" display="Campine chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iaHscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iaHsMFMEea5pdrFDq-m2g" display="Thuringer chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iaHs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iaHssFMEea5pdrFDq-m2g" display="Malay chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iaHtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iaHtMFMEea5pdrFDq-m2g" display="Andalusian chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iaHt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iaHtsFMEea5pdrFDq-m2g" display="Hungarian chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iaHucFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iaHuMFMEea5pdrFDq-m2g" display="Narragansett turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iauwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iauwMFMEea5pdrFDq-m2g" display="Rosecomb chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iauw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iauwsFMEea5pdrFDq-m2g" display="Sussex chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iauxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iauxMFMEea5pdrFDq-m2g" display="California chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iaux8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iauxsFMEea5pdrFDq-m2g" display="Houdan chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ibV0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ibV0MFMEea5pdrFDq-m2g" display="Black Spanish turkey (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ibV08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ibV0sFMEea5pdrFDq-m2g" display="Frizzle chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ibV1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ibV1MFMEea5pdrFDq-m2g" display="Rumpless chicken (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ibV18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ibV1sFMEea5pdrFDq-m2g" display="Bronze turkey breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ib84MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ibV2MFMEea5pdrFDq-m2g" display="Auburn turkey breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ib84sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ib84cFMEea5pdrFDq-m2g" display="Bourbon Red turkey breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ib85MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ib848FMEea5pdrFDq-m2g" display="Buff turkey breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ib85sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ib85cFMEea5pdrFDq-m2g" display="Baheij chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ib86MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ib858FMEea5pdrFDq-m2g" display="Aseel chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4icj8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4icj8MFMEea5pdrFDq-m2g" display="Bandara chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4icj88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4icj8sFMEea5pdrFDq-m2g" display="Catalana chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4icj9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4icj9MFMEea5pdrFDq-m2g" display="Australian Gamefowl chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4icj98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4icj9sFMEea5pdrFDq-m2g" display="Ayam Cemani chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idLAMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4icj-MFMEea5pdrFDq-m2g" display="Swedish Spotted Hen chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idLAsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idLAcFMEea5pdrFDq-m2g" display="Belgian Booted Bantam chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idLBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idLA8FMEea5pdrFDq-m2g" display="Old English Bantam Game chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idLBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idLBcFMEea5pdrFDq-m2g" display="Dutch Bantam chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idLCMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idLB8FMEea5pdrFDq-m2g" display="Ölansk Bantam chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idyEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idyEMFMEea5pdrFDq-m2g" display="Rosecomb Bantam chicken breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idyE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idyEsFMEea5pdrFDq-m2g" display="Antwerp bearded bantam (organism)"/>
  <fhir:ValueSetMember xmi:id="_4idyFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idyFMFMEea5pdrFDq-m2g" display="Mukota pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ieZIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4idyFsFMEea5pdrFDq-m2g" display="Minzhu pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ieZIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ieZIcFMEea5pdrFDq-m2g" display="Neijiang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ieZJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ieZI8FMEea5pdrFDq-m2g" display="Mulefoot pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ieZJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ieZJcFMEea5pdrFDq-m2g" display="Normand pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifAMMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ieZJ8FMEea5pdrFDq-m2g" display="Angeln Saddleback pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifAMsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifAMcFMEea5pdrFDq-m2g" display="Greek Local pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifANMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifAM8FMEea5pdrFDq-m2g" display="Icelandic pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifANsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifANcFMEea5pdrFDq-m2g" display="Casertana pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifnQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifAN8FMEea5pdrFDq-m2g" display="Madonie-Sicilian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifnQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifnQcFMEea5pdrFDq-m2g" display="Sardinian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifnRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifnQ8FMEea5pdrFDq-m2g" display="Sicilian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifnRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifnRcFMEea5pdrFDq-m2g" display="Zlotniki Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ifnSMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ifnR8FMEea5pdrFDq-m2g" display="Zlotniki White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4igOUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4igOUMFMEea5pdrFDq-m2g" display="Sumadija pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4igOU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4igOUsFMEea5pdrFDq-m2g" display="Froxfield Pygmy pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4igOVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4igOVMFMEea5pdrFDq-m2g" display="Danish Large White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4igOV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4igOVsFMEea5pdrFDq-m2g" display="Danish Duroc pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ig1YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ig1YMFMEea5pdrFDq-m2g" display="Danish Hampshire pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ig1ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ig1ZMFMEea5pdrFDq-m2g" display="New York Red pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ihcccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ihccMFMEea5pdrFDq-m2g" display="Finnish Yorkshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ihcc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ihccsFMEea5pdrFDq-m2g" display="Dutch Yorkshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ihcdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ihcdMFMEea5pdrFDq-m2g" display="Pulawy pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ihcd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ihcdsFMEea5pdrFDq-m2g" display="Pomeranian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiDgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ihceMFMEea5pdrFDq-m2g" display="Polish Landrace pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiDgsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiDgcFMEea5pdrFDq-m2g" display="Estonian Bacon pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiDhMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiDg8FMEea5pdrFDq-m2g" display="Latvian White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiDhsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiDhcFMEea5pdrFDq-m2g" display="Lithuanian White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiqkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiDh8FMEea5pdrFDq-m2g" display="Sus scrofa (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiqksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiqkcFMEea5pdrFDq-m2g" display="Cosentina pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iiqlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiqk8FMEea5pdrFDq-m2g" display="Cuino pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ijRoMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iiql8FMEea5pdrFDq-m2g" display="Fumati pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ijRosFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ijRocFMEea5pdrFDq-m2g" display="Galician pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ijRpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ijRo8FMEea5pdrFDq-m2g" display="German Berkshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ijRpsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ijRpcFMEea5pdrFDq-m2g" display="Ghori pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ij4scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ij4sMFMEea5pdrFDq-m2g" display="Jianli pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ij4s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ij4ssFMEea5pdrFDq-m2g" display="Lucanian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ij4tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ij4tMFMEea5pdrFDq-m2g" display="Maremmana pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ij4t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ij4tsFMEea5pdrFDq-m2g" display="Miami pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ikfwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ikfwMFMEea5pdrFDq-m2g" display="Montmorillon pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ikfw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ikfwsFMEea5pdrFDq-m2g" display="Old Swedish Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ikfxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ikfxMFMEea5pdrFDq-m2g" display="Oliventina pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ikfx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ikfxsFMEea5pdrFDq-m2g" display="Parmense pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilG0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilG0MFMEea5pdrFDq-m2g" display="Romagnola pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilG08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilG0sFMEea5pdrFDq-m2g" display="Siberian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilG1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilG1MFMEea5pdrFDq-m2g" display="Small White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilG18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilG1sFMEea5pdrFDq-m2g" display="Baltaret pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilt4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilt4MFMEea5pdrFDq-m2g" display="Tunchang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilt48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilt4sFMEea5pdrFDq-m2g" display="Sterling pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilt5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilt5MFMEea5pdrFDq-m2g" display="Vich pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ilt58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ilt5sFMEea5pdrFDq-m2g" display="Vietnamese pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4imU8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4imU8MFMEea5pdrFDq-m2g" display="Vitoria pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4imU88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4imU8sFMEea5pdrFDq-m2g" display="Wai Chow pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4imU9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4imU9MFMEea5pdrFDq-m2g" display="Yorkshire Blue and White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4imU98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4imU9sFMEea5pdrFDq-m2g" display="Dalland 020 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4im8AMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4imU-MFMEea5pdrFDq-m2g" display="Wiltshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4im8AsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4im8AcFMEea5pdrFDq-m2g" display="Hamroc pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4im8BMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4im8A8FMEea5pdrFDq-m2g" display="DRU (TM) Terminals pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4im8BsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4im8BcFMEea5pdrFDq-m2g" display="Camborough 22 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4im8CMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4im8B8FMEea5pdrFDq-m2g" display="Camborough 15 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4injEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4injEMFMEea5pdrFDq-m2g" display="PR 1050 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4injE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4injEsFMEea5pdrFDq-m2g" display="PR 1075 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4injFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4injFMFMEea5pdrFDq-m2g" display="Chryak PIC pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioKIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4injFsFMEea5pdrFDq-m2g" display="Canadian Royal Blue pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioKIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioKIcFMEea5pdrFDq-m2g" display="Line 500 Duroc pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioKJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioKI8FMEea5pdrFDq-m2g" display="Bodmin 950 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioKJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioKJcFMEea5pdrFDq-m2g" display="Canadian Duroc pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioKKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioKJ8FMEea5pdrFDq-m2g" display="Canadian Hampshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioxMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioxMMFMEea5pdrFDq-m2g" display="Ba Xuyen pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ioxNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioxNMFMEea5pdrFDq-m2g" display="Wuzhishan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ioxN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ioxNsFMEea5pdrFDq-m2g" display="Philippine Native pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ipYQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ipYQMFMEea5pdrFDq-m2g" display="Sinclair Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ipYQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ipYQsFMEea5pdrFDq-m2g" display="Saddleback pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ipYRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ipYRMFMEea5pdrFDq-m2g" display="Yucatan Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ipYR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ipYRsFMEea5pdrFDq-m2g" display="Bantu pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ip_UcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ip_UMFMEea5pdrFDq-m2g" display="Tibetan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ip_U8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ip_UsFMEea5pdrFDq-m2g" display="Turopolje pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ip_V8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ip_VsFMEea5pdrFDq-m2g" display="American Landrace pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iqmYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ip_WMFMEea5pdrFDq-m2g" display="Swallow Belied Mangalitza pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iqmYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iqmYcFMEea5pdrFDq-m2g" display="Fengjing pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iqmZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iqmY8FMEea5pdrFDq-m2g" display="Finnish Landrace pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iqmaMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iqmZ8FMEea5pdrFDq-m2g" display="Hezuo pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4irNccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4irNcMFMEea5pdrFDq-m2g" display="Ossabaw Island pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4irNc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4irNcsFMEea5pdrFDq-m2g" display="Kele pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4irNdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4irNdMFMEea5pdrFDq-m2g" display="Krskopolje pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ir0gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ir0gMFMEea5pdrFDq-m2g" display="Kunekune pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ir0g8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ir0gsFMEea5pdrFDq-m2g" display="Large Black-White pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4isbkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ir0iMFMEea5pdrFDq-m2g" display="Jinhua pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4isbksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4isbkcFMEea5pdrFDq-m2g" display="Ningxiang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4isblMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4isbk8FMEea5pdrFDq-m2g" display="Mora Romagnola pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4isblsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4isblcFMEea5pdrFDq-m2g" display="Siska pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4isbmMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4isbl8FMEea5pdrFDq-m2g" display="BKB-1 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itCocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itCoMFMEea5pdrFDq-m2g" display="Belorus Black Pied pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itCo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itCosFMEea5pdrFDq-m2g" display="Mirgorod pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itCpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itCpMFMEea5pdrFDq-m2g" display="Liang Guang Small Spotted, Luchuan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itCp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itCpsFMEea5pdrFDq-m2g" display="Fujian Small pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itpscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itpsMFMEea5pdrFDq-m2g" display="North Fujian Black-and-White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itps8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itpssFMEea5pdrFDq-m2g" display="Fuan Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itptcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itptMFMEea5pdrFDq-m2g" display="Putian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4itpt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4itptsFMEea5pdrFDq-m2g" display="Fuzhou Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iuQwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iuQwMFMEea5pdrFDq-m2g" display="Minbei Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iuQw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iuQwsFMEea5pdrFDq-m2g" display="Lantang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iuQxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iuQxMFMEea5pdrFDq-m2g" display="Liang Guang Small Spotted, Guangdong Small Ear pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iuQx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iuQxsFMEea5pdrFDq-m2g" display="Longlin pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iu30MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iuQyMFMEea5pdrFDq-m2g" display="Yuedong Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iu30sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iu30cFMEea5pdrFDq-m2g" display="Xiang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iu31MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iu308FMEea5pdrFDq-m2g" display="Cantonese pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iu31sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iu31cFMEea5pdrFDq-m2g" display="Jinhua, Dongyang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iu32MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iu318FMEea5pdrFDq-m2g" display="Jinhua, Yongkang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ive4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ive4MFMEea5pdrFDq-m2g" display="Daweizi pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ive48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ive4sFMEea5pdrFDq-m2g" display="Huazhong Two-End Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ive5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ive5MFMEea5pdrFDq-m2g" display="Huazhong Two-End Black, Jianli pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ive58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ive5sFMEea5pdrFDq-m2g" display="Huazhong Two-End Black, Tongcheng pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwF8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwF8MFMEea5pdrFDq-m2g" display="Huazhong Two-End Black, Satzeling pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwF88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwF8sFMEea5pdrFDq-m2g" display="Ganzhongnan Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwF9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwF9MFMEea5pdrFDq-m2g" display="Hang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwF98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwF9sFMEea5pdrFDq-m2g" display="Leping pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwtAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwtAMFMEea5pdrFDq-m2g" display="Longyou Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwtA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwtAsFMEea5pdrFDq-m2g" display="Wuyi Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwtBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwtBMFMEea5pdrFDq-m2g" display="Lee-Sung pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iwtB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iwtBsFMEea5pdrFDq-m2g" display="Lan-Yu pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ixUEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ixUEMFMEea5pdrFDq-m2g" display="Vietnamese Yorkshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ixUE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ixUEsFMEea5pdrFDq-m2g" display="Yujiang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ixUFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ixUFMFMEea5pdrFDq-m2g" display="Wanzhe Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ixUF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ixUFsFMEea5pdrFDq-m2g" display="Wanzhe Spotted, Chunan Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ix7IcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ix7IMFMEea5pdrFDq-m2g" display="Wanzhe Spotted, Wannan Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ix7I8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ix7IsFMEea5pdrFDq-m2g" display="Shengxian Spotted pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4iyiMMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ix7JsFMEea5pdrFDq-m2g" display="Siamese pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iyiMsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iyiMcFMEea5pdrFDq-m2g" display="Hailum pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iyiNMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iyiM8FMEea5pdrFDq-m2g" display="Kwai pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4iyiNsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iyiNcFMEea5pdrFDq-m2g" display="Raad pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izJQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4iyiN8FMEea5pdrFDq-m2g" display="Akha pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izJQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izJQcFMEea5pdrFDq-m2g" display="South China pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izJRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izJQ8FMEea5pdrFDq-m2g" display="South China Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izJRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izJRcFMEea5pdrFDq-m2g" display="Balinese pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izJSMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izJR8FMEea5pdrFDq-m2g" display="Diani pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izwUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izwUMFMEea5pdrFDq-m2g" display="Kaman pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izwU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izwUsFMEea5pdrFDq-m2g" display="Ashanti Dwarf pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izwVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izwVMFMEea5pdrFDq-m2g" display="Koronadal pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4izwV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izwVsFMEea5pdrFDq-m2g" display="Ohmini pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i0XYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4izwWMFMEea5pdrFDq-m2g" display="Clawn pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i0XYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i0XYcFMEea5pdrFDq-m2g" display="Sus scrofa domestic pig X Japanese wild boar intragenus hybrid (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i0XZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i0XY8FMEea5pdrFDq-m2g" display="Kangaroo Island pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i0-dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i0-dMFMEea5pdrFDq-m2g" display="Windsnyer pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i1lgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i1lgMFMEea5pdrFDq-m2g" display="Kolbroek pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i1lg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i1lgsFMEea5pdrFDq-m2g" display="South African Landrace pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i2zocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i2zoMFMEea5pdrFDq-m2g" display="Bulgarian Landrace pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i3ascFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i3asMFMEea5pdrFDq-m2g" display="Danube White pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i3atcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i3atMFMEea5pdrFDq-m2g" display="Romanian Native, Stocli pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i4BwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i3atsFMEea5pdrFDq-m2g" display="Romanian Native, Baltaret pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i4BxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i4Bw8FMEea5pdrFDq-m2g" display="Bazna pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i4o0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i4o0MFMEea5pdrFDq-m2g" display="Strei pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i4o08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i4o0sFMEea5pdrFDq-m2g" display="Slovhyb-1 pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i5P48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i5P4sFMEea5pdrFDq-m2g" display="SL96 pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i5P58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i5P5sFMEea5pdrFDq-m2g" display="Line 32 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i528cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i528MFMEea5pdrFDq-m2g" display="Line 21 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i5288FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i528sFMEea5pdrFDq-m2g" display="Meatline pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i529cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i529MFMEea5pdrFDq-m2g" display="Hampline pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i6eAMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i529sFMEea5pdrFDq-m2g" display="Euroline pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i6eAsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i6eAcFMEea5pdrFDq-m2g" display="Norline pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i6eBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i6eA8FMEea5pdrFDq-m2g" display="Premier pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i6eBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i6eBcFMEea5pdrFDq-m2g" display="Tribred pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i6eCMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i6eB8FMEea5pdrFDq-m2g" display="American Essex pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i7FEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i7FEMFMEea5pdrFDq-m2g" display="Sino-Gascony pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i7sIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i7FFsFMEea5pdrFDq-m2g" display="Canadian Landrace pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i7sIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i7sIcFMEea5pdrFDq-m2g" display="Canadian Yorkshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i7sJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i7sI8FMEea5pdrFDq-m2g" display="Pineywoods pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i7sJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i7sJcFMEea5pdrFDq-m2g" display="Catalina Island pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i8TMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i8TMMFMEea5pdrFDq-m2g" display="Ras-n-Lansa pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i8TM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i8TMsFMEea5pdrFDq-m2g" display="Pitman-Moore Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i8TNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i8TNMFMEea5pdrFDq-m2g" display="Vita Vet Lab Minipig pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i8TN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i8TNsFMEea5pdrFDq-m2g" display="Black Hampshire pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i9hV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i9hVsFMEea5pdrFDq-m2g" display="Canastrão, Capitão Chico pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i-vc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i-vcsFMEea5pdrFDq-m2g" display="Canastrinho pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i-vd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i-vdsFMEea5pdrFDq-m2g" display="Mastergilt pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i_WgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i_WgMFMEea5pdrFDq-m2g" display="Sovereign pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i_WhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i_WhMFMEea5pdrFDq-m2g" display="Lipetsk pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4i_9kMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i_WiMFMEea5pdrFDq-m2g" display="Chianina pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i_9ksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i_9kcFMEea5pdrFDq-m2g" display="Qingping pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4i_9lMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4i_9k8FMEea5pdrFDq-m2g" display="Xiangxi Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jAkocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jAkoMFMEea5pdrFDq-m2g" display="Bamaxiang pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jAko8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jAkosFMEea5pdrFDq-m2g" display="Taihu pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jAkpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jAkpMFMEea5pdrFDq-m2g" display="Erhulian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jAkp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jAkpsFMEea5pdrFDq-m2g" display="Jiaxing Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jBLscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jBLsMFMEea5pdrFDq-m2g" display="Mi pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jBLs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jBLssFMEea5pdrFDq-m2g" display="Shahutou pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jBLtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jBLtMFMEea5pdrFDq-m2g" display="Jiaoxi pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jBLt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jBLtsFMEea5pdrFDq-m2g" display="Shanghai White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jBywcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jBywMFMEea5pdrFDq-m2g" display="Hubei White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jByw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jBywsFMEea5pdrFDq-m2g" display="Xinjin pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jByxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jByxMFMEea5pdrFDq-m2g" display="Xinjin, Jilin Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jByx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jByxsFMEea5pdrFDq-m2g" display="Xinjin, Ning-an pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jCZ0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jCZ0MFMEea5pdrFDq-m2g" display="Í pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jCZ08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jCZ0sFMEea5pdrFDq-m2g" display="DBI pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jCZ1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jCZ1MFMEea5pdrFDq-m2g" display="Xinjin, Xinjin pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jCZ18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jCZ1sFMEea5pdrFDq-m2g" display="Meixin pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jDA48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jDA4sFMEea5pdrFDq-m2g" display="Fannong Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jDA5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jDA5MFMEea5pdrFDq-m2g" display="Laoshan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jDA58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jDA5sFMEea5pdrFDq-m2g" display="Nanjing Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jDn8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jDn8MFMEea5pdrFDq-m2g" display="Shanxi Black pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jDn9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jDn9MFMEea5pdrFDq-m2g" display="Guangxi White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jDn98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jDn9sFMEea5pdrFDq-m2g" display="Hanzhong White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jEPAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jEPAMFMEea5pdrFDq-m2g" display="Lutai White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jEPA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jEPAsFMEea5pdrFDq-m2g" display="Yili White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jEPBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jEPBMFMEea5pdrFDq-m2g" display="Xinjiang White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jEPB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jEPBsFMEea5pdrFDq-m2g" display="BSI pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jE2EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jE2EMFMEea5pdrFDq-m2g" display="Mong Cai pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jE2E8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jE2EsFMEea5pdrFDq-m2g" display="Lang Hong pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jE2FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jE2FMFMEea5pdrFDq-m2g" display="Muong Khuong pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jFdIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jE2FsFMEea5pdrFDq-m2g" display="Meo pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jFdIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jFdIcFMEea5pdrFDq-m2g" display="Tong Con pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jFdJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jFdI8FMEea5pdrFDq-m2g" display="Ha Bac pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jFdJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jFdJcFMEea5pdrFDq-m2g" display="Thai Binh pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jFdKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jFdJ8FMEea5pdrFDq-m2g" display="Co pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jGEMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGEMMFMEea5pdrFDq-m2g" display="Swiss Improved Landrace pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jGEM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGEMsFMEea5pdrFDq-m2g" display="German Landrace B pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jGEN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGENsFMEea5pdrFDq-m2g" display="Swabian-Hall pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jGrQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGrQMFMEea5pdrFDq-m2g" display="Bentheim Black Pied pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jGrQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGrQsFMEea5pdrFDq-m2g" display="Baldinger Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jGrRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGrRMFMEea5pdrFDq-m2g" display="German Red Pied pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jGrR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jGrRsFMEea5pdrFDq-m2g" display="German Cornwall pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jHSUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jHSUMFMEea5pdrFDq-m2g" display="Göttingen Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jHSU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jHSUsFMEea5pdrFDq-m2g" display="Munich Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jHSVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jHSVMFMEea5pdrFDq-m2g" display="Leicoma pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jHSV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jHSVsFMEea5pdrFDq-m2g" display="Schwerfurt Meat pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jH5YMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jHSWMFMEea5pdrFDq-m2g" display="Hungarian White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jH5YsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jH5YcFMEea5pdrFDq-m2g" display="Hungahyb pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jH5ZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jH5Y8FMEea5pdrFDq-m2g" display="Bulgarian Native pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jH5ZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jH5ZcFMEea5pdrFDq-m2g" display="East Balkan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jH5aMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jH5Z8FMEea5pdrFDq-m2g" display="Kula pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jIgccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jIgcMFMEea5pdrFDq-m2g" display="Nghia Binh pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jIgc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jIgcsFMEea5pdrFDq-m2g" display="Kakhetian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jIgdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jIgdMFMEea5pdrFDq-m2g" display="West French White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jIgd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jIgdsFMEea5pdrFDq-m2g" display="Muban pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJHgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJHgMFMEea5pdrFDq-m2g" display="Iban pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJHg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJHgsFMEea5pdrFDq-m2g" display="Tuy Hoa Hairless pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJHhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJHhMFMEea5pdrFDq-m2g" display="Hainan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJHh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJHhsFMEea5pdrFDq-m2g" display="Sino-Vietnamese pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJukcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJukMFMEea5pdrFDq-m2g" display="Bo Xu pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJuk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJuksFMEea5pdrFDq-m2g" display="Thuoc Nhieu pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJulcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJulMFMEea5pdrFDq-m2g" display="Burmese pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJul8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJulsFMEea5pdrFDq-m2g" display="Romanian Large White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jJumcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jJumMFMEea5pdrFDq-m2g" display="Romanian Meat Pig pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jKVocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jKVoMFMEea5pdrFDq-m2g" display="Gurktal pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jKVo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jKVosFMEea5pdrFDq-m2g" display="Black Slavonian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jKVpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jKVpMFMEea5pdrFDq-m2g" display="Resava pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jK8scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jK8sMFMEea5pdrFDq-m2g" display="Morava pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jK8s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jK8ssFMEea5pdrFDq-m2g" display="Dzumalia pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jK8tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jK8tMFMEea5pdrFDq-m2g" display="Macedonian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jK8t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jK8tsFMEea5pdrFDq-m2g" display="Albanian Native pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jLjwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jK8uMFMEea5pdrFDq-m2g" display="Shkodra pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jLjwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jLjwcFMEea5pdrFDq-m2g" display="Slovenian White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jLjxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jLjw8FMEea5pdrFDq-m2g" display="Subotica White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jLjxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jLjxcFMEea5pdrFDq-m2g" display="Prestice pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jLjyMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jLjx8FMEea5pdrFDq-m2g" display="Slovakian Black Pied pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMK0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMK0MFMEea5pdrFDq-m2g" display="Czech Improved White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMK08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMK0sFMEea5pdrFDq-m2g" display="Moravian Large Yorkshire pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMK1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMK1MFMEea5pdrFDq-m2g" display="Slovakian White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMK18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMK1sFMEea5pdrFDq-m2g" display="Czech Meat pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMx4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMx4MFMEea5pdrFDq-m2g" display="Czech Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMx48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMx4sFMEea5pdrFDq-m2g" display="Small Polish Prick-Eared pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMx5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMx5MFMEea5pdrFDq-m2g" display="Polesian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jMx58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jMx5sFMEea5pdrFDq-m2g" display="Nadbuzanska pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jNY8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jNY8MFMEea5pdrFDq-m2g" display="Sarny pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jNY88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jNY8sFMEea5pdrFDq-m2g" display="Krolevets pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jNY9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jNY9MFMEea5pdrFDq-m2g" display="Polish Marsh pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jNY98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jNY9sFMEea5pdrFDq-m2g" display="Large Polish Long-Eared pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOAAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOAAMFMEea5pdrFDq-m2g" display="Ukrainian steppe white pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOAA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOAAsFMEea5pdrFDq-m2g" display="Mixed breed pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOABcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOABMFMEea5pdrFDq-m2g" display="Duroc pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOAB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOABsFMEea5pdrFDq-m2g" display="Oxford sandy block pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOnEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOnEMFMEea5pdrFDq-m2g" display="OIC pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOnE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOnEsFMEea5pdrFDq-m2g" display="Yuca pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOnFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOnFMFMEea5pdrFDq-m2g" display="British saddleback pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jOnF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jOnFsFMEea5pdrFDq-m2g" display="Hereford pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jPOIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jPOIMFMEea5pdrFDq-m2g" display="Pietrain pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jPOI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jPOIsFMEea5pdrFDq-m2g" display="Hampshire pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jPOJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jPOJMFMEea5pdrFDq-m2g" display="Large black pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jPOJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jPOJsFMEea5pdrFDq-m2g" display="British lop pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jP1McFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jP1MMFMEea5pdrFDq-m2g" display="Connor prairie pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jP1M8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jP1MsFMEea5pdrFDq-m2g" display="Lacombe pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jP1NcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jP1NMFMEea5pdrFDq-m2g" display="Tamworth pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jP1N8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jP1NsFMEea5pdrFDq-m2g" display="Spotted pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jQcQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jQcQMFMEea5pdrFDq-m2g" display="Palouse pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jQcQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jQcQsFMEea5pdrFDq-m2g" display="Welsh pig (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jQcR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jQcRsFMEea5pdrFDq-m2g" display="Wessex saddleback pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRDUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRDUMFMEea5pdrFDq-m2g" display="Red wattle pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRDU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRDUsFMEea5pdrFDq-m2g" display="Large white pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRDVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRDVMFMEea5pdrFDq-m2g" display="Poland China pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRDV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRDVsFMEea5pdrFDq-m2g" display="Lucie pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRqYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRqYMFMEea5pdrFDq-m2g" display="San Pierre pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRqY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRqYsFMEea5pdrFDq-m2g" display="Middle white pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRqZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRqZMFMEea5pdrFDq-m2g" display="Yorkshire pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jRqZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jRqZsFMEea5pdrFDq-m2g" display="Hormel miniature pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jSRccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jSRcMFMEea5pdrFDq-m2g" display="Gloucester old spot pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jSRc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jSRcsFMEea5pdrFDq-m2g" display="Haiti Créole pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jSRdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jSRdMFMEea5pdrFDq-m2g" display="Manor Hybrid pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jSRd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jSRdsFMEea5pdrFDq-m2g" display="Hamline pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jS4gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jS4gMFMEea5pdrFDq-m2g" display="Manor Ranger pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jS4g8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jS4gsFMEea5pdrFDq-m2g" display="Manor Meishan pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jS4hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jS4hMFMEea5pdrFDq-m2g" display="Cotswold Gold pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jS4h8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jS4hsFMEea5pdrFDq-m2g" display="Cotswold Platinum pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jTfkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jS4iMFMEea5pdrFDq-m2g" display="Cotswold 16 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jTfksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jTfkcFMEea5pdrFDq-m2g" display="Cotswold 29 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jTflMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jTfk8FMEea5pdrFDq-m2g" display="Cotswold 90 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jTflsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jTflcFMEea5pdrFDq-m2g" display="Hampen pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jTfmMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jTfl8FMEea5pdrFDq-m2g" display="SPM pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUGocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUGoMFMEea5pdrFDq-m2g" display="Hanford Miniature pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUGo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUGosFMEea5pdrFDq-m2g" display="Westrain pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUGpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUGpMFMEea5pdrFDq-m2g" display="Dalland 030 pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUGp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUGpsFMEea5pdrFDq-m2g" display="Razor-Back pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUtscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUtsMFMEea5pdrFDq-m2g" display="Macau pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUts8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUtssFMEea5pdrFDq-m2g" display="Moura pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jUttcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jUttMFMEea5pdrFDq-m2g" display="Canastra pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jVUwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jVUwMFMEea5pdrFDq-m2g" display="Pirapetinga pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jVUw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jVUwsFMEea5pdrFDq-m2g" display="Piau pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jVUxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jVUxMFMEea5pdrFDq-m2g" display="Nilo-Canastra pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jVUx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jVUxsFMEea5pdrFDq-m2g" display="Canastrão pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jV70cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jV70MFMEea5pdrFDq-m2g" display="Central Russian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jV708FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jV70sFMEea5pdrFDq-m2g" display="Steppe Meat pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jV71cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jV71MFMEea5pdrFDq-m2g" display="Gascony pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jV718FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jV71sFMEea5pdrFDq-m2g" display="Limousin pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jV72cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jV72MFMEea5pdrFDq-m2g" display="Harbin White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jWi4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jWi4MFMEea5pdrFDq-m2g" display="Heilongjiang Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jWi48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jWi4sFMEea5pdrFDq-m2g" display="Liaoning Black pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jWi5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jWi5MFMEea5pdrFDq-m2g" display="Huang-Huai-Hai Black, Shenxian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jWi58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jWi5sFMEea5pdrFDq-m2g" display="Huang-Huai-Hai Black pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jaNRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jaNRMFMEea5pdrFDq-m2g" display="Hainan, Lingao pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jaNR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jaNRsFMEea5pdrFDq-m2g" display="Hainan, Tunchang pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jcCcMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jbbaMFMEea5pdrFDq-m2g" display="Mandi pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jdQk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jdQksFMEea5pdrFDq-m2g" display="Dekalb hybrid pig line (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jdQlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jdQlMFMEea5pdrFDq-m2g" display="Landrace pig (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jd3oMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jdQmMFMEea5pdrFDq-m2g" display="Pic pig (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jd3pMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jd3o8FMEea5pdrFDq-m2g" display="Berkshire pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jd3psFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jd3pcFMEea5pdrFDq-m2g" display="Kleen leen pig (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jfFw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jfFwsFMEea5pdrFDq-m2g" display="Dekalb hybrid pig line 77 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jfFxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jfFxMFMEea5pdrFDq-m2g" display="Swedish landrace pig (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jfs0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jfFyMFMEea5pdrFDq-m2g" display="Pic Cambourgh pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jfs0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jfs0cFMEea5pdrFDq-m2g" display="Boar power pig 72 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jfs1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jfs08FMEea5pdrFDq-m2g" display="FHC elite pig 3 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jgT4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jfs1cFMEea5pdrFDq-m2g" display="Boar power pig 414 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jgT4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jgT4cFMEea5pdrFDq-m2g" display="Boar power pig 929 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jgT5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jgT48FMEea5pdrFDq-m2g" display="Boar power pig 565 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jgT5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jgT5cFMEea5pdrFDq-m2g" display="Pic line pig 26 (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jg68sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jg68cFMEea5pdrFDq-m2g" display="Boar power pig 48 (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jhiB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jhiBsFMEea5pdrFDq-m2g" display="Dekalb hybrid pig line 30 (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jiJFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jiJFMFMEea5pdrFDq-m2g" display="FHC elite pig 1 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jiwIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jiwIMFMEea5pdrFDq-m2g" display="FHC elite pig 4 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jiwI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jiwIsFMEea5pdrFDq-m2g" display="Boar power pig 656 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jiwJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jiwJMFMEea5pdrFDq-m2g" display="FHC elite pig 6 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jiwJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jiwJsFMEea5pdrFDq-m2g" display="Boar power pig 59 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jjXMMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jiwKMFMEea5pdrFDq-m2g" display="Boar power pig 292 (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jjXNMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jjXM8FMEea5pdrFDq-m2g" display="Dekalb hybrid pig line 61 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jjXNsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jjXNcFMEea5pdrFDq-m2g" display="FHC elite pig 5 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jjXOMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jjXN8FMEea5pdrFDq-m2g" display="Boar power pig 141 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jj-QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jj-QMFMEea5pdrFDq-m2g" display="Italian landrace pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jj-Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jj-QsFMEea5pdrFDq-m2g" display="FHC elite pig 8 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jj-RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jj-RMFMEea5pdrFDq-m2g" display="Minnesota pig #1 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jj-R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jj-RsFMEea5pdrFDq-m2g" display="Boar power pig 161 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jklUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jklUMFMEea5pdrFDq-m2g" display="Boar power pig 27 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jklU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jklUsFMEea5pdrFDq-m2g" display="British landrace pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jklVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jklVMFMEea5pdrFDq-m2g" display="Boar power pig 747 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jklV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jklVsFMEea5pdrFDq-m2g" display="Kleen leen red pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlMYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlMYMFMEea5pdrFDq-m2g" display="Boar power pig 474 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlMY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlMYsFMEea5pdrFDq-m2g" display="Danish landrace pig (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlMZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlMZMFMEea5pdrFDq-m2g" display="Pic line pig 24 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlMZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlMZsFMEea5pdrFDq-m2g" display="Boar power pig 282 (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlzcMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlMaMFMEea5pdrFDq-m2g" display="Kharkov pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jlzdMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlzc8FMEea5pdrFDq-m2g" display="Russian Large White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlzdsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlzdcFMEea5pdrFDq-m2g" display="Forest Mountain pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jlzeMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jlzd8FMEea5pdrFDq-m2g" display="Dnieper pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jmagcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jmagMFMEea5pdrFDq-m2g" display="Iberian pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jmahcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jmahMFMEea5pdrFDq-m2g" display="Iberian, Jabugo Spotted pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jmah8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jmahsFMEea5pdrFDq-m2g" display="Iberian, Black Iberian pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jnBkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jnBkMFMEea5pdrFDq-m2g" display="Philippine Native, Ilocos pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jnBk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jnBksFMEea5pdrFDq-m2g" display="Philippine Native, Jalajala pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jnBlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jnBlMFMEea5pdrFDq-m2g" display="Mangalizta pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jnBl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jnBlsFMEea5pdrFDq-m2g" display="Alentejana pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jnoo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jnoosFMEea5pdrFDq-m2g" display="French Large White pig breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4jnopcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jnopMFMEea5pdrFDq-m2g" display="Hyper Large White pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jqE58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jqE5sFMEea5pdrFDq-m2g" display="Russian Short-Eared White pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jshI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jshIsFMEea5pdrFDq-m2g" display="Min pig breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4juWUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4juWUMFMEea5pdrFDq-m2g" display="Bos taurus (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4ju9YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ju9YMFMEea5pdrFDq-m2g" display="Dexter cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4ju9Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ju9YsFMEea5pdrFDq-m2g" display="Blonde d'Aquitaine (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jvkdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jvkdMFMEea5pdrFDq-m2g" display="Gelbveih cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jwykMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jwLiMFMEea5pdrFDq-m2g" display="Meusse-Rhine-Ijssel cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jwylMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jwyk8FMEea5pdrFDq-m2g" display="Belted Galloway cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jyAtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jyAtMFMEea5pdrFDq-m2g" display="Brown Swiss cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4jzO1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4jzO1MFMEea5pdrFDq-m2g" display="Salers cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j0c88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j0c8sFMEea5pdrFDq-m2g" display="Bachaur cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j1EAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j1EAMFMEea5pdrFDq-m2g" display="Bhagnari cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j1EA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j1EAsFMEea5pdrFDq-m2g" display="Boran cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j1EB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j1EBsFMEea5pdrFDq-m2g" display="Cholistani cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j1rF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j1rFsFMEea5pdrFDq-m2g" display="Dhanni cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j2SIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j2SIMFMEea5pdrFDq-m2g" display="Gaolao cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j2SJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j2SJsFMEea5pdrFDq-m2g" display="Indo-Brazilian cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j25N8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j25NsFMEea5pdrFDq-m2g" display="Arsi cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j3gQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j25OMFMEea5pdrFDq-m2g" display="Atpadi Mahal cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j3gRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j3gQ8FMEea5pdrFDq-m2g" display="Azerbaijan Zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j3gRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j3gRcFMEea5pdrFDq-m2g" display="Baggara cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j3gSMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j3gR8FMEea5pdrFDq-m2g" display="Bambawa cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j4HUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4HUMFMEea5pdrFDq-m2g" display="Bami cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j4HVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4HVMFMEea5pdrFDq-m2g" display="Bargur cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j4HV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4HVsFMEea5pdrFDq-m2g" display="Bari cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j4uYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4uYMFMEea5pdrFDq-m2g" display="Bimal cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j4uY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4uYsFMEea5pdrFDq-m2g" display="Borneo Zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j4uZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4uZMFMEea5pdrFDq-m2g" display="Butana cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j4uZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j4uZsFMEea5pdrFDq-m2g" display="Chittagong Red cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j5VccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j5VcMFMEea5pdrFDq-m2g" display="Cutchi cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j-N8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j-N8MFMEea5pdrFDq-m2g" display="Iranian Zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j-N88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j-N8sFMEea5pdrFDq-m2g" display="Kappiliyan cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4j-N9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j-N9MFMEea5pdrFDq-m2g" display="Karamajong cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4j_cEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4j_cEcFMEea5pdrFDq-m2g" display="Khillari cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kADJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kADJMFMEea5pdrFDq-m2g" display="Nelore cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kADJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kADJsFMEea5pdrFDq-m2g" display="Nimari cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kAqNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kAqNMFMEea5pdrFDq-m2g" display="Rathi cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kDtg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kDtgsFMEea5pdrFDq-m2g" display="Kenya Zebu cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kDth8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kDthsFMEea5pdrFDq-m2g" display="Khurasani zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kEUkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kEUkMFMEea5pdrFDq-m2g" display="Kilara cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kEUk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kEUksFMEea5pdrFDq-m2g" display="Kinniya cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kEUlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kEUlMFMEea5pdrFDq-m2g" display="Konari cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kEUl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kEUlsFMEea5pdrFDq-m2g" display="Tadzhik zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kE7ocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kE7oMFMEea5pdrFDq-m2g" display="Krishnagari cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kE7o8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kE7osFMEea5pdrFDq-m2g" display="Kumauni cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kE7p8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kE7psFMEea5pdrFDq-m2g" display="Latuka cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kFitcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kFitMFMEea5pdrFDq-m2g" display="Madaripur cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kFit8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kFitsFMEea5pdrFDq-m2g" display="Magal cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kGJwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kGJwMFMEea5pdrFDq-m2g" display="Malawi Zebu cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kGJw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kGJwsFMEea5pdrFDq-m2g" display="Malnad Gidda cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kGJxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kGJxMFMEea5pdrFDq-m2g" display="Mampati cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kGJx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kGJxsFMEea5pdrFDq-m2g" display="Manapari cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kGw08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kGw0sFMEea5pdrFDq-m2g" display="Mazandarani cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kHX4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kGw2MFMEea5pdrFDq-m2g" display="Miniature Zebu cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kHX6MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kHX58FMEea5pdrFDq-m2g" display="Mpwapwa cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kImAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kImAMFMEea5pdrFDq-m2g" display="Nkedi cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kImBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kImBMFMEea5pdrFDq-m2g" display="North Somali Zebu cattle breed (organism)"/>
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  <fhir:ValueSetMember xmi:id="_4kKbMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kKbMMFMEea5pdrFDq-m2g" display="Red Desert cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kKbM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kKbMsFMEea5pdrFDq-m2g" display="Red Kandhari cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kKbNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kKbNMFMEea5pdrFDq-m2g" display="Shakhansurri cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kKbN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kKbNsFMEea5pdrFDq-m2g" display="Sheko cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kLCQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kLCQMFMEea5pdrFDq-m2g" display="Shendi cattle breed (organism)"/>
  <fhir:ValueSetMember xmi:id="_4kLCQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4kLCQsFMEea5pdrFDq-m2g" display="Shuwa cattle breed (organism)"/>
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  <fhir:ShortDescription xmi:id="_4kd9MMFMEea5pdrFDq-m2g" base_Comment="_4kdWMMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4kd9MsFMEea5pdrFDq-m2g" base_Comment="_4kd9McFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4kd9NMFMEea5pdrFDq-m2g" base_Comment="_4kd9M8FMEea5pdrFDq-m2g"/>
  <fhir:TypeChoice xmi:id="_4k0igMFMEea5pdrFDq-m2g" base_Property="_4kdWKMFMEea5pdrFDq-m2g" types="_4eScuMFMEea5pdrFDq-m2g _4kWocMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4k1Jk8FMEea5pdrFDq-m2g" id="Patient.link.type" base_Property="_4k1JkMFMEea5pdrFDq-m2g" name="Patient.link.type" isModifier="true" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4k1JlMFMEea5pdrFDq-m2g" base_Property="_4k1JkMFMEea5pdrFDq-m2g" strength="required" description="The type of link between this patient resource and another patient resource." valueSetReference="_4k1wocFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4k1wocFMEea5pdrFDq-m2g" id="link-type" uri="http://hl7.org/fhir/ValueSet/link-type" version="1.8.0" name="LinkType" publisher="HL7 (FHIR Project)" base_Enumeration="_4k1woMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k1wo8FMEea5pdrFDq-m2g" base_Comment="_4k1wosFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k2XsMFMEea5pdrFDq-m2g" base_Comment="_4k1wpMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4k2XtMFMEea5pdrFDq-m2g" id="Annotation.author[x]" base_Property="_4k2XscFMEea5pdrFDq-m2g" name="Annotation.author[x]" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4k2XtsFMEea5pdrFDq-m2g" base_Comment="_4k2XtcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k2XuMFMEea5pdrFDq-m2g" base_Comment="_4k2Xt8FMEea5pdrFDq-m2g"/>
  <fhir:TypeChoice xmi:id="_4k2-wMFMEea5pdrFDq-m2g" base_Property="_4k2XscFMEea5pdrFDq-m2g" types="_4a6_qMFMEea5pdrFDq-m2g _4eScuMFMEea5pdrFDq-m2g _4kWocMFMEea5pdrFDq-m2g _4aHuYcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4k2-xMFMEea5pdrFDq-m2g" id="Annotation.time" base_Property="_4k2-wcFMEea5pdrFDq-m2g" name="Annotation.time" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4k2-xsFMEea5pdrFDq-m2g" base_Comment="_4k2-xcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k2-yMFMEea5pdrFDq-m2g" base_Comment="_4k2-x8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4k2-zMFMEea5pdrFDq-m2g" id="Annotation.text" base_Property="_4k2-ycFMEea5pdrFDq-m2g" name="Annotation.text"/>
  <fhir:ShortDescription xmi:id="_4k3l0cFMEea5pdrFDq-m2g" base_Comment="_4k3l0MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k3l08FMEea5pdrFDq-m2g" base_Comment="_4k3l0sFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4k4M4MFMEea5pdrFDq-m2g" base_Constraint="_4k3l1cFMEea5pdrFDq-m2g" code="-1" message="There SHALL be a code with a value of &quot;1&quot; if there is a value and it SHALL be an expression of length.  If system is present, it SHALL be UCUM.  If present, the value SHALL a whole number."/>
  <Ecore:EClass xmi:id="_4k4z8MFMEea5pdrFDq-m2g" base_Class="_4k3l1MFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4k4z8cFMEea5pdrFDq-m2g" id="Count" uri="http://hl7.org/fhir/StructureDefinition/Count" name="Count" publisher="HL7 FHIR Standard" base_Class="_4k3l1MFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4k4z88FMEea5pdrFDq-m2g" base_Comment="_4k4z8sFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4k4z9cFMEea5pdrFDq-m2g" base_Comment="_4k4z9MFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k4z-MFMEea5pdrFDq-m2g" base_Comment="_4k4z98FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k4z-sFMEea5pdrFDq-m2g" base_Comment="_4k4z-cFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4k4z_MFMEea5pdrFDq-m2g" base_Comment="_4k4z-8FMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4k5bA8FMEea5pdrFDq-m2g" base_Constraint="_4k5bAcFMEea5pdrFDq-m2g" code="-1" message="There SHALL be a code if there is a value and it SHALL be an expression of length.  If system is present, it SHALL be UCUM."/>
  <Ecore:EClass xmi:id="_4k6CEMFMEea5pdrFDq-m2g" base_Class="_4k5bAMFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4k6CEcFMEea5pdrFDq-m2g" id="Distance" uri="http://hl7.org/fhir/StructureDefinition/Distance" name="Distance" publisher="HL7 FHIR Standard" base_Class="_4k5bAMFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4k6CE8FMEea5pdrFDq-m2g" base_Comment="_4k6CEsFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k6CFsFMEea5pdrFDq-m2g" base_Comment="_4k6CFcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k6CGMFMEea5pdrFDq-m2g" base_Comment="_4k6CF8FMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4k6pI8FMEea5pdrFDq-m2g" base_Constraint="_4k6pIcFMEea5pdrFDq-m2g" code="-1" message="There SHALL be a code if there is a value and it SHALL be an expression of time.  If system is present, it SHALL be UCUM."/>
  <Ecore:EClass xmi:id="_4k7QMMFMEea5pdrFDq-m2g" base_Class="_4k6pIMFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4k7QMcFMEea5pdrFDq-m2g" id="Duration" uri="http://hl7.org/fhir/StructureDefinition/Duration" name="Duration" publisher="HL7 FHIR Standard" base_Class="_4k6pIMFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4k7QM8FMEea5pdrFDq-m2g" base_Comment="_4k7QMsFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k7QNsFMEea5pdrFDq-m2g" base_Comment="_4k7QNcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k73QMFMEea5pdrFDq-m2g" base_Comment="_4k7QN8FMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4k73RMFMEea5pdrFDq-m2g" base_Constraint="_4k73QsFMEea5pdrFDq-m2g" code="-1" message="There SHALL be a code if there is a value and it SHALL be an expression of currency.  If system is present, it SHALL be ISO 4217 (system = &quot;urn:iso:std:iso:4217&quot; - currency)."/>
  <Ecore:EClass xmi:id="_4k8eUMFMEea5pdrFDq-m2g" base_Class="_4k73QcFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4k8eUcFMEea5pdrFDq-m2g" id="Money" uri="http://hl7.org/fhir/StructureDefinition/Money" name="Money" publisher="HL7 FHIR Standard" base_Class="_4k73QcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4k8eU8FMEea5pdrFDq-m2g" base_Comment="_4k8eUsFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k9FYMFMEea5pdrFDq-m2g" base_Comment="_4k8eVcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k9FYsFMEea5pdrFDq-m2g" base_Comment="_4k9FYcFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4k9scMFMEea5pdrFDq-m2g" base_Constraint="_4k9FZMFMEea5pdrFDq-m2g" code="-1" message="If present, low SHALL have a lower value than high"/>
  <Ecore:EClass xmi:id="_4k9sccFMEea5pdrFDq-m2g" base_Class="_4k9FY8FMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4k9scsFMEea5pdrFDq-m2g" id="Range" uri="http://hl7.org/fhir/StructureDefinition/Range" name="Range" publisher="HL7 FHIR Standard" base_Class="_4k9FY8FMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4k-TgMFMEea5pdrFDq-m2g" base_Comment="_4k9sc8FMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4k-TgsFMEea5pdrFDq-m2g" base_Comment="_4k-TgcFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k-ThcFMEea5pdrFDq-m2g" base_Comment="_4k-ThMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k-Th8FMEea5pdrFDq-m2g" base_Comment="_4k-ThsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4k-TicFMEea5pdrFDq-m2g" base_Comment="_4k-TiMFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4k-6kMFMEea5pdrFDq-m2g" base_Constraint="_4k-Ti8FMEea5pdrFDq-m2g" code="-1" message="The comparator is not used on a SimpleQuantity"/>
  <Ecore:EClass xmi:id="_4k-6kcFMEea5pdrFDq-m2g" base_Class="_4k-TisFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4k_hoMFMEea5pdrFDq-m2g" id="SimpleQuantity" uri="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" name="SimpleQuantity" publisher="HL7 FHIR Standard" base_Class="_4k-TisFMEea5pdrFDq-m2g" isLogical="false" derivation="constraint"/>
  <fhir:Description xmi:id="_4k_hosFMEea5pdrFDq-m2g" base_Comment="_4k_hocFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4k_hpcFMEea5pdrFDq-m2g" base_Comment="_4k_hpMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4k_hp8FMEea5pdrFDq-m2g" base_Comment="_4k_hpsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4k_hq8FMEea5pdrFDq-m2g" id="Quantity:simplequantity.comparator" base_Property="_4k_hqMFMEea5pdrFDq-m2g" name="Quantity:simplequantity.comparator"/>
  <fhir:Definition xmi:id="_4k_hrcFMEea5pdrFDq-m2g" base_Comment="_4k_hrMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lAIs8FMEea5pdrFDq-m2g" id="Range.low" base_Property="_4lAIsMFMEea5pdrFDq-m2g" name="Range.low" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lAItcFMEea5pdrFDq-m2g" base_Comment="_4lAItMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lAIt8FMEea5pdrFDq-m2g" base_Comment="_4lAItsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lAIucFMEea5pdrFDq-m2g" base_Comment="_4lAIuMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lAIvcFMEea5pdrFDq-m2g" id="Range.high" base_Property="_4lAIusFMEea5pdrFDq-m2g" name="Range.high" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lAvwcFMEea5pdrFDq-m2g" base_Comment="_4lAvwMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lAvw8FMEea5pdrFDq-m2g" base_Comment="_4lAvwsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lAvxcFMEea5pdrFDq-m2g" base_Comment="_4lAvxMFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4lBW0MFMEea5pdrFDq-m2g" base_Constraint="_4lAvx8FMEea5pdrFDq-m2g" code="-1" message="Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present"/>
  <Ecore:EClass xmi:id="_4lBW0cFMEea5pdrFDq-m2g" base_Class="_4lAvxsFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4lBW0sFMEea5pdrFDq-m2g" id="Ratio" uri="http://hl7.org/fhir/StructureDefinition/Ratio" name="Ratio" publisher="HL7 FHIR Standard" base_Class="_4lAvxsFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4lB94cFMEea5pdrFDq-m2g" base_Comment="_4lB94MFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lB948FMEea5pdrFDq-m2g" base_Comment="_4lB94sFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lB95sFMEea5pdrFDq-m2g" base_Comment="_4lB95cFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lB96MFMEea5pdrFDq-m2g" base_Comment="_4lB958FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lB97MFMEea5pdrFDq-m2g" id="Ratio.numerator" base_Property="_4lB96cFMEea5pdrFDq-m2g" name="Ratio.numerator" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lCk8cFMEea5pdrFDq-m2g" base_Comment="_4lCk8MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lCk88FMEea5pdrFDq-m2g" base_Comment="_4lCk8sFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lCk98FMEea5pdrFDq-m2g" id="Ratio.denominator" base_Property="_4lCk9MFMEea5pdrFDq-m2g" name="Ratio.denominator" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lCk-cFMEea5pdrFDq-m2g" base_Comment="_4lCk-MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lCk-8FMEea5pdrFDq-m2g" base_Comment="_4lCk-sFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4lDMAMFMEea5pdrFDq-m2g" base_Constraint="_4lCk_cFMEea5pdrFDq-m2g" code="-1" message="SHALL have a contained resource if a local reference is provided"/>
  <Ecore:EClass xmi:id="_4lDzEMFMEea5pdrFDq-m2g" base_Class="_4lCk_MFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4lDzEcFMEea5pdrFDq-m2g" id="Reference" uri="http://hl7.org/fhir/StructureDefinition/Reference" name="Reference" publisher="HL7 FHIR Standard" base_Class="_4lCk_MFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4lDzE8FMEea5pdrFDq-m2g" base_Comment="_4lDzEsFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lDzFsFMEea5pdrFDq-m2g" base_Comment="_4lDzFcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lDzGMFMEea5pdrFDq-m2g" base_Comment="_4lDzF8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lDzGsFMEea5pdrFDq-m2g" base_Comment="_4lDzGcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lEaI8FMEea5pdrFDq-m2g" id="Reference.reference" base_Property="_4lEaIMFMEea5pdrFDq-m2g" name="Reference.reference" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lEaJcFMEea5pdrFDq-m2g" base_Comment="_4lEaJMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lEaJ8FMEea5pdrFDq-m2g" base_Comment="_4lEaJsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lEaKcFMEea5pdrFDq-m2g" base_Comment="_4lEaKMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lEaLcFMEea5pdrFDq-m2g" id="Reference.identifier" base_Property="_4lEaKsFMEea5pdrFDq-m2g" name="Reference.identifier" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lEaL8FMEea5pdrFDq-m2g" base_Comment="_4lEaLsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lFBMcFMEea5pdrFDq-m2g" base_Comment="_4lFBMMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lFBM8FMEea5pdrFDq-m2g" base_Comment="_4lFBMsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lFBN8FMEea5pdrFDq-m2g" id="Reference.display" base_Property="_4lFBNMFMEea5pdrFDq-m2g" name="Reference.display" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lFBOcFMEea5pdrFDq-m2g" base_Comment="_4lFBOMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lFBO8FMEea5pdrFDq-m2g" base_Comment="_4lFBOsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lFBPcFMEea5pdrFDq-m2g" base_Comment="_4lFBPMFMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4lFoQMFMEea5pdrFDq-m2g" base_Class="_4lFBPsFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4lFoQcFMEea5pdrFDq-m2g" id="SampledData" uri="http://hl7.org/fhir/StructureDefinition/SampledData" name="SampledData" publisher="HL7 FHIR Standard" base_Class="_4lFBPsFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4lFoQ8FMEea5pdrFDq-m2g" base_Comment="_4lFoQsFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lGPUcFMEea5pdrFDq-m2g" base_Comment="_4lGPUMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lGPVMFMEea5pdrFDq-m2g" base_Comment="_4lGPU8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lGPVsFMEea5pdrFDq-m2g" base_Comment="_4lGPVcFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lGPWMFMEea5pdrFDq-m2g" base_Comment="_4lGPV8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lGPXMFMEea5pdrFDq-m2g" id="SampledData.origin" base_Property="_4lGPWcFMEea5pdrFDq-m2g" name="SampledData.origin" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lGPXsFMEea5pdrFDq-m2g" base_Comment="_4lGPXcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lG2YcFMEea5pdrFDq-m2g" base_Comment="_4lG2YMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lG2ZcFMEea5pdrFDq-m2g" id="SampledData.period" base_Property="_4lG2YsFMEea5pdrFDq-m2g" name="SampledData.period" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lG2Z8FMEea5pdrFDq-m2g" base_Comment="_4lG2ZsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lG2acFMEea5pdrFDq-m2g" base_Comment="_4lG2aMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lG2a8FMEea5pdrFDq-m2g" base_Comment="_4lG2asFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lG2b8FMEea5pdrFDq-m2g" id="SampledData.factor" base_Property="_4lG2bMFMEea5pdrFDq-m2g" name="SampledData.factor" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lHdccFMEea5pdrFDq-m2g" base_Comment="_4lHdcMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lHdc8FMEea5pdrFDq-m2g" base_Comment="_4lHdcsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lHdd8FMEea5pdrFDq-m2g" id="SampledData.lowerLimit" base_Property="_4lHddMFMEea5pdrFDq-m2g" name="SampledData.lowerLimit" isSummary="true"/>
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  <fhir:Definition xmi:id="_4lIEgMFMEea5pdrFDq-m2g" base_Comment="_4lHdesFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lIEhMFMEea5pdrFDq-m2g" id="SampledData.upperLimit" base_Property="_4lIEgcFMEea5pdrFDq-m2g" name="SampledData.upperLimit" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lIEhsFMEea5pdrFDq-m2g" base_Comment="_4lIEhcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lIEiMFMEea5pdrFDq-m2g" base_Comment="_4lIEh8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lIEjMFMEea5pdrFDq-m2g" id="SampledData.dimensions" base_Property="_4lIEicFMEea5pdrFDq-m2g" name="SampledData.dimensions" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lIrkMFMEea5pdrFDq-m2g" base_Comment="_4lIEjcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lIrksFMEea5pdrFDq-m2g" base_Comment="_4lIrkcFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_4lIrmMFMEea5pdrFDq-m2g" id="SampledData.data" base_Property="_4lIrlcFMEea5pdrFDq-m2g" name="SampledData.data"/>
  <fhir:ShortDescription xmi:id="_4lIrmsFMEea5pdrFDq-m2g" base_Comment="_4lIrmcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lIrnMFMEea5pdrFDq-m2g" base_Comment="_4lIrm8FMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4lJSocFMEea5pdrFDq-m2g" base_Class="_4lJSoMFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4lJSosFMEea5pdrFDq-m2g" id="Signature" uri="http://hl7.org/fhir/StructureDefinition/Signature" name="Signature" publisher="HL7 FHIR Standard" base_Class="_4lJSoMFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4lJ5scFMEea5pdrFDq-m2g" base_Comment="_4lJ5sMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lJ5s8FMEea5pdrFDq-m2g" base_Comment="_4lJ5ssFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lJ5tsFMEea5pdrFDq-m2g" base_Comment="_4lJ5tcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lJ5uMFMEea5pdrFDq-m2g" base_Comment="_4lJ5t8FMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_4lJ5vsFMEea5pdrFDq-m2g" id="Signature.type" base_Property="_4lJ5u8FMEea5pdrFDq-m2g" name="Signature.type" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4lKgwMFMEea5pdrFDq-m2g" base_Property="_4lJ5u8FMEea5pdrFDq-m2g" strength="preferred" description="An indication of the reason that an entity signed the object" valueSetReference="_4lKgwsFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4lKgwsFMEea5pdrFDq-m2g" id="signature-type" uri="http://hl7.org/fhir/ValueSet/signature-type" version="1.8.0" name="Signature Type Codes" publisher="ASTM" base_Enumeration="_4lKgwcFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lKgxMFMEea5pdrFDq-m2g" base_Comment="_4lKgw8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lKgxsFMEea5pdrFDq-m2g" base_Comment="_4lKgxcFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lKgyMFMEea5pdrFDq-m2g" base_Comment="_4lKgx8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lLH08FMEea5pdrFDq-m2g" id="Signature.when" base_Property="_4lLH0MFMEea5pdrFDq-m2g" name="Signature.when" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lLH1cFMEea5pdrFDq-m2g" base_Comment="_4lLH1MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lLH18FMEea5pdrFDq-m2g" base_Comment="_4lLH1sFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lLH2cFMEea5pdrFDq-m2g" base_Comment="_4lLH2MFMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4lLu4MFMEea5pdrFDq-m2g" base_Class="_4lLH2sFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
  </Ecore:EClass>
  <fhir:StructureDefinition xmi:id="_4lLu4cFMEea5pdrFDq-m2g" id="Device" uri="http://hl7.org/fhir/StructureDefinition/Device" name="Device" publisher="Health Level Seven International (Orders and Observations)" base_Class="_4lLH2sFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4lLu48FMEea5pdrFDq-m2g" base_Comment="_4lLu4sFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lLu5cFMEea5pdrFDq-m2g" base_Comment="_4lLu5MFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lMV8MFMEea5pdrFDq-m2g" base_Comment="_4lLu58FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lMV8sFMEea5pdrFDq-m2g" base_Comment="_4lMV8cFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lMV9sFMEea5pdrFDq-m2g" id="Device.identifier" base_Property="_4lMV88FMEea5pdrFDq-m2g" name="Device.identifier"/>
  <fhir:ShortDescription xmi:id="_4lMV-MFMEea5pdrFDq-m2g" base_Comment="_4lMV98FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lMV-sFMEea5pdrFDq-m2g" base_Comment="_4lMV-cFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lMV_MFMEea5pdrFDq-m2g" base_Comment="_4lMV-8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lM9A8FMEea5pdrFDq-m2g" id="Device.udiCarrier" base_Property="_4lM9AMFMEea5pdrFDq-m2g" name="Device.udiCarrier"/>
  <fhir:ShortDescription xmi:id="_4lM9BcFMEea5pdrFDq-m2g" base_Comment="_4lM9BMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lM9B8FMEea5pdrFDq-m2g" base_Comment="_4lM9BsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lM9CcFMEea5pdrFDq-m2g" base_Comment="_4lM9CMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lM9DcFMEea5pdrFDq-m2g" id="Device.status" base_Property="_4lM9CsFMEea5pdrFDq-m2g" name="Device.status" isModifier="true" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4lNkEMFMEea5pdrFDq-m2g" base_Property="_4lM9CsFMEea5pdrFDq-m2g" strength="required" description="The availability status of the device." valueSetReference="_4lNkEsFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4lNkEsFMEea5pdrFDq-m2g" id="devicestatus" uri="http://hl7.org/fhir/ValueSet/devicestatus" version="1.8.0" name="DeviceStatus" publisher="HL7 (FHIR Project)" base_Enumeration="_4lNkEcFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lNkFMFMEea5pdrFDq-m2g" base_Comment="_4lNkE8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lNkFsFMEea5pdrFDq-m2g" base_Comment="_4lNkFcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lOLIcFMEea5pdrFDq-m2g" id="Device.type" base_Property="_4lNkF8FMEea5pdrFDq-m2g" name="Device.type"/>
  <fhir:ValueSetBinding xmi:id="_4lOLIsFMEea5pdrFDq-m2g" base_Property="_4lNkF8FMEea5pdrFDq-m2g" description="Codes to identify medical devices" valueSetReference="_4lOLJMFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4lOLJMFMEea5pdrFDq-m2g" id="device-kind" uri="http://hl7.org/fhir/ValueSet/device-kind" version="1.8.0" name="Device Types" publisher="HL7 Orders and Observations Workgroup" base_Enumeration="_4lOLI8FMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4lOLJsFMEea5pdrFDq-m2g" base_Comment="_4lOLJcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lOLKMFMEea5pdrFDq-m2g" base_Comment="_4lOLJ8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lOyMcFMEea5pdrFDq-m2g" base_Comment="_4lOyMMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lOyNcFMEea5pdrFDq-m2g" id="Device.lotNumber" base_Property="_4lOyMsFMEea5pdrFDq-m2g" name="Device.lotNumber"/>
  <fhir:ShortDescription xmi:id="_4lOyN8FMEea5pdrFDq-m2g" base_Comment="_4lOyNsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lOyOcFMEea5pdrFDq-m2g" base_Comment="_4lOyOMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lOyO8FMEea5pdrFDq-m2g" base_Comment="_4lOyOsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lPZQcFMEea5pdrFDq-m2g" id="Device.manufacturer" base_Property="_4lOyPMFMEea5pdrFDq-m2g" name="Device.manufacturer"/>
  <fhir:ShortDescription xmi:id="_4lPZQ8FMEea5pdrFDq-m2g" base_Comment="_4lPZQsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lPZRcFMEea5pdrFDq-m2g" base_Comment="_4lPZRMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lPZScFMEea5pdrFDq-m2g" id="Device.manufactureDate" base_Property="_4lPZRsFMEea5pdrFDq-m2g" name="Device.manufactureDate"/>
  <fhir:ShortDescription xmi:id="_4lPZS8FMEea5pdrFDq-m2g" base_Comment="_4lPZSsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lPZTcFMEea5pdrFDq-m2g" base_Comment="_4lPZTMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lQAUMFMEea5pdrFDq-m2g" base_Comment="_4lPZTsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lQAVMFMEea5pdrFDq-m2g" id="Device.expirationDate" base_Property="_4lQAUcFMEea5pdrFDq-m2g" name="Device.expirationDate"/>
  <fhir:ShortDescription xmi:id="_4lQAVsFMEea5pdrFDq-m2g" base_Comment="_4lQAVcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lQAWMFMEea5pdrFDq-m2g" base_Comment="_4lQAV8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lQAWsFMEea5pdrFDq-m2g" base_Comment="_4lQAWcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lQnYsFMEea5pdrFDq-m2g" id="Device.model" base_Property="_4lQAW8FMEea5pdrFDq-m2g" name="Device.model"/>
  <fhir:ShortDescription xmi:id="_4lQnZMFMEea5pdrFDq-m2g" base_Comment="_4lQnY8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lQnZsFMEea5pdrFDq-m2g" base_Comment="_4lQnZcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lQnasFMEea5pdrFDq-m2g" id="Device.version" base_Property="_4lQnZ8FMEea5pdrFDq-m2g" name="Device.version"/>
  <fhir:ShortDescription xmi:id="_4lQnbMFMEea5pdrFDq-m2g" base_Comment="_4lQna8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lQnbsFMEea5pdrFDq-m2g" base_Comment="_4lQnbcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lROc8FMEea5pdrFDq-m2g" id="Device.patient" base_Property="_4lROcMFMEea5pdrFDq-m2g" name="Device.patient"/>
  <fhir:ShortDescription xmi:id="_4lROecFMEea5pdrFDq-m2g" base_Comment="_4lROeMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lROe8FMEea5pdrFDq-m2g" base_Comment="_4lROesFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lROfcFMEea5pdrFDq-m2g" base_Comment="_4lROfMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lR1gcFMEea5pdrFDq-m2g" id="Device.owner" base_Property="_4lROfsFMEea5pdrFDq-m2g" name="Device.owner"/>
  <fhir:ShortDescription xmi:id="_4lR1h8FMEea5pdrFDq-m2g" base_Comment="_4lR1hsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lR1icFMEea5pdrFDq-m2g" base_Comment="_4lR1iMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lR1jcFMEea5pdrFDq-m2g" id="Device.contact" base_Property="_4lR1isFMEea5pdrFDq-m2g" name="Device.contact"/>
  <fhir:ShortDescription xmi:id="_4lSckcFMEea5pdrFDq-m2g" base_Comment="_4lSckMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lSck8FMEea5pdrFDq-m2g" base_Comment="_4lScksFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lSclcFMEea5pdrFDq-m2g" base_Comment="_4lSclMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lScmcFMEea5pdrFDq-m2g" id="Device.location" base_Property="_4lSclsFMEea5pdrFDq-m2g" name="Device.location"/>
  <fhir:ShortDescription xmi:id="_4lScn8FMEea5pdrFDq-m2g" base_Comment="_4lScnsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lTDocFMEea5pdrFDq-m2g" base_Comment="_4lTDoMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lTDo8FMEea5pdrFDq-m2g" base_Comment="_4lTDosFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lTDp8FMEea5pdrFDq-m2g" id="Device.url" base_Property="_4lTDpMFMEea5pdrFDq-m2g" name="Device.url"/>
  <fhir:ShortDescription xmi:id="_4lTDqcFMEea5pdrFDq-m2g" base_Comment="_4lTDqMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lTDq8FMEea5pdrFDq-m2g" base_Comment="_4lTDqsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lTDrcFMEea5pdrFDq-m2g" base_Comment="_4lTDrMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lTqs8FMEea5pdrFDq-m2g" id="Device.note" base_Property="_4lTqsMFMEea5pdrFDq-m2g" name="Device.note"/>
  <fhir:ShortDescription xmi:id="_4lTqtcFMEea5pdrFDq-m2g" base_Comment="_4lTqtMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lTqt8FMEea5pdrFDq-m2g" base_Comment="_4lTqtsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lTqu8FMEea5pdrFDq-m2g" id="Signature.who[x]" base_Property="_4lTquMFMEea5pdrFDq-m2g" name="Signature.who[x]" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lTqvcFMEea5pdrFDq-m2g" base_Comment="_4lTqvMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lTqv8FMEea5pdrFDq-m2g" base_Comment="_4lTqvsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lURwMFMEea5pdrFDq-m2g" base_Comment="_4lTqwMFMEea5pdrFDq-m2g"/>
  <fhir:TypeChoice xmi:id="_4lURwcFMEea5pdrFDq-m2g" base_Property="_4lTquMFMEea5pdrFDq-m2g" types="_4aMm5sFMEea5pdrFDq-m2g _4a6_qMFMEea5pdrFDq-m2g _4kWocMFMEea5pdrFDq-m2g _4eScuMFMEea5pdrFDq-m2g _4lLH2sFMEea5pdrFDq-m2g _4cqsFMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lURxcFMEea5pdrFDq-m2g" id="Signature.onBehalfOf[x]" base_Property="_4lURwsFMEea5pdrFDq-m2g" name="Signature.onBehalfOf[x]" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4lURx8FMEea5pdrFDq-m2g" base_Comment="_4lURxsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lURycFMEea5pdrFDq-m2g" base_Comment="_4lURyMFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lURy8FMEea5pdrFDq-m2g" base_Comment="_4lURysFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4lURzcFMEea5pdrFDq-m2g" base_Comment="_4lURzMFMEea5pdrFDq-m2g"/>
  <fhir:TypeChoice xmi:id="_4lU40MFMEea5pdrFDq-m2g" base_Property="_4lURwsFMEea5pdrFDq-m2g" types="_4aMm5sFMEea5pdrFDq-m2g _4a6_qMFMEea5pdrFDq-m2g _4kWocMFMEea5pdrFDq-m2g _4eScuMFMEea5pdrFDq-m2g _4lLH2sFMEea5pdrFDq-m2g _4cqsFMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lU41MFMEea5pdrFDq-m2g" id="Signature.contentType" base_Property="_4lU40cFMEea5pdrFDq-m2g" name="Signature.contentType" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4lU41cFMEea5pdrFDq-m2g" base_Property="_4lU40cFMEea5pdrFDq-m2g" strength="required" description="The mime type of an attachment. Any valid mime type is allowed." valueSetUri="http://www.rfc-editor.org/bcp/bcp13.txt"/>
  <fhir:ShortDescription xmi:id="_4lU418FMEea5pdrFDq-m2g" base_Comment="_4lU41sFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lU42cFMEea5pdrFDq-m2g" base_Comment="_4lU42MFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4lVf4cFMEea5pdrFDq-m2g" id="Signature.blob" base_Property="_4lU42sFMEea5pdrFDq-m2g" name="Signature.blob"/>
  <fhir:ShortDescription xmi:id="_4lVf48FMEea5pdrFDq-m2g" base_Comment="_4lVf4sFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4lVf5cFMEea5pdrFDq-m2g" base_Comment="_4lVf5MFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4lVf58FMEea5pdrFDq-m2g" base_Comment="_4lVf5sFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4lWG8MFMEea5pdrFDq-m2g" base_Constraint="_4lVf6cFMEea5pdrFDq-m2g" code="-1" message="If there's an offset, there must be a when"/>
  <validation:Diagnostic xmi:id="_4lWuAMFMEea5pdrFDq-m2g" base_Constraint="_4lWG8cFMEea5pdrFDq-m2g" code="-1" message="period SHALL be a non-negative value"/>
  <validation:Diagnostic xmi:id="_4lWuA8FMEea5pdrFDq-m2g" base_Constraint="_4lWuAcFMEea5pdrFDq-m2g" code="-1" message="If there's a periodMax, there must be a period"/>
  <validation:Diagnostic xmi:id="_4lXVEMFMEea5pdrFDq-m2g" base_Constraint="_4lWuBMFMEea5pdrFDq-m2g" code="-1" message="If there's a durationMax, there must be a duration"/>
  <validation:Diagnostic xmi:id="_4lX8IMFMEea5pdrFDq-m2g" base_Constraint="_4lXVEcFMEea5pdrFDq-m2g" code="-1" message="If there's a countMax, there must be a count"/>
  <validation:Diagnostic xmi:id="_4lX8I8FMEea5pdrFDq-m2g" base_Constraint="_4lX8IcFMEea5pdrFDq-m2g" code="-1" message="if there's a duration, there needs to be duration units"/>
  <validation:Diagnostic xmi:id="_4lYjMMFMEea5pdrFDq-m2g" base_Constraint="_4lX8JMFMEea5pdrFDq-m2g" code="-1" message="If there's a timeOfDay, there cannot be be a when, a frequency, or a period"/>
  <validation:Diagnostic xmi:id="_4lZKQMFMEea5pdrFDq-m2g" base_Constraint="_4lYjMcFMEea5pdrFDq-m2g" code="-1" message="If there's a dayOfWeek, there cannot be be a frequency, or a period"/>
  <validation:Diagnostic xmi:id="_4lZKQ8FMEea5pdrFDq-m2g" base_Constraint="_4lZKQcFMEea5pdrFDq-m2g" code="-1" message="if there's a period, there needs to be period units"/>
  <validation:Diagnostic xmi:id="_4lZxUMFMEea5pdrFDq-m2g" base_Constraint="_4lZKRMFMEea5pdrFDq-m2g" code="-1" message="Either frequency or when can exist, not both"/>
  <validation:Diagnostic xmi:id="_4laYYMFMEea5pdrFDq-m2g" base_Constraint="_4lZxUcFMEea5pdrFDq-m2g" code="-1" message="duration SHALL be a non-negative value"/>
  <Ecore:EClass xmi:id="_4laYYcFMEea5pdrFDq-m2g" base_Class="_4lVf6MFMEea5pdrFDq-m2g">
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:Description xmi:id="_4l9K88FMEea5pdrFDq-m2g" base_Comment="_4l9K8sFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4l9K9cFMEea5pdrFDq-m2g" base_Comment="_4l9K9MFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4l9K-MFMEea5pdrFDq-m2g" base_Comment="_4l9K98FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4l9K-sFMEea5pdrFDq-m2g" base_Comment="_4l9K-cFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_4l9yBcFMEea5pdrFDq-m2g" id="RelatedArtifact.type" base_Property="_4l9yAsFMEea5pdrFDq-m2g" name="RelatedArtifact.type" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4l9yBsFMEea5pdrFDq-m2g" base_Property="_4l9yAsFMEea5pdrFDq-m2g" strength="required" description="The type of relationship to the related artifact" valueSetReference="_4l-ZEMFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4l-ZEMFMEea5pdrFDq-m2g" id="related-artifact-type" uri="http://hl7.org/fhir/ValueSet/related-artifact-type" version="1.8.0" name="RelatedArtifactType" publisher="HL7 (FHIR Project)" base_Enumeration="_4l9yB8FMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_4l-ZFMFMEea5pdrFDq-m2g" base_Comment="_4l-ZE8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4l-ZGMFMEea5pdrFDq-m2g" id="RelatedArtifact.display" base_Property="_4l-ZFcFMEea5pdrFDq-m2g" name="RelatedArtifact.display" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4l-ZGsFMEea5pdrFDq-m2g" base_Comment="_4l-ZGcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4l_AIMFMEea5pdrFDq-m2g" base_Comment="_4l-ZG8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4l_AJMFMEea5pdrFDq-m2g" id="RelatedArtifact.citation" base_Property="_4l_AIcFMEea5pdrFDq-m2g" name="RelatedArtifact.citation" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4l_AJsFMEea5pdrFDq-m2g" base_Comment="_4l_AJcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4l_AKMFMEea5pdrFDq-m2g" base_Comment="_4l_AJ8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4l_AKsFMEea5pdrFDq-m2g" base_Comment="_4l_AKcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4l_ALsFMEea5pdrFDq-m2g" id="RelatedArtifact.url" base_Property="_4l_AK8FMEea5pdrFDq-m2g" name="RelatedArtifact.url" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4l_nMcFMEea5pdrFDq-m2g" base_Comment="_4l_nMMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4l_nM8FMEea5pdrFDq-m2g" base_Comment="_4l_nMsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4l_nNcFMEea5pdrFDq-m2g" base_Comment="_4l_nNMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4l_nOcFMEea5pdrFDq-m2g" id="RelatedArtifact.document" base_Property="_4l_nNsFMEea5pdrFDq-m2g" name="RelatedArtifact.document" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4l_nO8FMEea5pdrFDq-m2g" base_Comment="_4l_nOsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4l_nPcFMEea5pdrFDq-m2g" base_Comment="_4l_nPMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mAOQ8FMEea5pdrFDq-m2g" id="RelatedArtifact.resource" base_Property="_4mAOQMFMEea5pdrFDq-m2g" name="RelatedArtifact.resource" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4mAOScFMEea5pdrFDq-m2g" base_Comment="_4mAOSMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mAOS8FMEea5pdrFDq-m2g" base_Comment="_4mAOSsFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4mAOTcFMEea5pdrFDq-m2g" base_Comment="_4mAOTMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mA1UMFMEea5pdrFDq-m2g" id="Library.relatedArtifact" base_Property="_4mAOTsFMEea5pdrFDq-m2g" name="Library.relatedArtifact"/>
  <fhir:ShortDescription xmi:id="_4mA1UsFMEea5pdrFDq-m2g" base_Comment="_4mA1UcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mA1VMFMEea5pdrFDq-m2g" base_Comment="_4mA1U8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4mA1VsFMEea5pdrFDq-m2g" base_Comment="_4mA1VcFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4mA1WMFMEea5pdrFDq-m2g" base_Comment="_4mA1V8FMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_4mBcYMFMEea5pdrFDq-m2g" base_Class="_4mA1WcFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_4mBcYcFMEea5pdrFDq-m2g" id="ParameterDefinition" uri="http://hl7.org/fhir/StructureDefinition/ParameterDefinition" name="ParameterDefinition" publisher="HL7 FHIR Standard" base_Class="_4mA1WcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_4mBcY8FMEea5pdrFDq-m2g" base_Comment="_4mBcYsFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4mBcZsFMEea5pdrFDq-m2g" base_Comment="_4mBcZcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mBcaMFMEea5pdrFDq-m2g" base_Comment="_4mBcZ8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mCDc8FMEea5pdrFDq-m2g" id="ParameterDefinition.name" base_Property="_4mCDcMFMEea5pdrFDq-m2g" name="ParameterDefinition.name" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4mCDdcFMEea5pdrFDq-m2g" base_Comment="_4mCDdMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mCDd8FMEea5pdrFDq-m2g" base_Comment="_4mCDdsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mCDe8FMEea5pdrFDq-m2g" id="ParameterDefinition.use" base_Property="_4mCDeMFMEea5pdrFDq-m2g" name="ParameterDefinition.use" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_4mCDfMFMEea5pdrFDq-m2g" base_Property="_4mCDeMFMEea5pdrFDq-m2g" strength="required" description="Whether the parameter is input or output" valueSetReference="_4mCqgcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_4mCqgcFMEea5pdrFDq-m2g" id="operation-parameter-use" uri="http://hl7.org/fhir/ValueSet/operation-parameter-use" version="1.8.0" name="OperationParameterUse" publisher="HL7 (FHIR Project)" base_Enumeration="_4mCqgMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4mCqg8FMEea5pdrFDq-m2g" base_Comment="_4mCqgsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mCqhcFMEea5pdrFDq-m2g" base_Comment="_4mCqhMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mCqicFMEea5pdrFDq-m2g" id="ParameterDefinition.min" base_Property="_4mCqhsFMEea5pdrFDq-m2g" name="ParameterDefinition.min" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4mCqi8FMEea5pdrFDq-m2g" base_Comment="_4mCqisFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mDRkcFMEea5pdrFDq-m2g" base_Comment="_4mDRkMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mDRlcFMEea5pdrFDq-m2g" id="ParameterDefinition.max" base_Property="_4mDRksFMEea5pdrFDq-m2g" name="ParameterDefinition.max" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4mDRl8FMEea5pdrFDq-m2g" base_Comment="_4mDRlsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mDRmcFMEea5pdrFDq-m2g" base_Comment="_4mDRmMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mDRncFMEea5pdrFDq-m2g" id="ParameterDefinition.documentation" base_Property="_4mDRmsFMEea5pdrFDq-m2g" name="ParameterDefinition.documentation" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4mD4ocFMEea5pdrFDq-m2g" base_Comment="_4mD4oMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mD4o8FMEea5pdrFDq-m2g" base_Comment="_4mD4osFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mD4p8FMEea5pdrFDq-m2g" id="ParameterDefinition.type" base_Property="_4mD4pMFMEea5pdrFDq-m2g" name="ParameterDefinition.type" isSummary="true"/>
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  <fhir:ValueSet xmi:id="_4mEfscFMEea5pdrFDq-m2g" id="all-types" uri="http://hl7.org/fhir/ValueSet/all-types" version="1.8.0" name="FHIRAllTypes" publisher="HL7 (FHIR Project)" base_Enumeration="_4mEfsMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_4mEfs8FMEea5pdrFDq-m2g" base_Comment="_4mEfssFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mEftcFMEea5pdrFDq-m2g" base_Comment="_4mEftMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4mEfucFMEea5pdrFDq-m2g" base_Comment="_4mEfuMFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mFGwMFMEea5pdrFDq-m2g" base_Constraint="_4mEft8FMEea5pdrFDq-m2g" code="-1" message="In any snapshot or differential, no label, code or requirements on the an element without a &quot;.&quot; in the path (e.g. the first element)"/>
  <fhir:Requirements xmi:id="_4mFGw8FMEea5pdrFDq-m2g" base_Comment="_4mFGwsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mFt0MFMEea5pdrFDq-m2g" base_Constraint="_4mFGwcFMEea5pdrFDq-m2g" code="-1" message="Custom types can only be used in logical models"/>
  <fhir:Requirements xmi:id="_4mGU4cFMEea5pdrFDq-m2g" base_Comment="_4mGU4MFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mG78MFMEea5pdrFDq-m2g" base_Constraint="_4mFt0cFMEea5pdrFDq-m2g" code="-1" message="All element definitions must have unique ids (snapshot)"/>
  <fhir:Requirements xmi:id="_4mG788FMEea5pdrFDq-m2g" base_Comment="_4mG78sFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mHjAMFMEea5pdrFDq-m2g" base_Constraint="_4mG78cFMEea5pdrFDq-m2g" code="-1" message="Context Invariants can only be used for extensions"/>
  <fhir:Requirements xmi:id="_4mHjA8FMEea5pdrFDq-m2g" base_Comment="_4mHjAsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mHjBcFMEea5pdrFDq-m2g" base_Constraint="_4mHjAcFMEea5pdrFDq-m2g" code="-1" message="All element definitions must have unique ids (diff)"/>
  <fhir:Requirements xmi:id="_4mIKEsFMEea5pdrFDq-m2g" base_Comment="_4mIKEcFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mIKFMFMEea5pdrFDq-m2g" base_Constraint="_4mIKEMFMEea5pdrFDq-m2g" code="-1" message="element.base cannot appear if there is no base on the structure definition"/>
  <fhir:Requirements xmi:id="_4mIKF8FMEea5pdrFDq-m2g" base_Comment="_4mIKFsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mIxIMFMEea5pdrFDq-m2g" base_Constraint="_4mIKFcFMEea5pdrFDq-m2g" code="-1" message="If there's a type, its content must match the path name in the first element of a snapshot"/>
  <fhir:Requirements xmi:id="_4mIxI8FMEea5pdrFDq-m2g" base_Comment="_4mIxIsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mJYMMFMEea5pdrFDq-m2g" base_Constraint="_4mIxIcFMEea5pdrFDq-m2g" code="-1" message="All element definitions must have an id"/>
  <validation:Diagnostic xmi:id="_4mJ_QMFMEea5pdrFDq-m2g" base_Constraint="_4mJYMcFMEea5pdrFDq-m2g" code="-1" message="Element paths must be unique unless the structure is a constraint"/>
  <validation:Diagnostic xmi:id="_4mJ_Q8FMEea5pdrFDq-m2g" base_Constraint="_4mJ_QcFMEea5pdrFDq-m2g" code="-1" message="If the structure describes a base Resource or Type, the URL has to start with &quot;http://hl7.org/fhir/StructureDefinition/&quot; and the tail must match the id"/>
  <validation:Diagnostic xmi:id="_4mKmUMFMEea5pdrFDq-m2g" base_Constraint="_4mJ_RMFMEea5pdrFDq-m2g" code="-1" message="A structure must have either a differential, or a snapshot (or both)"/>
  <validation:Diagnostic xmi:id="_4mLNYMFMEea5pdrFDq-m2g" base_Constraint="_4mKmUcFMEea5pdrFDq-m2g" code="-1" message="If the structure defines an extension then the structure must have context information"/>
  <fhir:Requirements xmi:id="_4mLNY8FMEea5pdrFDq-m2g" base_Comment="_4mLNYsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mL0cMFMEea5pdrFDq-m2g" base_Constraint="_4mLNYcFMEea5pdrFDq-m2g" code="-1" message="If the structure is not abstract, then there SHALL be a baseDefinition"/>
  <validation:Diagnostic xmi:id="_4mMbgMFMEea5pdrFDq-m2g" base_Constraint="_4mL0ccFMEea5pdrFDq-m2g" code="-1" message="Must have at least a name or a uri (or both)"/>
  <fhir:Requirements xmi:id="_4mMbg8FMEea5pdrFDq-m2g" base_Comment="_4mMbgsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mMbhcFMEea5pdrFDq-m2g" base_Constraint="_4mMbgcFMEea5pdrFDq-m2g" code="-1" message="The first element in a snapshot has no type"/>
  <validation:Diagnostic xmi:id="_4mNCksFMEea5pdrFDq-m2g" base_Constraint="_4mNCkMFMEea5pdrFDq-m2g" code="-1" message="In any snapshot, all the elements must be in the specified type"/>
  <validation:Diagnostic xmi:id="_4mNpoMFMEea5pdrFDq-m2g" base_Constraint="_4mNCk8FMEea5pdrFDq-m2g" code="-1" message="Each element definition in a snapshot must have a formal definition and cardinalities"/>
  <fhir:Requirements xmi:id="_4mNpo8FMEea5pdrFDq-m2g" base_Comment="_4mNposFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mOQsMFMEea5pdrFDq-m2g" base_Constraint="_4mNpocFMEea5pdrFDq-m2g" code="-1" message="If the first element in a differential has no &quot;.&quot; in the path, it has no type"/>
  <fhir:Requirements xmi:id="_4mOQs8FMEea5pdrFDq-m2g" base_Comment="_4mOQssFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_4mOQtcFMEea5pdrFDq-m2g" base_Constraint="_4mOQscFMEea5pdrFDq-m2g" code="-1" message="No slicing on the root element"/>
  <validation:Diagnostic xmi:id="_4mO3wMFMEea5pdrFDq-m2g" base_Constraint="_4mOQtsFMEea5pdrFDq-m2g" code="-1" message="In any differential, all the elements must be in the specified type"/>
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  <fhir:Definition xmi:id="_4mPe2MFMEea5pdrFDq-m2g" base_Comment="_4mPe18FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mPe3MFMEea5pdrFDq-m2g" id="StructureDefinition.url" base_Property="_4mPe2cFMEea5pdrFDq-m2g" name="StructureDefinition.url" isSummary="true"/>
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  <fhir:Definition xmi:id="_4mQF48FMEea5pdrFDq-m2g" base_Comment="_4mQF4sFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4mQF5cFMEea5pdrFDq-m2g" base_Comment="_4mQF5MFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4mQF58FMEea5pdrFDq-m2g" base_Comment="_4mQF5sFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mQs8sFMEea5pdrFDq-m2g" id="StructureDefinition.identifier" base_Property="_4mQF6MFMEea5pdrFDq-m2g" name="StructureDefinition.identifier" isSummary="true"/>
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  <fhir:Definition xmi:id="_4mQs9sFMEea5pdrFDq-m2g" base_Comment="_4mQs9cFMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4mQs-MFMEea5pdrFDq-m2g" base_Comment="_4mQs98FMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4mQs-sFMEea5pdrFDq-m2g" base_Comment="_4mQs-cFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mQs_sFMEea5pdrFDq-m2g" id="StructureDefinition.version" base_Property="_4mQs-8FMEea5pdrFDq-m2g" name="StructureDefinition.version" isSummary="true"/>
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  <fhir:Definition xmi:id="_4mRUAsFMEea5pdrFDq-m2g" base_Comment="_4mRUAcFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_4mRUCMFMEea5pdrFDq-m2g" id="StructureDefinition.name" base_Property="_4mRUBcFMEea5pdrFDq-m2g" name="StructureDefinition.name" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_4mRUCsFMEea5pdrFDq-m2g" base_Comment="_4mRUCcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_4mRUDMFMEea5pdrFDq-m2g" base_Comment="_4mRUC8FMEea5pdrFDq-m2g"/>
  <fhir:Comments xmi:id="_4mRUDsFMEea5pdrFDq-m2g" base_Comment="_4mRUDcFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_4mR7EcFMEea5pdrFDq-m2g" base_Comment="_4mR7EMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_4mR7FcFMEea5pdrFDq-m2g" id="StructureDefinition.title" base_Property="_4mR7EsFMEea5pdrFDq-m2g" name="StructureDefinition.title" isSummary="true"/>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:ValueSetMember xmi:id="_4uWR8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uVq58FMEea5pdrFDq-m2g" display="Lymphedema pumps"/>
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  <fhir:ValueSetMember xmi:id="_4uW5AMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uWR9cFMEea5pdrFDq-m2g" display="Measure set Document"/>
  <fhir:ValueSetMember xmi:id="_4uW5AsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uW5AcFMEea5pdrFDq-m2g" display="Medical records"/>
  <fhir:ValueSetMember xmi:id="_4uW5BMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uW5A8FMEea5pdrFDq-m2g" display="Member ID card copy"/>
  <fhir:ValueSetMember xmi:id="_4uW5BsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uW5BcFMEea5pdrFDq-m2g" display="Diaphragm US Motion"/>
  <fhir:ValueSetMember xmi:id="_4uW5CMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uW5B8FMEea5pdrFDq-m2g" display="Diaphragm Fluoroscopy Motion"/>
  <fhir:ValueSetMember xmi:id="_4uXgEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uXgEMFMEea5pdrFDq-m2g" display="Motorized wheelchair"/>
  <fhir:ValueSetMember xmi:id="_4uXgE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uXgEsFMEea5pdrFDq-m2g" display="Fetal MRI"/>
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  <fhir:ValueSetMember xmi:id="_4uYHIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYHIMFMEea5pdrFDq-m2g" display="Abdomen MRI"/>
  <fhir:ValueSetMember xmi:id="_4uYHI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYHIsFMEea5pdrFDq-m2g" display="Abdomen US"/>
  <fhir:ValueSetMember xmi:id="_4uYHJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYHJMFMEea5pdrFDq-m2g" display="Abdomen X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uYuMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYuMMFMEea5pdrFDq-m2g" display="Abdomen retroperitoneum CT"/>
  <fhir:ValueSetMember xmi:id="_4uYuM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYuMsFMEea5pdrFDq-m2g" display="Abdomen retroperitoneum US"/>
  <fhir:ValueSetMember xmi:id="_4uYuNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYuNMFMEea5pdrFDq-m2g" display="Abdomen RUQ US"/>
  <fhir:ValueSetMember xmi:id="_4uYuN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uYuNsFMEea5pdrFDq-m2g" display="Abdomen and Pelvis CT"/>
  <fhir:ValueSetMember xmi:id="_4uZVQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZVQMFMEea5pdrFDq-m2g" display="Abdominal veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uZVQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZVQsFMEea5pdrFDq-m2g" display="Abdominal veins and IVC MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uZVRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZVRMFMEea5pdrFDq-m2g" display="Abdominal vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uZVR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZVRsFMEea5pdrFDq-m2g" display="Abdominal vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uZ8UcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZ8UMFMEea5pdrFDq-m2g" display="Abdominal wall US"/>
  <fhir:ValueSetMember xmi:id="_4uZ8U8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZ8UsFMEea5pdrFDq-m2g" display="Adrenal gland CT"/>
  <fhir:ValueSetMember xmi:id="_4uZ8VcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZ8VMFMEea5pdrFDq-m2g" display="Adrenal gland MRI"/>
  <fhir:ValueSetMember xmi:id="_4uZ8V8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uZ8VsFMEea5pdrFDq-m2g" display="Adrenal gland US"/>
  <fhir:ValueSetMember xmi:id="_4uajYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uajYMFMEea5pdrFDq-m2g" display="Adrenal vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uajY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uajYsFMEea5pdrFDq-m2g" display="Ankle CT"/>
  <fhir:ValueSetMember xmi:id="_4uajZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uajZMFMEea5pdrFDq-m2g" display="Ankle MRI"/>
  <fhir:ValueSetMember xmi:id="_4uajZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uajZsFMEea5pdrFDq-m2g" display="Ankle X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4ubKccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubKcMFMEea5pdrFDq-m2g" display="Ankle - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4ubKc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubKcsFMEea5pdrFDq-m2g" display="Ankle - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4ubKdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubKdMFMEea5pdrFDq-m2g" display="Ankle - left CT"/>
  <fhir:ValueSetMember xmi:id="_4ubxgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubxgMFMEea5pdrFDq-m2g" display="Ankle - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4ubxg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubxgsFMEea5pdrFDq-m2g" display="Ankle - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4ubxhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubxhMFMEea5pdrFDq-m2g" display="Ankle - right CT"/>
  <fhir:ValueSetMember xmi:id="_4ubxh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ubxhsFMEea5pdrFDq-m2g" display="Ankle - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4ucYkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ucYkMFMEea5pdrFDq-m2g" display="Ankle - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4ucYk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ucYksFMEea5pdrFDq-m2g" display="Ankle and Foot MRI"/>
  <fhir:ValueSetMember xmi:id="_4ucYlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ucYlMFMEea5pdrFDq-m2g" display="Anus US"/>
  <fhir:ValueSetMember xmi:id="_4ucYl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ucYlsFMEea5pdrFDq-m2g" display="Aorta CT"/>
  <fhir:ValueSetMember xmi:id="_4uc_oMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ucYmMFMEea5pdrFDq-m2g" display="Aorta MRI"/>
  <fhir:ValueSetMember xmi:id="_4uc_osFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uc_ocFMEea5pdrFDq-m2g" display="Aorta MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uc_pMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uc_o8FMEea5pdrFDq-m2g" display="Aorta US"/>
  <fhir:ValueSetMember xmi:id="_4uc_psFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uc_pcFMEea5pdrFDq-m2g" display="Aorta US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4udmsMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uc_p8FMEea5pdrFDq-m2g" display="Aorta abdominal CT"/>
  <fhir:ValueSetMember xmi:id="_4udmssFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4udmscFMEea5pdrFDq-m2g" display="Aorta abdominal MRI"/>
  <fhir:ValueSetMember xmi:id="_4udmtMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4udms8FMEea5pdrFDq-m2g" display="Aorta abdominal US"/>
  <fhir:ValueSetMember xmi:id="_4udmtsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4udmtcFMEea5pdrFDq-m2g" display="Aorta.endograft CT"/>
  <fhir:ValueSetMember xmi:id="_4udmuMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4udmt8FMEea5pdrFDq-m2g" display="Aorta thoracic CT"/>
  <fhir:ValueSetMember xmi:id="_4ueNwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ueNwMFMEea5pdrFDq-m2g" display="Aorta thoracic MRI"/>
  <fhir:ValueSetMember xmi:id="_4ueNw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ueNwsFMEea5pdrFDq-m2g" display="Aorta thoracic MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4ueNxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ueNxMFMEea5pdrFDq-m2g" display="Abdominal Aorta and Arteries MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4ueNx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ueNxsFMEea5pdrFDq-m2g" display="Aortic arch MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4ue00cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ue00MFMEea5pdrFDq-m2g" display="Aortic arch and Neck vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4ue008FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ue00sFMEea5pdrFDq-m2g" display="Appendix CT"/>
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  <fhir:ValueSetMember xmi:id="_4ue018FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ue01sFMEea5pdrFDq-m2g" display="AV fistula US"/>
  <fhir:ValueSetMember xmi:id="_4ufb4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ufb4MFMEea5pdrFDq-m2g" display="Axilla - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4ufb48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ufb4sFMEea5pdrFDq-m2g" display="Axilla - left US"/>
  <fhir:ValueSetMember xmi:id="_4ufb5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ufb5MFMEea5pdrFDq-m2g" display="Axilla - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4ufb58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ufb5sFMEea5pdrFDq-m2g" display="Axilla - right US"/>
  <fhir:ValueSetMember xmi:id="_4ugC8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugC8MFMEea5pdrFDq-m2g" display="Biliary ducts MRI"/>
  <fhir:ValueSetMember xmi:id="_4ugC88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugC8sFMEea5pdrFDq-m2g" display="Biliary ducts and Gallbladder US"/>
  <fhir:ValueSetMember xmi:id="_4ugC9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugC9MFMEea5pdrFDq-m2g" display="Biliary ducts and Pancreatic duct MRI"/>
  <fhir:ValueSetMember xmi:id="_4ugC98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugC9sFMEea5pdrFDq-m2g" display="Brachiocephalic artery US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4ugqAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugqAMFMEea5pdrFDq-m2g" display="Brain MRI"/>
  <fhir:ValueSetMember xmi:id="_4ugqA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugqAsFMEea5pdrFDq-m2g" display="Brain Functional MRI"/>
  <fhir:ValueSetMember xmi:id="_4ugqBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugqBMFMEea5pdrFDq-m2g" display="Brain PET"/>
  <fhir:ValueSetMember xmi:id="_4ugqB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ugqBsFMEea5pdrFDq-m2g" display="Brain Stem and Nerves.cranial MRI"/>
  <fhir:ValueSetMember xmi:id="_4uhREcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uhREMFMEea5pdrFDq-m2g" display="Brain.temporal MRI"/>
  <fhir:ValueSetMember xmi:id="_4uhRE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uhREsFMEea5pdrFDq-m2g" display="Brain and Internal auditory canal MRI"/>
  <fhir:ValueSetMember xmi:id="_4uhRFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uhRFMFMEea5pdrFDq-m2g" display="Brain and Pituitary and Sella turcica MRI"/>
  <fhir:ValueSetMember xmi:id="_4uhRF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uhRFsFMEea5pdrFDq-m2g" display="Breast MRI"/>
  <fhir:ValueSetMember xmi:id="_4uh4IcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uh4IMFMEea5pdrFDq-m2g" display="Breast US"/>
  <fhir:ValueSetMember xmi:id="_4uh4I8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uh4IsFMEea5pdrFDq-m2g" display="Breast implant - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4uh4JcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uh4JMFMEea5pdrFDq-m2g" display="Breast implant - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4uifMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uifMMFMEea5pdrFDq-m2g" display="Breast implant - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4uifM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uifMsFMEea5pdrFDq-m2g" display="Breast specimen US"/>
  <fhir:ValueSetMember xmi:id="_4uifNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uifNMFMEea5pdrFDq-m2g" display="Breast vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4ujGQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujGQMFMEea5pdrFDq-m2g" display="Breast - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4ujGQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujGQsFMEea5pdrFDq-m2g" display="Breast - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4ujGRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujGRMFMEea5pdrFDq-m2g" display="Breast - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4ujtUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujtUMFMEea5pdrFDq-m2g" display="Breast - left US"/>
  <fhir:ValueSetMember xmi:id="_4ujtU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujtUsFMEea5pdrFDq-m2g" display="Breast - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4ujtVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujtVMFMEea5pdrFDq-m2g" display="Breast - right US"/>
  <fhir:ValueSetMember xmi:id="_4ujtV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ujtVsFMEea5pdrFDq-m2g" display="Breast - unilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4ukUYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ukUYMFMEea5pdrFDq-m2g" display="Calcaneus CT"/>
  <fhir:ValueSetMember xmi:id="_4ukUY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ukUYsFMEea5pdrFDq-m2g" display="Calcaneus X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4ukUZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ukUZMFMEea5pdrFDq-m2g" display="Carotid artery US"/>
  <fhir:ValueSetMember xmi:id="_4ukUZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ukUZsFMEea5pdrFDq-m2g" display="Carotid artery US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uk7ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uk7cMFMEea5pdrFDq-m2g" display="Carotid artery - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4uk7c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uk7csFMEea5pdrFDq-m2g" display="Carotid artery - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uk7dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uk7dMFMEea5pdrFDq-m2g" display="Carotid artery - left US"/>
  <fhir:ValueSetMember xmi:id="_4uligMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uk7dsFMEea5pdrFDq-m2g" display="Carotid artery - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uligsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uligcFMEea5pdrFDq-m2g" display="Carotid artery - right US"/>
  <fhir:ValueSetMember xmi:id="_4ulihMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ulig8FMEea5pdrFDq-m2g" display="Carotid artery - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4ulihsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ulihcFMEea5pdrFDq-m2g" display="Carotid artery - unilateral US"/>
  <fhir:ValueSetMember xmi:id="_4umJkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umJkMFMEea5pdrFDq-m2g" display="Carotid vessel MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4umJk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umJksFMEea5pdrFDq-m2g" display="Carotid vessels and Neck Vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4umJlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umJlMFMEea5pdrFDq-m2g" display="Celiac vessels and Superior mesenteric Vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4umJl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umJlsFMEea5pdrFDq-m2g" display="Cerebral artery US"/>
  <fhir:ValueSetMember xmi:id="_4umwocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umwoMFMEea5pdrFDq-m2g" display="Chest CT"/>
  <fhir:ValueSetMember xmi:id="_4umwo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umwosFMEea5pdrFDq-m2g" display="Chest MRI"/>
  <fhir:ValueSetMember xmi:id="_4umwpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umwpMFMEea5pdrFDq-m2g" display="Chest US"/>
  <fhir:ValueSetMember xmi:id="_4umwp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umwpsFMEea5pdrFDq-m2g" display="Chest X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4unXsMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4umwqMFMEea5pdrFDq-m2g" display="Chest vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4unXssFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4unXscFMEea5pdrFDq-m2g" display="Chest wall US"/>
  <fhir:ValueSetMember xmi:id="_4unXtMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4unXs8FMEea5pdrFDq-m2g" display="Circle of Willis MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4unXtsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4unXtcFMEea5pdrFDq-m2g" display="Clavicle CT"/>
  <fhir:ValueSetMember xmi:id="_4unXuMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4unXt8FMEea5pdrFDq-m2g" display="Clavicle MRI"/>
  <fhir:ValueSetMember xmi:id="_4un-wcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4un-wMFMEea5pdrFDq-m2g" display="Clavicle X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4un-w8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4un-wsFMEea5pdrFDq-m2g" display="Colon CT"/>
  <fhir:ValueSetMember xmi:id="_4un-xcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4un-xMFMEea5pdrFDq-m2g" display="Coronary arteries CT fast"/>
  <fhir:ValueSetMember xmi:id="_4un-x8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4un-xsFMEea5pdrFDq-m2g" display="Elbow CT"/>
  <fhir:ValueSetMember xmi:id="_4uol0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uol0MFMEea5pdrFDq-m2g" display="Elbow MRI"/>
  <fhir:ValueSetMember xmi:id="_4uol08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uol0sFMEea5pdrFDq-m2g" display="Elbow X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uol1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uol1MFMEea5pdrFDq-m2g" display="Elbow - bilateral CT"/>
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  <fhir:ValueSetMember xmi:id="_4upz8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4upz8MFMEea5pdrFDq-m2g" display="Elbow - right CT"/>
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  <fhir:ValueSetMember xmi:id="_4upz9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4upz9MFMEea5pdrFDq-m2g" display="Elbow - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4upz98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4upz9sFMEea5pdrFDq-m2g" display="Esophagus CT"/>
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  <fhir:ValueSetMember xmi:id="_4uqbBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uqbBMFMEea5pdrFDq-m2g" display="Extremity MRI"/>
  <fhir:ValueSetMember xmi:id="_4uqbB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uqbBsFMEea5pdrFDq-m2g" display="Extremity US"/>
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  <fhir:ValueSetMember xmi:id="_4urCEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4urCEcFMEea5pdrFDq-m2g" display="Extremity artery US.doppler"/>
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  <fhir:ValueSetMember xmi:id="_4urCFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4urCFcFMEea5pdrFDq-m2g" display="Extremity artery - left US"/>
  <fhir:ValueSetMember xmi:id="_4urpIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4urpIMFMEea5pdrFDq-m2g" display="Extremity artery - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4urpI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4urpIsFMEea5pdrFDq-m2g" display="Extremity artery - right US"/>
  <fhir:ValueSetMember xmi:id="_4urpJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4urpJMFMEea5pdrFDq-m2g" display="Extremity artery - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4usQMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4usQMMFMEea5pdrFDq-m2g" display="Extremity vein US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4usQM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4usQMsFMEea5pdrFDq-m2g" display="Extremity vein - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4usQNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4usQNMFMEea5pdrFDq-m2g" display="Extremity vein - left US"/>
  <fhir:ValueSetMember xmi:id="_4us3QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4us3QMFMEea5pdrFDq-m2g" display="Extremity vein - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4us3Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4us3QsFMEea5pdrFDq-m2g" display="Extremity vein - right US"/>
  <fhir:ValueSetMember xmi:id="_4us3RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4us3RMFMEea5pdrFDq-m2g" display="Extremity vein - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4us3R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4us3RsFMEea5pdrFDq-m2g" display="Extremity veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4us3ScFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4us3SMFMEea5pdrFDq-m2g" display="Extremity veins - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uteUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uteUMFMEea5pdrFDq-m2g" display="Extremity veins - left US"/>
  <fhir:ValueSetMember xmi:id="_4uteU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uteUsFMEea5pdrFDq-m2g" display="Extremity veins - right US"/>
  <fhir:ValueSetMember xmi:id="_4uteVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uteVMFMEea5pdrFDq-m2g" display="Extremity vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uuFYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uteVsFMEea5pdrFDq-m2g" display="Extremity vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uuFYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uuFYcFMEea5pdrFDq-m2g" display="Extremity vessels - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uuFZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uuFY8FMEea5pdrFDq-m2g" display="Extremity vessels Left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uuFZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uuFZcFMEea5pdrFDq-m2g" display="Extremity vessels - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uuscMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uuFZ8FMEea5pdrFDq-m2g" display="Extremity - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4uuscsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uusccFMEea5pdrFDq-m2g" display="Extremity - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4uusdMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uusc8FMEea5pdrFDq-m2g" display="Extremity - left CT"/>
  <fhir:ValueSetMember xmi:id="_4uusdsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uusdcFMEea5pdrFDq-m2g" display="Extremity - left US"/>
  <fhir:ValueSetMember xmi:id="_4uuseMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uusd8FMEea5pdrFDq-m2g" display="Extremity - right CT"/>
  <fhir:ValueSetMember xmi:id="_4uvTgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uvTgMFMEea5pdrFDq-m2g" display="Extremity - right US"/>
  <fhir:ValueSetMember xmi:id="_4uvTg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uvTgsFMEea5pdrFDq-m2g" display="Eye+Orbit - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4uvThcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uvThMFMEea5pdrFDq-m2g" display="Face MRI"/>
  <fhir:ValueSetMember xmi:id="_4uvTh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uvThsFMEea5pdrFDq-m2g" display="Facial bones and Maxilla CT"/>
  <fhir:ValueSetMember xmi:id="_4uv6kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uv6kMFMEea5pdrFDq-m2g" display="Facial bones and Sinuses CT"/>
  <fhir:ValueSetMember xmi:id="_4uv6k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uv6ksFMEea5pdrFDq-m2g" display="Femoral artery and Popliteal artery US"/>
  <fhir:ValueSetMember xmi:id="_4uv6lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uv6lMFMEea5pdrFDq-m2g" display="Femoral vein and Popliteal vein US"/>
  <fhir:ValueSetMember xmi:id="_4uv6l8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uv6lsFMEea5pdrFDq-m2g" display="Femoral vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uwhocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uwhoMFMEea5pdrFDq-m2g" display="Femoral vessels US"/>
  <fhir:ValueSetMember xmi:id="_4uwho8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uwhosFMEea5pdrFDq-m2g" display="Femoral vessels - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4uwhpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uwhpMFMEea5pdrFDq-m2g" display="Femoral vessels - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uwhp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uwhpsFMEea5pdrFDq-m2g" display="Femoral vessels - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uxIscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxIsMFMEea5pdrFDq-m2g" display="Femur CT"/>
  <fhir:ValueSetMember xmi:id="_4uxIs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxIssFMEea5pdrFDq-m2g" display="Femur X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uxItcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxItMFMEea5pdrFDq-m2g" display="Femur - bilateral X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uxIt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxItsFMEea5pdrFDq-m2g" display="Femur - left CT"/>
  <fhir:ValueSetMember xmi:id="_4uxvwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxvwMFMEea5pdrFDq-m2g" display="Femur - left US"/>
  <fhir:ValueSetMember xmi:id="_4uxvw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxvwsFMEea5pdrFDq-m2g" display="Femur - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uxvxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uxvxMFMEea5pdrFDq-m2g" display="Femur - right CT"/>
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  <fhir:ValueSetMember xmi:id="_4uyW0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uyW0cFMEea5pdrFDq-m2g" display="Femur - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uyW1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uyW08FMEea5pdrFDq-m2g" display="Finger MRI"/>
  <fhir:ValueSetMember xmi:id="_4uyW1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uyW1cFMEea5pdrFDq-m2g" display="Finger - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4uyW2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uyW18FMEea5pdrFDq-m2g" display="Finger - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4uy94cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uy94MFMEea5pdrFDq-m2g" display="Finger - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4uy948FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uy94sFMEea5pdrFDq-m2g" display="Fistula CT"/>
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  <fhir:ValueSetMember xmi:id="_4uy958FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uy95sFMEea5pdrFDq-m2g" display="Foot MRI"/>
  <fhir:ValueSetMember xmi:id="_4uzk8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uzk8MFMEea5pdrFDq-m2g" display="Foot X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4uzk88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uzk8sFMEea5pdrFDq-m2g" display="Foot vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4uzk9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uzk9MFMEea5pdrFDq-m2g" display="Foot vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4uzk98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4uzk9sFMEea5pdrFDq-m2g" display="Foot - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4u0MAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0MAMFMEea5pdrFDq-m2g" display="Foot - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4u0MA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0MAsFMEea5pdrFDq-m2g" display="Foot - left CT"/>
  <fhir:ValueSetMember xmi:id="_4u0MBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0MBMFMEea5pdrFDq-m2g" display="Foot - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4u0MB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0MBsFMEea5pdrFDq-m2g" display="Foot - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4u0zEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0zEMFMEea5pdrFDq-m2g" display="Foot - right CT"/>
  <fhir:ValueSetMember xmi:id="_4u0zE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0zEsFMEea5pdrFDq-m2g" display="Foot - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4u0zFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0zFMFMEea5pdrFDq-m2g" display="Foot - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4u0zF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u0zFsFMEea5pdrFDq-m2g" display="Forearm CT"/>
  <fhir:ValueSetMember xmi:id="_4u1aIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u1aIMFMEea5pdrFDq-m2g" display="Forearm MRI"/>
  <fhir:ValueSetMember xmi:id="_4u1aI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u1aIsFMEea5pdrFDq-m2g" display="Forearm vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4u1aJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u1aJMFMEea5pdrFDq-m2g" display="Forearm - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4u1aJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u1aJsFMEea5pdrFDq-m2g" display="Forearm - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4u2BMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2BMMFMEea5pdrFDq-m2g" display="Forearm - left CT"/>
  <fhir:ValueSetMember xmi:id="_4u2BM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2BMsFMEea5pdrFDq-m2g" display="Forearm - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4u2BNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2BNMFMEea5pdrFDq-m2g" display="Forearm - right CT"/>
  <fhir:ValueSetMember xmi:id="_4u2BN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2BNsFMEea5pdrFDq-m2g" display="Forearm - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4u2oQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2oQMFMEea5pdrFDq-m2g" display="Gallbladder US"/>
  <fhir:ValueSetMember xmi:id="_4u2oQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2oQsFMEea5pdrFDq-m2g" display="Gallbladder X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4u2oRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2oRMFMEea5pdrFDq-m2g" display="Gastrointestine US"/>
  <fhir:ValueSetMember xmi:id="_4u2oR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2oRsFMEea5pdrFDq-m2g" display="Genitourinary system US"/>
  <fhir:ValueSetMember xmi:id="_4u2oScFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u2oSMFMEea5pdrFDq-m2g" display="Great vessel MRI"/>
  <fhir:ValueSetMember xmi:id="_4u3PUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u3PUMFMEea5pdrFDq-m2g" display="Groin US"/>
  <fhir:ValueSetMember xmi:id="_4u3PU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u3PUsFMEea5pdrFDq-m2g" display="Hand CT"/>
  <fhir:ValueSetMember xmi:id="_4u32YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u32YMFMEea5pdrFDq-m2g" display="Hand MRI"/>
  <fhir:ValueSetMember xmi:id="_4u32Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u32YsFMEea5pdrFDq-m2g" display="Hand X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4u32ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u32ZMFMEea5pdrFDq-m2g" display="Hand vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4u32Z8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u32ZsFMEea5pdrFDq-m2g" display="Hand - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4u4dccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u4dcMFMEea5pdrFDq-m2g" display="Hand - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4u4dc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u4dcsFMEea5pdrFDq-m2g" display="Hand - left CT"/>
  <fhir:ValueSetMember xmi:id="_4u4ddcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u4ddMFMEea5pdrFDq-m2g" display="Hand - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4u4dd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u4ddsFMEea5pdrFDq-m2g" display="Hand - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4u5EgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5EgMFMEea5pdrFDq-m2g" display="Hand - right CT"/>
  <fhir:ValueSetMember xmi:id="_4u5Eg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5EgsFMEea5pdrFDq-m2g" display="Hand - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4u5EhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5EhMFMEea5pdrFDq-m2g" display="Hand - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4u5Eh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5EhsFMEea5pdrFDq-m2g" display="Head CT"/>
  <fhir:ValueSetMember xmi:id="_4u5rkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5rkMFMEea5pdrFDq-m2g" display="Head CT cine"/>
  <fhir:ValueSetMember xmi:id="_4u5rk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5rksFMEea5pdrFDq-m2g" display="Head US"/>
  <fhir:ValueSetMember xmi:id="_4u5rlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5rlMFMEea5pdrFDq-m2g" display="Head to thigh PET"/>
  <fhir:ValueSetMember xmi:id="_4u5rl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u5rlsFMEea5pdrFDq-m2g" display="Head veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4u6SocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u6SoMFMEea5pdrFDq-m2g" display="Head vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4u6So8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u6SosFMEea5pdrFDq-m2g" display="Head vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4u6SpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u6SpMFMEea5pdrFDq-m2g" display="Head vessels and Neck vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4u6Sp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u6SpsFMEea5pdrFDq-m2g" display="Head vessels and Neck vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4u65scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u65sMFMEea5pdrFDq-m2g" display="Head Cistern MRI"/>
  <fhir:ValueSetMember xmi:id="_4u65s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u65ssFMEea5pdrFDq-m2g" display="Head Sagittal Sinus MRI"/>
  <fhir:ValueSetMember xmi:id="_4u65tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u65tMFMEea5pdrFDq-m2g" display="Head and Neck PET"/>
  <fhir:ValueSetMember xmi:id="_4u65t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u65tsFMEea5pdrFDq-m2g" display="Head and Neck US"/>
  <fhir:ValueSetMember xmi:id="_4u7gwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u7gwMFMEea5pdrFDq-m2g" display="Heart CT"/>
  <fhir:ValueSetMember xmi:id="_4u7gw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u7gwsFMEea5pdrFDq-m2g" display="Heart MRI"/>
  <fhir:ValueSetMember xmi:id="_4u7gxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u7gxMFMEea5pdrFDq-m2g" display="Heart MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4u7gx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u7gxsFMEea5pdrFDq-m2g" display="Heart PET"/>
  <fhir:ValueSetMember xmi:id="_4u8H0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u8H0MFMEea5pdrFDq-m2g" display="Heart US"/>
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  <fhir:ValueSetMember xmi:id="_4u_yMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u_yMMFMEea5pdrFDq-m2g" display="Iliac vessels - right US"/>
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  <fhir:ValueSetMember xmi:id="_4u_yNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u_yNMFMEea5pdrFDq-m2g" display="Internal auditory canal MRI"/>
  <fhir:ValueSetMember xmi:id="_4u_yN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4u_yNsFMEea5pdrFDq-m2g" display="Internal auditory canal X-ray tomograph"/>
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  <fhir:ValueSetMember xmi:id="_4vAZQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vAZQcFMEea5pdrFDq-m2g" display="Internal auditory canal - left CT"/>
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  <fhir:ValueSetMember xmi:id="_4vAZRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vAZRcFMEea5pdrFDq-m2g" display="Internal auditory canal - right CT"/>
  <fhir:ValueSetMember xmi:id="_4vBAUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vAZR8FMEea5pdrFDq-m2g" display="Internal auditory canal - right X-ray tomograph"/>
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  <fhir:ValueSetMember xmi:id="_4vBnYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vBAV8FMEea5pdrFDq-m2g" display="Kidney X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vBnYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vBnYcFMEea5pdrFDq-m2g" display="Kidney transplant US"/>
  <fhir:ValueSetMember xmi:id="_4vBnZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vBnY8FMEea5pdrFDq-m2g" display="Kidney vessels transplant US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vCOccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vCOcMFMEea5pdrFDq-m2g" display="Kidney - bilateral CT"/>
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  <fhir:ValueSetMember xmi:id="_4vCOdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vCOdMFMEea5pdrFDq-m2g" display="Kidney - bilateral US"/>
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  <fhir:ValueSetMember xmi:id="_4vC1hMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vC1g8FMEea5pdrFDq-m2g" display="Kidney - left US"/>
  <fhir:ValueSetMember xmi:id="_4vC1hsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vC1hcFMEea5pdrFDq-m2g" display="Kidney - right CT"/>
  <fhir:ValueSetMember xmi:id="_4vDckcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vDckMFMEea5pdrFDq-m2g" display="Kidney - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vDck8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vDcksFMEea5pdrFDq-m2g" display="Kidney - right US"/>
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  <fhir:ValueSetMember xmi:id="_4vHG8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vHG8MFMEea5pdrFDq-m2g" display="Lower extremity US"/>
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  <fhir:ValueSetMember xmi:id="_4vHuBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vHuA8FMEea5pdrFDq-m2g" display="Lower extremity artery - left US"/>
  <fhir:ValueSetMember xmi:id="_4vHuBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vHuBcFMEea5pdrFDq-m2g" display="Lower extremity artery - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vHuCMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vHuB8FMEea5pdrFDq-m2g" display="Lower extremity artery - right US"/>
  <fhir:ValueSetMember xmi:id="_4vIVEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vIVEMFMEea5pdrFDq-m2g" display="Lower extremity artery - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vIVE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vIVEsFMEea5pdrFDq-m2g" display="Lower extremity vein US"/>
  <fhir:ValueSetMember xmi:id="_4vIVFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vIVFMFMEea5pdrFDq-m2g" display="Lower extremity vein US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vIVF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vIVFsFMEea5pdrFDq-m2g" display="Lower extremity vein - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vI8IMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vIVGMFMEea5pdrFDq-m2g" display="Lower extremity vein - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vI8IsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vI8IcFMEea5pdrFDq-m2g" display="Lower extremity vein - left US"/>
  <fhir:ValueSetMember xmi:id="_4vI8JMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vI8I8FMEea5pdrFDq-m2g" display="Lower extremity vein - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vI8JsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vI8JcFMEea5pdrFDq-m2g" display="Lower extremity vein - right US"/>
  <fhir:ValueSetMember xmi:id="_4vJjMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vJjMMFMEea5pdrFDq-m2g" display="Lower extremity vein - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vJjM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vJjMsFMEea5pdrFDq-m2g" display="Lower extremity veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vJjNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vJjNMFMEea5pdrFDq-m2g" display="Lower extremity veins - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vJjN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vJjNsFMEea5pdrFDq-m2g" display="Lower extremity veins - left MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vKKQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKKQMFMEea5pdrFDq-m2g" display="Lower extremity veins - left US"/>
  <fhir:ValueSetMember xmi:id="_4vKKQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKKQsFMEea5pdrFDq-m2g" display="Lower extremity veins - right MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vKKRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKKRMFMEea5pdrFDq-m2g" display="Lower extremity vessel graft - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vKKR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKKRsFMEea5pdrFDq-m2g" display="Lower extremity vessel graft - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vKxUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKKSMFMEea5pdrFDq-m2g" display="Lower extremity vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vKxUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKxUcFMEea5pdrFDq-m2g" display="Lower extremity vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vKxVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKxU8FMEea5pdrFDq-m2g" display="Lower extremity vessels - bilateral MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vKxVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKxVcFMEea5pdrFDq-m2g" display="Lower extremity vessels - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vKxWMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vKxV8FMEea5pdrFDq-m2g" display="Lower extremity vessels - left MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vLYYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vLYYMFMEea5pdrFDq-m2g" display="Lower extremity vessels - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vLYY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vLYYsFMEea5pdrFDq-m2g" display="Lower extremity vessels - right MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vLYZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vLYZMFMEea5pdrFDq-m2g" display="Lower extremity vessels - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vL_ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vL_cMFMEea5pdrFDq-m2g" display="Lower extremity - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4vL_c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vL_csFMEea5pdrFDq-m2g" display="Lower extremity - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vL_dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vL_dMFMEea5pdrFDq-m2g" display="Lower extremity - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vL_d8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vL_dsFMEea5pdrFDq-m2g" display="Lower Extremity Joint MRI"/>
  <fhir:ValueSetMember xmi:id="_4vMmgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vMmgMFMEea5pdrFDq-m2g" display="Lower extremity joint - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vMmg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vMmgsFMEea5pdrFDq-m2g" display="Lower extremity joint - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vMmhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vMmhMFMEea5pdrFDq-m2g" display="Lower extremity joint - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vMmh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vMmhsFMEea5pdrFDq-m2g" display="Lower extremity - left CT"/>
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  <fhir:ValueSetMember xmi:id="_4vNNksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vNNkcFMEea5pdrFDq-m2g" display="Lower extremity - left US"/>
  <fhir:ValueSetMember xmi:id="_4vNNlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vNNk8FMEea5pdrFDq-m2g" display="Lower extremity - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vNNlsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vNNlcFMEea5pdrFDq-m2g" display="Lower extremity - right CT"/>
  <fhir:ValueSetMember xmi:id="_4vNNmMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vNNl8FMEea5pdrFDq-m2g" display="Lower extremity - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vN0ocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vN0oMFMEea5pdrFDq-m2g" display="Lower extremity - right US"/>
  <fhir:ValueSetMember xmi:id="_4vN0o8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vN0osFMEea5pdrFDq-m2g" display="Lower extremity - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vN0pcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vN0pMFMEea5pdrFDq-m2g" display="Lower leg CT"/>
  <fhir:ValueSetMember xmi:id="_4vObsMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vN0psFMEea5pdrFDq-m2g" display="Lower leg MRI"/>
  <fhir:ValueSetMember xmi:id="_4vObssFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vObscFMEea5pdrFDq-m2g" display="Lower leg vessels - left MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vObtMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vObs8FMEea5pdrFDq-m2g" display="Lower leg vessels - right MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vObtsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vObtcFMEea5pdrFDq-m2g" display="Lower leg - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vObuMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vObt8FMEea5pdrFDq-m2g" display="Lower leg - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vPCwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPCwMFMEea5pdrFDq-m2g" display="Lower leg - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vPCw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPCwsFMEea5pdrFDq-m2g" display="Lumbar plexus MRI"/>
  <fhir:ValueSetMember xmi:id="_4vPCxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPCxMFMEea5pdrFDq-m2g" display="Lung PET"/>
  <fhir:ValueSetMember xmi:id="_4vPCx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPCxsFMEea5pdrFDq-m2g" display="Mandible CT"/>
  <fhir:ValueSetMember xmi:id="_4vPp0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPp0MFMEea5pdrFDq-m2g" display="Mandible X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vPp08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPp0sFMEea5pdrFDq-m2g" display="Mastoid US"/>
  <fhir:ValueSetMember xmi:id="_4vPp1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPp1MFMEea5pdrFDq-m2g" display="Mastoid X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vPp18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPp1sFMEea5pdrFDq-m2g" display="Mastoid - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4vQQ4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vPp2MFMEea5pdrFDq-m2g" display="Maxilla CT"/>
  <fhir:ValueSetMember xmi:id="_4vQQ4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQQ4cFMEea5pdrFDq-m2g" display="Maxilla and Mandible CT"/>
  <fhir:ValueSetMember xmi:id="_4vQQ5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQQ48FMEea5pdrFDq-m2g" display="Mediastinum MRI"/>
  <fhir:ValueSetMember xmi:id="_4vQQ5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQQ5cFMEea5pdrFDq-m2g" display="Mediastinum US"/>
  <fhir:ValueSetMember xmi:id="_4vQ38cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQ38MFMEea5pdrFDq-m2g" display="Mediastinum X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vQ388FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQ38sFMEea5pdrFDq-m2g" display="Mesenteric artery US"/>
  <fhir:ValueSetMember xmi:id="_4vQ39cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQ39MFMEea5pdrFDq-m2g" display="Nasal bones MRI"/>
  <fhir:ValueSetMember xmi:id="_4vQ398FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQ39sFMEea5pdrFDq-m2g" display="Nasal bones X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vQ3-cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vQ3-MFMEea5pdrFDq-m2g" display="Nasopharynx MRI"/>
  <fhir:ValueSetMember xmi:id="_4vRfAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vRfAMFMEea5pdrFDq-m2g" display="Nasopharynx and Neck CT"/>
  <fhir:ValueSetMember xmi:id="_4vRfA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vRfAsFMEea5pdrFDq-m2g" display="Neck CT"/>
  <fhir:ValueSetMember xmi:id="_4vRfBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vRfBMFMEea5pdrFDq-m2g" display="Neck MRI"/>
  <fhir:ValueSetMember xmi:id="_4vRfB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vRfBsFMEea5pdrFDq-m2g" display="Neck US"/>
  <fhir:ValueSetMember xmi:id="_4vSGEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vSGEMFMEea5pdrFDq-m2g" display="Neck veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vSGE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vSGEsFMEea5pdrFDq-m2g" display="Neck vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vSGFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vSGFMFMEea5pdrFDq-m2g" display="Neck vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vSGF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vSGFsFMEea5pdrFDq-m2g" display="Nerves cranial MRI"/>
  <fhir:ValueSetMember xmi:id="_4vStIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vStIMFMEea5pdrFDq-m2g" display="Orbit CT"/>
  <fhir:ValueSetMember xmi:id="_4vStI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vStIsFMEea5pdrFDq-m2g" display="Orbit MRI"/>
  <fhir:ValueSetMember xmi:id="_4vStJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vStJMFMEea5pdrFDq-m2g" display="Orbit vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vStJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vStJsFMEea5pdrFDq-m2g" display="Orbit - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4vTUMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vTUMMFMEea5pdrFDq-m2g" display="Orbit - bilateral X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vTUM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vTUMsFMEea5pdrFDq-m2g" display="Orbit - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vTUNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vTUNMFMEea5pdrFDq-m2g" display="Orbit - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vTUN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vTUNsFMEea5pdrFDq-m2g" display="Orbit and Face MRI"/>
  <fhir:ValueSetMember xmi:id="_4vT7QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vT7QMFMEea5pdrFDq-m2g" display="Orbit and Face and Neck MRI"/>
  <fhir:ValueSetMember xmi:id="_4vT7Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vT7QsFMEea5pdrFDq-m2g" display="Oropharynx MRI"/>
  <fhir:ValueSetMember xmi:id="_4vT7RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vT7RMFMEea5pdrFDq-m2g" display="Ovarian vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vT7R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vT7RsFMEea5pdrFDq-m2g" display="Ovary MRI"/>
  <fhir:ValueSetMember xmi:id="_4vUiUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vUiUMFMEea5pdrFDq-m2g" display="Ovary US"/>
  <fhir:ValueSetMember xmi:id="_4vUiU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vUiUsFMEea5pdrFDq-m2g" display="Ovary - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vUiVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vUiVMFMEea5pdrFDq-m2g" display="Pancreas CT"/>
  <fhir:ValueSetMember xmi:id="_4vUiV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vUiVsFMEea5pdrFDq-m2g" display="Pancreas MRI"/>
  <fhir:ValueSetMember xmi:id="_4vVJYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVJYMFMEea5pdrFDq-m2g" display="Pancreas US"/>
  <fhir:ValueSetMember xmi:id="_4vVJY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVJYsFMEea5pdrFDq-m2g" display="Pancreas transplant US"/>
  <fhir:ValueSetMember xmi:id="_4vVJZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVJZMFMEea5pdrFDq-m2g" display="Parathyroid MRI"/>
  <fhir:ValueSetMember xmi:id="_4vVJZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVJZsFMEea5pdrFDq-m2g" display="Parathyroid US"/>
  <fhir:ValueSetMember xmi:id="_4vVwccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVwcMFMEea5pdrFDq-m2g" display="Parotid gland CT"/>
  <fhir:ValueSetMember xmi:id="_4vVwc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVwcsFMEea5pdrFDq-m2g" display="Parotid gland MRI"/>
  <fhir:ValueSetMember xmi:id="_4vVwdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vVwdMFMEea5pdrFDq-m2g" display="Parotid gland US"/>
  <fhir:ValueSetMember xmi:id="_4vWXgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vWXgMFMEea5pdrFDq-m2g" display="Pelvis CT"/>
  <fhir:ValueSetMember xmi:id="_4vWXg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vWXgsFMEea5pdrFDq-m2g" display="Pelvis MRI"/>
  <fhir:ValueSetMember xmi:id="_4vWXhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vWXhMFMEea5pdrFDq-m2g" display="Pelvis US"/>
  <fhir:ValueSetMember xmi:id="_4vWXh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vWXhsFMEea5pdrFDq-m2g" display="Pelvis X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vW-kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vW-kMFMEea5pdrFDq-m2g" display="Pelvis veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vW-k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vW-ksFMEea5pdrFDq-m2g" display="Pelvis vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vW-lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vW-lMFMEea5pdrFDq-m2g" display="Pelvis vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vXloMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vW-lsFMEea5pdrFDq-m2g" display="Pelvis and Hip MRI"/>
  <fhir:ValueSetMember xmi:id="_4vXlosFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vXlocFMEea5pdrFDq-m2g" display="Pelvis and Hip - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vXlpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vXlo8FMEea5pdrFDq-m2g" display="Pelvis and Hip - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vXlpsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vXlpcFMEea5pdrFDq-m2g" display="Pelvis and Hip - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vYMscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYMsMFMEea5pdrFDq-m2g" display="Penis US"/>
  <fhir:ValueSetMember xmi:id="_4vYMs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYMssFMEea5pdrFDq-m2g" display="Penis vessels US"/>
  <fhir:ValueSetMember xmi:id="_4vYMtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYMtMFMEea5pdrFDq-m2g" display="Petrous bone CT"/>
  <fhir:ValueSetMember xmi:id="_4vYMt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYMtsFMEea5pdrFDq-m2g" display="Pituitary and Sella turcica CT"/>
  <fhir:ValueSetMember xmi:id="_4vYzwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYzwMFMEea5pdrFDq-m2g" display="Pituitary and Sella turcica MRI"/>
  <fhir:ValueSetMember xmi:id="_4vYzw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYzwsFMEea5pdrFDq-m2g" display="Popliteal space US"/>
  <fhir:ValueSetMember xmi:id="_4vYzxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYzxMFMEea5pdrFDq-m2g" display="Popliteal space - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vYzx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vYzxsFMEea5pdrFDq-m2g" display="Popliteal space - left US"/>
  <fhir:ValueSetMember xmi:id="_4vZa0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vZa0MFMEea5pdrFDq-m2g" display="Popliteal space - right US"/>
  <fhir:ValueSetMember xmi:id="_4vZa08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vZa0sFMEea5pdrFDq-m2g" display="Portal vein MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vZa1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vZa1MFMEea5pdrFDq-m2g" display="Portal vein and Hepatic vein US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vZa18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vZa1sFMEea5pdrFDq-m2g" display="Posterior fossa CT"/>
  <fhir:ValueSetMember xmi:id="_4vZa2cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vZa2MFMEea5pdrFDq-m2g" display="Posterior fossa MRI"/>
  <fhir:ValueSetMember xmi:id="_4vaB4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vaB4MFMEea5pdrFDq-m2g" display="Prostate CT"/>
  <fhir:ValueSetMember xmi:id="_4vaB48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vaB4sFMEea5pdrFDq-m2g" display="Prostate MRI"/>
  <fhir:ValueSetMember xmi:id="_4vaB5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vaB5MFMEea5pdrFDq-m2g" display="Prostate US"/>
  <fhir:ValueSetMember xmi:id="_4vaB58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vaB5sFMEea5pdrFDq-m2g" display="Pulmonary system CT"/>
  <fhir:ValueSetMember xmi:id="_4vao8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vao8MFMEea5pdrFDq-m2g" display="Pulmonary system MRI"/>
  <fhir:ValueSetMember xmi:id="_4vao88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vao8sFMEea5pdrFDq-m2g" display="Pulmonary vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vao9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vao9MFMEea5pdrFDq-m2g" display="Rectum US"/>
  <fhir:ValueSetMember xmi:id="_4vao98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vao9sFMEea5pdrFDq-m2g" display="Renal artery US"/>
  <fhir:ValueSetMember xmi:id="_4vbQAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vbQAMFMEea5pdrFDq-m2g" display="Renal artery US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vbQA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vbQAsFMEea5pdrFDq-m2g" display="Renal vein MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vbQBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vbQBMFMEea5pdrFDq-m2g" display="Renal vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vbQB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vbQBsFMEea5pdrFDq-m2g" display="Renal vessels US"/>
  <fhir:ValueSetMember xmi:id="_4vb3EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vb3EMFMEea5pdrFDq-m2g" display="Renal vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vb3E8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vb3EsFMEea5pdrFDq-m2g" display="Renal vessels - bilateral MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vb3FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vb3FMFMEea5pdrFDq-m2g" display="Renal vessels - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vb3F8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vb3FsFMEea5pdrFDq-m2g" display="Sacroiliac Joint CT"/>
  <fhir:ValueSetMember xmi:id="_4vceIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vceIMFMEea5pdrFDq-m2g" display="Sacroiliac Joint MRI"/>
  <fhir:ValueSetMember xmi:id="_4vceI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vceIsFMEea5pdrFDq-m2g" display="Sacrum CT"/>
  <fhir:ValueSetMember xmi:id="_4vceJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vceJMFMEea5pdrFDq-m2g" display="Sacrum MRI"/>
  <fhir:ValueSetMember xmi:id="_4vceJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vceJsFMEea5pdrFDq-m2g" display="Sacrum US"/>
  <fhir:ValueSetMember xmi:id="_4vdFMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdFMMFMEea5pdrFDq-m2g" display="Sacrum X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vdFM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdFMsFMEea5pdrFDq-m2g" display="Sacrum and Coccyx CT"/>
  <fhir:ValueSetMember xmi:id="_4vdFNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdFNMFMEea5pdrFDq-m2g" display="Sacrum and Coccyx MRI"/>
  <fhir:ValueSetMember xmi:id="_4vdFN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdFNsFMEea5pdrFDq-m2g" display="Salivary gland MRI"/>
  <fhir:ValueSetMember xmi:id="_4vdFOcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdFOMFMEea5pdrFDq-m2g" display="Salivary gland US"/>
  <fhir:ValueSetMember xmi:id="_4vdsQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdsQMFMEea5pdrFDq-m2g" display="Scapula CT"/>
  <fhir:ValueSetMember xmi:id="_4vdsQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdsQsFMEea5pdrFDq-m2g" display="Scapula MRI"/>
  <fhir:ValueSetMember xmi:id="_4vdsRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vdsRMFMEea5pdrFDq-m2g" display="Scrotum and Testicle MRI"/>
  <fhir:ValueSetMember xmi:id="_4veTUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4veTUMFMEea5pdrFDq-m2g" display="Scrotum and Testicle US"/>
  <fhir:ValueSetMember xmi:id="_4veTU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4veTUsFMEea5pdrFDq-m2g" display="Scrotum and Testicle US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4veTVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4veTVMFMEea5pdrFDq-m2g" display="Scrotum and Testicle - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4veTV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4veTVsFMEea5pdrFDq-m2g" display="Scrotum and Testicle - left US"/>
  <fhir:ValueSetMember xmi:id="_4ve6YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ve6YMFMEea5pdrFDq-m2g" display="Scrotum and Testicle - right US"/>
  <fhir:ValueSetMember xmi:id="_4ve6Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ve6YsFMEea5pdrFDq-m2g" display="Sella turcica X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4ve6ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ve6ZMFMEea5pdrFDq-m2g" display="Shoulder CT"/>
  <fhir:ValueSetMember xmi:id="_4ve6Z8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ve6ZsFMEea5pdrFDq-m2g" display="Shoulder MRI"/>
  <fhir:ValueSetMember xmi:id="_4ve6acFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ve6aMFMEea5pdrFDq-m2g" display="Shoulder US"/>
  <fhir:ValueSetMember xmi:id="_4vfhccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vfhcMFMEea5pdrFDq-m2g" display="Shoulder X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vfhc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vfhcsFMEea5pdrFDq-m2g" display="Shoulder vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vfhdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vfhdMFMEea5pdrFDq-m2g" display="Shoulder vessels - left MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vfhd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vfhdsFMEea5pdrFDq-m2g" display="Shoulder vessels - right MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vgIgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgIgMFMEea5pdrFDq-m2g" display="Shoulder - bilateral CT"/>
  <fhir:ValueSetMember xmi:id="_4vgIg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgIgsFMEea5pdrFDq-m2g" display="Shoulder - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vgIhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgIhMFMEea5pdrFDq-m2g" display="Shoulder - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vgvkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgIhsFMEea5pdrFDq-m2g" display="Shoulder - left CT"/>
  <fhir:ValueSetMember xmi:id="_4vgvksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgvkcFMEea5pdrFDq-m2g" display="Shoulder - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vgvlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgvk8FMEea5pdrFDq-m2g" display="Shoulder - left US"/>
  <fhir:ValueSetMember xmi:id="_4vgvlsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgvlcFMEea5pdrFDq-m2g" display="Shoulder - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vgvmMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vgvl8FMEea5pdrFDq-m2g" display="Shoulder - right CT"/>
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  <fhir:ValueSetMember xmi:id="_4vhWo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vhWosFMEea5pdrFDq-m2g" display="Shoulder - right US"/>
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  <fhir:ValueSetMember xmi:id="_4vhWp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vhWpsFMEea5pdrFDq-m2g" display="Sinuses CT"/>
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  <fhir:ValueSetMember xmi:id="_4vh9s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vh9ssFMEea5pdrFDq-m2g" display="Sinuses X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vh9tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vh9tMFMEea5pdrFDq-m2g" display="Skull X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vh9t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vh9tsFMEea5pdrFDq-m2g" display="Skull.base CT"/>
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  <fhir:ValueSetMember xmi:id="_4vikwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vikwMFMEea5pdrFDq-m2g" display="Spine MRI"/>
  <fhir:ValueSetMember xmi:id="_4vikw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vikwsFMEea5pdrFDq-m2g" display="Spine US"/>
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  <fhir:ValueSetMember xmi:id="_4vjL0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vikxsFMEea5pdrFDq-m2g" display="Spine Cervical CT"/>
  <fhir:ValueSetMember xmi:id="_4vjL0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjL0cFMEea5pdrFDq-m2g" display="Spine Cervical MRI"/>
  <fhir:ValueSetMember xmi:id="_4vjL1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjL08FMEea5pdrFDq-m2g" display="Spine Cervical US"/>
  <fhir:ValueSetMember xmi:id="_4vjL1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjL1cFMEea5pdrFDq-m2g" display="Spine Cervical X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vjL2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjL18FMEea5pdrFDq-m2g" display="Spine Cervical and Spine Thoracic MRI"/>
  <fhir:ValueSetMember xmi:id="_4vjy4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjy4MFMEea5pdrFDq-m2g" display="Spine Cervical and Thoracic and Lumbar MRI"/>
  <fhir:ValueSetMember xmi:id="_4vjy48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjy4sFMEea5pdrFDq-m2g" display="Spine Lumbar CT"/>
  <fhir:ValueSetMember xmi:id="_4vjy5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjy5MFMEea5pdrFDq-m2g" display="Spine Lumbar MRI"/>
  <fhir:ValueSetMember xmi:id="_4vjy58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vjy5sFMEea5pdrFDq-m2g" display="Spine Lumbar US"/>
  <fhir:ValueSetMember xmi:id="_4vkZ8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vkZ8MFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vkZ88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vkZ8sFMEea5pdrFDq-m2g" display="Spine Lumbosacral Junction CT"/>
  <fhir:ValueSetMember xmi:id="_4vkZ9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vkZ9MFMEea5pdrFDq-m2g" display="Spine Thoracic CT"/>
  <fhir:ValueSetMember xmi:id="_4vkZ98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vkZ9sFMEea5pdrFDq-m2g" display="Spine Thoracic MRI"/>
  <fhir:ValueSetMember xmi:id="_4vlBAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vlBAMFMEea5pdrFDq-m2g" display="Spine Thoracic US"/>
  <fhir:ValueSetMember xmi:id="_4vlBA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vlBAsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vlBBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vlBBMFMEea5pdrFDq-m2g" display="Thoracic Spine vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vlBB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vlBBsFMEea5pdrFDq-m2g" display="Spleen CT"/>
  <fhir:ValueSetMember xmi:id="_4vloEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vlBCMFMEea5pdrFDq-m2g" display="Spleen MRI"/>
  <fhir:ValueSetMember xmi:id="_4vloEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vloEcFMEea5pdrFDq-m2g" display="Spleen US"/>
  <fhir:ValueSetMember xmi:id="_4vloFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vloE8FMEea5pdrFDq-m2g" display="Sternoclavicular Joint CT"/>
  <fhir:ValueSetMember xmi:id="_4vloFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vloFcFMEea5pdrFDq-m2g" display="Sternum CT"/>
  <fhir:ValueSetMember xmi:id="_4vmPIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vloF8FMEea5pdrFDq-m2g" display="Sternum MRI"/>
  <fhir:ValueSetMember xmi:id="_4vmPIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vmPIcFMEea5pdrFDq-m2g" display="Sternum X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vmPJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vmPI8FMEea5pdrFDq-m2g" display="Subclavian artery MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vmPJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vmPJcFMEea5pdrFDq-m2g" display="Subclavian vessels - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vmPKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vmPJ8FMEea5pdrFDq-m2g" display="Superior mesenteric vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vm2McFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vm2MMFMEea5pdrFDq-m2g" display="Superior mesenteric vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vm2M8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vm2MsFMEea5pdrFDq-m2g" display="Surgical specimen US"/>
  <fhir:ValueSetMember xmi:id="_4vm2NcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vm2NMFMEea5pdrFDq-m2g" display="Talus CT"/>
  <fhir:ValueSetMember xmi:id="_4vm2N8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vm2NsFMEea5pdrFDq-m2g" display="Temporal bone CT"/>
  <fhir:ValueSetMember xmi:id="_4vndQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vndQMFMEea5pdrFDq-m2g" display="Temporomandibular joint CT"/>
  <fhir:ValueSetMember xmi:id="_4vndQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vndQsFMEea5pdrFDq-m2g" display="Temporomandibular joint MRI"/>
  <fhir:ValueSetMember xmi:id="_4vndRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vndRMFMEea5pdrFDq-m2g" display="Temporomandibular joint X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vndR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vndRsFMEea5pdrFDq-m2g" display="Temporomandibular joint - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4voEUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4voEUMFMEea5pdrFDq-m2g" display="Temporomandibular joint - bilateral X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4voEU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4voEUsFMEea5pdrFDq-m2g" display="Temporomandibular joint - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4voEVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4voEVMFMEea5pdrFDq-m2g" display="Temporomandibular joint - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4voEV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4voEVsFMEea5pdrFDq-m2g" display="Temporomandibular joint - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vorYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4voEWMFMEea5pdrFDq-m2g" display="Temporomandibular joint - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vorYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vorYcFMEea5pdrFDq-m2g" display="Testicle vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vorZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vorY8FMEea5pdrFDq-m2g" display="Thigh MRI"/>
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  <fhir:ValueSetMember xmi:id="_4voraMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vorZ8FMEea5pdrFDq-m2g" display="Thigh - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vpSccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vpScMFMEea5pdrFDq-m2g" display="Thigh - right MRI"/>
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  <fhir:ValueSetMember xmi:id="_4vpSdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vpSdMFMEea5pdrFDq-m2g" display="Thoracic outlet MRI"/>
  <fhir:ValueSetMember xmi:id="_4vpSd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vpSdsFMEea5pdrFDq-m2g" display="Thoracic outlet US"/>
  <fhir:ValueSetMember xmi:id="_4vp5gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vp5gMFMEea5pdrFDq-m2g" display="Thoracic outlet - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vp5g8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vp5gsFMEea5pdrFDq-m2g" display="Thoracic outlet - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vp5hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vp5hMFMEea5pdrFDq-m2g" display="Thoracic outlet - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vqgkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vp5hsFMEea5pdrFDq-m2g" display="Thymus gland MRI"/>
  <fhir:ValueSetMember xmi:id="_4vqgksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vqgkcFMEea5pdrFDq-m2g" display="Thyroid MRI"/>
  <fhir:ValueSetMember xmi:id="_4vqglMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vqgk8FMEea5pdrFDq-m2g" display="Thyroid US"/>
  <fhir:ValueSetMember xmi:id="_4vrHoMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vqglcFMEea5pdrFDq-m2g" display="Tibia and Fibula X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vrHosFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vrHocFMEea5pdrFDq-m2g" display="Tibioperoneal vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vrHpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vrHo8FMEea5pdrFDq-m2g" display="Toe MRI"/>
  <fhir:ValueSetMember xmi:id="_4vrHpsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vrHpcFMEea5pdrFDq-m2g" display="Umbilical artery US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vrusMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vrHp8FMEea5pdrFDq-m2g" display="Umbilical vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vrussFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vruscFMEea5pdrFDq-m2g" display="Upper arm CT"/>
  <fhir:ValueSetMember xmi:id="_4vrutMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vrus8FMEea5pdrFDq-m2g" display="Upper arm MRI"/>
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  <fhir:ValueSetMember xmi:id="_4vsVwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vrut8FMEea5pdrFDq-m2g" display="Upper arm - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vsVwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vsVwcFMEea5pdrFDq-m2g" display="Upper arm - left CT"/>
  <fhir:ValueSetMember xmi:id="_4vsVxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vsVw8FMEea5pdrFDq-m2g" display="Upper arm - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vsVxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vsVxcFMEea5pdrFDq-m2g" display="Upper arm - right CT"/>
  <fhir:ValueSetMember xmi:id="_4vsVyMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vsVx8FMEea5pdrFDq-m2g" display="Upper arm - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vs80cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vs80MFMEea5pdrFDq-m2g" display="Upper extremity CT"/>
  <fhir:ValueSetMember xmi:id="_4vs808FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vs80sFMEea5pdrFDq-m2g" display="Upper extremity MRI"/>
  <fhir:ValueSetMember xmi:id="_4vs81cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vs81MFMEea5pdrFDq-m2g" display="Upper extremity US"/>
  <fhir:ValueSetMember xmi:id="_4vs818FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vs81sFMEea5pdrFDq-m2g" display="Upper extremity X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4vtj4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vtj4MFMEea5pdrFDq-m2g" display="Upper extremity artery US"/>
  <fhir:ValueSetMember xmi:id="_4vtj48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vtj4sFMEea5pdrFDq-m2g" display="Upper extremity artery US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vtj5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vtj5MFMEea5pdrFDq-m2g" display="Upper extremity artery - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vtj58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vtj5sFMEea5pdrFDq-m2g" display="Upper extremity artery - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vuK8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuK8MFMEea5pdrFDq-m2g" display="Upper extremity artery - left US"/>
  <fhir:ValueSetMember xmi:id="_4vuK88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuK8sFMEea5pdrFDq-m2g" display="Upper extremity artery - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vuK9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuK9MFMEea5pdrFDq-m2g" display="Upper extremity artery - right US"/>
  <fhir:ValueSetMember xmi:id="_4vuK98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuK9sFMEea5pdrFDq-m2g" display="Upper extremity artery - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vuyAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuyAMFMEea5pdrFDq-m2g" display="Upper extremity vein US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vuyA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuyAsFMEea5pdrFDq-m2g" display="Upper extremity vein - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4vuyBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuyBMFMEea5pdrFDq-m2g" display="Upper extremity vein - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vuyB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuyBsFMEea5pdrFDq-m2g" display="Upper extremity vein - left US"/>
  <fhir:ValueSetMember xmi:id="_4vvZEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vuyCMFMEea5pdrFDq-m2g" display="Upper extremity vein - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vvZEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vvZEcFMEea5pdrFDq-m2g" display="Upper extremity vein - right US"/>
  <fhir:ValueSetMember xmi:id="_4vvZFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vvZE8FMEea5pdrFDq-m2g" display="Upper extremity vein - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vvZFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vvZFcFMEea5pdrFDq-m2g" display="Upper extremity veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vvZGMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vvZF8FMEea5pdrFDq-m2g" display="Upper extremity veins US"/>
  <fhir:ValueSetMember xmi:id="_4vwAIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwAIMFMEea5pdrFDq-m2g" display="Upper extremity veins - left MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vwAI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwAIsFMEea5pdrFDq-m2g" display="Upper extremity veins - right MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vwAJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwAJMFMEea5pdrFDq-m2g" display="Upper extremity vessel graft US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vwAJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwAJsFMEea5pdrFDq-m2g" display="Upper extremity vessel graft - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vwnMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwnMMFMEea5pdrFDq-m2g" display="Upper extremity vessel graft - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vwnM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwnMsFMEea5pdrFDq-m2g" display="Upper extremity vessel graft - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vwnNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwnNMFMEea5pdrFDq-m2g" display="Upper extremity vessels MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vwnN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vwnNsFMEea5pdrFDq-m2g" display="Upper extremity vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vxOQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vxOQMFMEea5pdrFDq-m2g" display="Upper extremity vessels - bilateral US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vxOQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vxOQsFMEea5pdrFDq-m2g" display="Upper extremity vessels - left MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vxORcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vxORMFMEea5pdrFDq-m2g" display="Upper extremity vessels - left US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vxOR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vxORsFMEea5pdrFDq-m2g" display="Upper extremity vessels - right MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4vx1UMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vxOSMFMEea5pdrFDq-m2g" display="Upper extremity vessels - right US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4vx1UsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vx1UcFMEea5pdrFDq-m2g" display="Upper extremity - bilateral MRI"/>
  <fhir:ValueSetMember xmi:id="_4vx1VMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vx1U8FMEea5pdrFDq-m2g" display="Upper extremity .joint MRI"/>
  <fhir:ValueSetMember xmi:id="_4vx1VsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vx1VcFMEea5pdrFDq-m2g" display="Upper extremity joint - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vx1WMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vx1V8FMEea5pdrFDq-m2g" display="Upper extremity joint - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vycYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vycYMFMEea5pdrFDq-m2g" display="Upper extremity - left CT"/>
  <fhir:ValueSetMember xmi:id="_4vycY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vycYsFMEea5pdrFDq-m2g" display="Upper extremity - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4vycZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vycZMFMEea5pdrFDq-m2g" display="Upper extremity - left US"/>
  <fhir:ValueSetMember xmi:id="_4vycZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vycZsFMEea5pdrFDq-m2g" display="Upper extremity - right CT"/>
  <fhir:ValueSetMember xmi:id="_4vzDccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vzDcMFMEea5pdrFDq-m2g" display="Upper extremity - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4vzDc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vzDcsFMEea5pdrFDq-m2g" display="Upper extremity - right US"/>
  <fhir:ValueSetMember xmi:id="_4vzDdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vzDdMFMEea5pdrFDq-m2g" display="Urinary bladder US"/>
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  <fhir:ValueSetMember xmi:id="_4vzqhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4vzqhMFMEea5pdrFDq-m2g" display="Vein - bilateral US"/>
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  <fhir:ValueSetMember xmi:id="_4v0RkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v0RkMFMEea5pdrFDq-m2g" display="Vena cava MRI"/>
  <fhir:ValueSetMember xmi:id="_4v0Rk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v0RksFMEea5pdrFDq-m2g" display="Vena cava MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4v04oMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v0RlMFMEea5pdrFDq-m2g" display="Inferior vena cava MRI"/>
  <fhir:ValueSetMember xmi:id="_4v04osFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v04ocFMEea5pdrFDq-m2g" display="Inferior vena cava MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4v04pMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v04o8FMEea5pdrFDq-m2g" display="Vena cava.inferior and Lower extremity veins MRI angiogram"/>
  <fhir:ValueSetMember xmi:id="_4v04psFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v04pcFMEea5pdrFDq-m2g" display="Vessels US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4v04qMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v04p8FMEea5pdrFDq-m2g" display="Visceral artery US"/>
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  <fhir:ValueSetMember xmi:id="_4v1fs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v1fssFMEea5pdrFDq-m2g" display="Wrist MRI"/>
  <fhir:ValueSetMember xmi:id="_4v1ftcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v1ftMFMEea5pdrFDq-m2g" display="Wrist US"/>
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  <fhir:ValueSetMember xmi:id="_4v2GxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v2GxMFMEea5pdrFDq-m2g" display="Wrist - bilateral US"/>
  <fhir:ValueSetMember xmi:id="_4v2Gx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v2GxsFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray tomograph"/>
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  <fhir:ValueSetMember xmi:id="_4v2t08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v2t0sFMEea5pdrFDq-m2g" display="Wrist - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4v2t1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v2t1MFMEea5pdrFDq-m2g" display="Wrist - left US"/>
  <fhir:ValueSetMember xmi:id="_4v2t18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v2t1sFMEea5pdrFDq-m2g" display="Wrist - left X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4v3U4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v3U4MFMEea5pdrFDq-m2g" display="Wrist - left and Hand - left MRI"/>
  <fhir:ValueSetMember xmi:id="_4v3U48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v3U4sFMEea5pdrFDq-m2g" display="Wrist - right CT"/>
  <fhir:ValueSetMember xmi:id="_4v3U5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v3U5MFMEea5pdrFDq-m2g" display="Wrist - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4v3U58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v3U5sFMEea5pdrFDq-m2g" display="Wrist - right US"/>
  <fhir:ValueSetMember xmi:id="_4v3U6cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v3U6MFMEea5pdrFDq-m2g" display="Wrist - right X-ray tomograph"/>
  <fhir:ValueSetMember xmi:id="_4v378cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v378MFMEea5pdrFDq-m2g" display="Wrist - right and Hand - right MRI"/>
  <fhir:ValueSetMember xmi:id="_4v3788FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v378sFMEea5pdrFDq-m2g" display="Wrist and Hand MRI"/>
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  <fhir:ValueSetMember xmi:id="_4v3798FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v379sFMEea5pdrFDq-m2g" display="Unspecified body region CT 3D"/>
  <fhir:ValueSetMember xmi:id="_4v4jAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v4jAMFMEea5pdrFDq-m2g" display="Unspecified body region MRI"/>
  <fhir:ValueSetMember xmi:id="_4v4jA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v4jAsFMEea5pdrFDq-m2g" display="Unspecified body region PET"/>
  <fhir:ValueSetMember xmi:id="_4v4jBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v4jBMFMEea5pdrFDq-m2g" display="Unspecified body region US"/>
  <fhir:ValueSetMember xmi:id="_4v4jB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v4jBsFMEea5pdrFDq-m2g" display="Unspecified body region X-ray tomograph"/>
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  <fhir:ValueSetMember xmi:id="_4v5KEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v5KEcFMEea5pdrFDq-m2g" display="Artery US.doppler"/>
  <fhir:ValueSetMember xmi:id="_4v5KFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v5KE8FMEea5pdrFDq-m2g" display="Bones CT"/>
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  <fhir:ValueSetMember xmi:id="_4v5KGMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v5KF8FMEea5pdrFDq-m2g" display="Tendon US"/>
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  <fhir:ValueSetMember xmi:id="_4v5xI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v5xIsFMEea5pdrFDq-m2g" display="Head CT and 3D reconstruction"/>
  <fhir:ValueSetMember xmi:id="_4v5xJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v5xJMFMEea5pdrFDq-m2g" display="Unspecified body region CT and 3D reconstruction"/>
  <fhir:ValueSetMember xmi:id="_4v5xJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v5xJsFMEea5pdrFDq-m2g" display="Unspecified body region MRI and 3D reconstruction"/>
  <fhir:ValueSetMember xmi:id="_4v6YMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v6YMMFMEea5pdrFDq-m2g" display="Unspecified body region US and 3D reconstruction"/>
  <fhir:ValueSetMember xmi:id="_4v6YM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v6YMsFMEea5pdrFDq-m2g" display="Coronary arteries CT angiogram and 3D reconstruction W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v6YNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v6YNMFMEea5pdrFDq-m2g" display="Left atrium and Pulmonary veins CT angiogram and 3D reconstruction W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v6YN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v6YNsFMEea5pdrFDq-m2g" display="Head CT and 3D reconstruction WO contrast"/>
  <fhir:ValueSetMember xmi:id="_4v6_QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v6_QMFMEea5pdrFDq-m2g" display="Femur and Hip CT and anteversion measurement"/>
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  <fhir:ValueSetMember xmi:id="_4v6_RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v6_RMFMEea5pdrFDq-m2g" display="Extremity arteries - bilateral US.doppler Multisection and physiologic artery study at rest and with exercise"/>
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  <fhir:ValueSetMember xmi:id="_4v7mVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v7mVMFMEea5pdrFDq-m2g" display="Unspecified body region MRI additional sequence"/>
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  <fhir:ValueSetMember xmi:id="_4v8NY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v8NYsFMEea5pdrFDq-m2g" display="Liver SPECT blood pool"/>
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  <fhir:ValueSetMember xmi:id="_4v80cMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v8NaMFMEea5pdrFDq-m2g" display="Heart MRI cine for blood flow velocity mapping"/>
  <fhir:ValueSetMember xmi:id="_4v80csFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v80ccFMEea5pdrFDq-m2g" display="Heart MRI cine for blood flow velocity mapping W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v80dMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v80c8FMEea5pdrFDq-m2g" display="Brain MRI cine for CSF flow"/>
  <fhir:ValueSetMember xmi:id="_4v80dsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v80dcFMEea5pdrFDq-m2g" display="Unspecified body region MRI cine for CSF flow"/>
  <fhir:ValueSetMember xmi:id="_4v80eMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v80d8FMEea5pdrFDq-m2g" display="Heart MRI cine for function"/>
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  <fhir:ValueSetMember xmi:id="_4v-CkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v-CkMFMEea5pdrFDq-m2g" display="Brain MRI diffusion weighted"/>
  <fhir:ValueSetMember xmi:id="_4v-Ck8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v-CksFMEea5pdrFDq-m2g" display="Ankle - left MRI dynamic W contrast IV"/>
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  <fhir:ValueSetMember xmi:id="_4v-Cl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v-ClsFMEea5pdrFDq-m2g" display="Breast MRI dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v-pocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v-poMFMEea5pdrFDq-m2g" display="Breast - bilateral MRI dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v-po8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v-posFMEea5pdrFDq-m2g" display="Elbow - left MRI dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v-ppcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v-ppMFMEea5pdrFDq-m2g" display="Elbow - right MRI dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v_QscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_QsMFMEea5pdrFDq-m2g" display="Head CT dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v_Qs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_QssFMEea5pdrFDq-m2g" display="Knee - left MRI dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v_QtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_QtMFMEea5pdrFDq-m2g" display="Knee - right MRI dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v_Qt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_QtsFMEea5pdrFDq-m2g" display="Pituitary and Sella turcica CT dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v_3wcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_3wMFMEea5pdrFDq-m2g" display="Unspecified body region CT dynamic W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4v_3w8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_3wsFMEea5pdrFDq-m2g" display="Brain SPECT flow"/>
  <fhir:ValueSetMember xmi:id="_4v_3xcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_3xMFMEea5pdrFDq-m2g" display="Liver SPECT flow"/>
  <fhir:ValueSetMember xmi:id="_4v_3x8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4v_3xsFMEea5pdrFDq-m2g" display="Liver and Spleen SPECT flow"/>
  <fhir:ValueSetMember xmi:id="_4wAe0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wAe0MFMEea5pdrFDq-m2g" display="Scrotum and Testicle SPECT flow"/>
  <fhir:ValueSetMember xmi:id="_4wAe08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wAe0sFMEea5pdrFDq-m2g" display="Spleen SPECT flow"/>
  <fhir:ValueSetMember xmi:id="_4wAe1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wAe1MFMEea5pdrFDq-m2g" display="Thyroid SPECT flow"/>
  <fhir:ValueSetMember xmi:id="_4wAe18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wAe1sFMEea5pdrFDq-m2g" display="Renal vessels SPECT flow W Tc-99m glucoheptonate IV"/>
  <fhir:ValueSetMember xmi:id="_4wBF4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wAe2MFMEea5pdrFDq-m2g" display="SPECT for abscess W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_4wBF4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBF4cFMEea5pdrFDq-m2g" display="SPECT for abscess"/>
  <fhir:ValueSetMember xmi:id="_4wBF5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBF48FMEea5pdrFDq-m2g" display="Bone marrow MRI for blood flow"/>
  <fhir:ValueSetMember xmi:id="_4wBF5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBF5cFMEea5pdrFDq-m2g" display="Heart SPECT for infarct"/>
  <fhir:ValueSetMember xmi:id="_4wBF6MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBF58FMEea5pdrFDq-m2g" display="Heart SPECT for infarct W Tc-99m PYP IV"/>
  <fhir:ValueSetMember xmi:id="_4wBs8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBs8MFMEea5pdrFDq-m2g" display="Heart SPECT for infarct W Tc-99m Sestamibi IV"/>
  <fhir:ValueSetMember xmi:id="_4wBs88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBs8sFMEea5pdrFDq-m2g" display="SPECT for infection W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_4wBs9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBs9MFMEea5pdrFDq-m2g" display="US Pelvis and Fetus for pregnancy"/>
  <fhir:ValueSetMember xmi:id="_4wCUAMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wBs9sFMEea5pdrFDq-m2g" display="Chest vessels CT Multisection for pulmonary embolus"/>
  <fhir:ValueSetMember xmi:id="_4wCUAsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wCUAcFMEea5pdrFDq-m2g" display="Pylorus US for pyloric stenosis"/>
  <fhir:ValueSetMember xmi:id="_4wCUBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wCUA8FMEea5pdrFDq-m2g" display="Heart CT for scoring"/>
  <fhir:ValueSetMember xmi:id="_4wCUBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wCUBcFMEea5pdrFDq-m2g" display="Heart CT for scoring W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4wCUCMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wCUB8FMEea5pdrFDq-m2g" display="CT for tumor whole body"/>
  <fhir:ValueSetMember xmi:id="_4wC7EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wC7EMFMEea5pdrFDq-m2g" display="SPECT for tumor whole body"/>
  <fhir:ValueSetMember xmi:id="_4wC7E8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wC7EsFMEea5pdrFDq-m2g" display="SPECT for tumor W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_4wC7FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wC7FMFMEea5pdrFDq-m2g" display="SPECT for tumor W Tc-99m Sestamibi IV"/>
  <fhir:ValueSetMember xmi:id="_4wC7F8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wC7FsFMEea5pdrFDq-m2g" display="SPECT for tumor W Tl-201 IV"/>
  <fhir:ValueSetMember xmi:id="_4wDiIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wDiIMFMEea5pdrFDq-m2g" display="Heart SPECT gated and ejection fraction at rest and W stress and W radionuclide IV"/>
  <fhir:ValueSetMember xmi:id="_4wDiI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wDiIsFMEea5pdrFDq-m2g" display="Heart SPECT gated and ejection fraction"/>
  <fhir:ValueSetMember xmi:id="_4wDiJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wDiJMFMEea5pdrFDq-m2g" display="Heart SPECT gated and wall motion"/>
  <fhir:ValueSetMember xmi:id="_4wDiJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wDiJsFMEea5pdrFDq-m2g" display="Heart SPECT gated at rest and W Tc-99m Sestamibi IV"/>
  <fhir:ValueSetMember xmi:id="_4wEJMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wEJMMFMEea5pdrFDq-m2g" display="Heart SPECT gated"/>
  <fhir:ValueSetMember xmi:id="_4wEJM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wEJMsFMEea5pdrFDq-m2g" display="Heart SPECT gated W stress and W radionuclide IV"/>
  <fhir:ValueSetMember xmi:id="_4wEJNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wEJNMFMEea5pdrFDq-m2g" display="Chest CT high resolution"/>
  <fhir:ValueSetMember xmi:id="_4wEJN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wEJNsFMEea5pdrFDq-m2g" display="Chest CT high resolution W contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4wEwQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wEwQMFMEea5pdrFDq-m2g" display="Chest CT high resolution WO contrast"/>
  <fhir:ValueSetMember xmi:id="_4wEwQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wEwQsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray tomograph lateral"/>
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  <fhir:ValueSetMember xmi:id="_4wQ9hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wQ9hMFMEea5pdrFDq-m2g" display="Chest CT limited WO contrast"/>
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  <fhir:ValueSetMember xmi:id="_4wSyscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wSysMFMEea5pdrFDq-m2g" display="Spine Lumbar MRI limited WO contrast"/>
  <fhir:ValueSetMember xmi:id="_4wSys8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wSyssFMEea5pdrFDq-m2g" display="Spine Thoracic MRI limited WO contrast"/>
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  <fhir:ValueSetMember xmi:id="_4wSyt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wSytsFMEea5pdrFDq-m2g" display="Bone marrow SPECT multiple areas"/>
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  <fhir:ValueSetMember xmi:id="_4wTZxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wTZxMFMEea5pdrFDq-m2g" display="Heart SPECT perfusion qualitative at rest and W radionuclide IV"/>
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  <fhir:ValueSetMember xmi:id="_4wUA0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wUA0cFMEea5pdrFDq-m2g" display="Heart SPECT perfusion at rest and W radionuclide IV"/>
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  <fhir:ValueSetMember xmi:id="_4wUA1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wUA1cFMEea5pdrFDq-m2g" display="Heart SPECT perfusion at rest and W stress and W Tl-201 IV"/>
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  <fhir:ValueSetMember xmi:id="_4wUn48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wUn4sFMEea5pdrFDq-m2g" display="Heart SPECT perfusion at rest and W Tl-201 IV"/>
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  <fhir:ValueSetMember xmi:id="_4wUn58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wUn5sFMEea5pdrFDq-m2g" display="Heart SPECT perfusion W adenosine and W Tc-99m Sestamibi IV"/>
  <fhir:ValueSetMember xmi:id="_4wVO8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wUn6MFMEea5pdrFDq-m2g" display="Head CT perfusion W contrast IV"/>
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  <fhir:ValueSetMember xmi:id="_4wVO9sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wVO9cFMEea5pdrFDq-m2g" display="Heart SPECT perfusion W stress and W Tc-99m Sestamibi IV"/>
  <fhir:ValueSetMember xmi:id="_4wVO-MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wVO98FMEea5pdrFDq-m2g" display="Heart SPECT perfusion W Tc-99m Sestamibi IV"/>
  <fhir:ValueSetMember xmi:id="_4wV2AcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wV2AMFMEea5pdrFDq-m2g" display="Heart SPECT perfusion W Tl-201 IV"/>
  <fhir:ValueSetMember xmi:id="_4wV2A8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wV2AsFMEea5pdrFDq-m2g" display="Spine.lumbosacral+Cervical+Thoracic MRI sagittal"/>
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  <fhir:ValueSetMember xmi:id="_4wV2B8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4wV2BsFMEea5pdrFDq-m2g" display="Unspecified body region CT 3D sagittal and coronal disarticulation"/>
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  <fhir:ValueSetMember xmi:id="_4zIrUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zIrUMFMEea5pdrFDq-m2g" display="Calcaneus - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zIrU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zIrUsFMEea5pdrFDq-m2g" display="Chest X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zIrVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zIrVMFMEea5pdrFDq-m2g" display="Chest and Abdomen X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zIrV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zIrVsFMEea5pdrFDq-m2g" display="Clavicle X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJSYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJSYMFMEea5pdrFDq-m2g" display="Elbow X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJSY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJSYsFMEea5pdrFDq-m2g" display="Elbow - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJSZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJSZMFMEea5pdrFDq-m2g" display="Elbow - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJSZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJSZsFMEea5pdrFDq-m2g" display="Extremity X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJ5ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJ5cMFMEea5pdrFDq-m2g" display="Femur X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJ5c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJ5csFMEea5pdrFDq-m2g" display="Femur - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJ5dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJ5dMFMEea5pdrFDq-m2g" display="Femur - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zJ5d8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJ5dsFMEea5pdrFDq-m2g" display="Foot X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zKggMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zJ5eMFMEea5pdrFDq-m2g" display="Foot - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zKggsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zKggcFMEea5pdrFDq-m2g" display="Foot - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zKghMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zKgg8FMEea5pdrFDq-m2g" display="Hand X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zKghsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zKghcFMEea5pdrFDq-m2g" display="Hand - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zKgiMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zKgh8FMEea5pdrFDq-m2g" display="Hand - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zLHkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zLHkMFMEea5pdrFDq-m2g" display="Hip X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zLHk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zLHksFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zLHlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zLHlMFMEea5pdrFDq-m2g" display="Hip - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zLuoMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zLHlsFMEea5pdrFDq-m2g" display="Hip - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zLuosFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zLuocFMEea5pdrFDq-m2g" display="Humerus X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zLupMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zLuo8FMEea5pdrFDq-m2g" display="Humerus - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zMVscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zMVsMFMEea5pdrFDq-m2g" display="Humerus - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zMVs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zMVssFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zMVtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zMVtMFMEea5pdrFDq-m2g" display="Knee - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zMVt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zMVtsFMEea5pdrFDq-m2g" display="Knee - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zM8wMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zMVuMFMEea5pdrFDq-m2g" display="Lower extremity - bilateral X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zM8wsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zM8wcFMEea5pdrFDq-m2g" display="Lower extremity - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zM8xMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zM8w8FMEea5pdrFDq-m2g" display="Lower extremity - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zM8xsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zM8xcFMEea5pdrFDq-m2g" display="Patella X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zNj0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zNj0MFMEea5pdrFDq-m2g" display="Patella - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zNj08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zNj0sFMEea5pdrFDq-m2g" display="Patella - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zNj1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zNj1MFMEea5pdrFDq-m2g" display="Pelvis X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zNj18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zNj1sFMEea5pdrFDq-m2g" display="Radius - right and Ulna - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOK4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOK4MFMEea5pdrFDq-m2g" display="Ribs - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOK48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOK4sFMEea5pdrFDq-m2g" display="Ribs - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOK5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOK5MFMEea5pdrFDq-m2g" display="Scapula X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOK58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOK5sFMEea5pdrFDq-m2g" display="Shoulder X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOx8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOx8MFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOx88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOx8sFMEea5pdrFDq-m2g" display="Shoulder - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zOx9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zOx9MFMEea5pdrFDq-m2g" display="Shoulder - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zPZAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zPZAMFMEea5pdrFDq-m2g" display="Sinuses X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zPZA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zPZAsFMEea5pdrFDq-m2g" display="Skull X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zPZBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zPZBMFMEea5pdrFDq-m2g" display="Skull.base X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zPZB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zPZBsFMEea5pdrFDq-m2g" display="Spine X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQAEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQAEMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQAE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQAEsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQAFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQAFMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQAF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQAFsFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQnIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQnIMFMEea5pdrFDq-m2g" display="Tibia - left and Fibula - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQnI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQnIsFMEea5pdrFDq-m2g" display="Tibia - right and Fibula - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQnJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQnJMFMEea5pdrFDq-m2g" display="Tibia and Fibula X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zQnJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zQnJsFMEea5pdrFDq-m2g" display="Wrist X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zROMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zROMMFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zROM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zROMsFMEea5pdrFDq-m2g" display="Wrist - left X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zRONcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zRONMFMEea5pdrFDq-m2g" display="Wrist - right X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zRON8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zRONsFMEea5pdrFDq-m2g" display="Unspecified body region Fluoroscopy Single view"/>
  <fhir:ValueSetMember xmi:id="_4zR1QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zR1QMFMEea5pdrFDq-m2g" display="Joint X-ray Single view"/>
  <fhir:ValueSetMember xmi:id="_4zR1Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zR1QsFMEea5pdrFDq-m2g" display="Hip X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zR1RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zR1RMFMEea5pdrFDq-m2g" display="Pelvis X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zR1R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zR1RsFMEea5pdrFDq-m2g" display="Shoulder X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zScUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zScUMFMEea5pdrFDq-m2g" display="Skull X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zScU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zScUsFMEea5pdrFDq-m2g" display="Spine Cervical X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zScVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zScVMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zScV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zScVsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray Single view portable"/>
  <fhir:ValueSetMember xmi:id="_4zTDYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTDYMFMEea5pdrFDq-m2g" display="Vessel Fluoroscopic angiogram Single view W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_4zTDY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTDYsFMEea5pdrFDq-m2g" display="Breast duct Mammogram Single view W contrast intra duct"/>
  <fhir:ValueSetMember xmi:id="_4zTDZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTDZMFMEea5pdrFDq-m2g" display="Breast duct - left Mammogram Single view W contrast intra duct"/>
  <fhir:ValueSetMember xmi:id="_4zTDZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTDZsFMEea5pdrFDq-m2g" display="Breast duct - right Mammogram Single view W contrast intra duct"/>
  <fhir:ValueSetMember xmi:id="_4zTqcMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTDaMFMEea5pdrFDq-m2g" display="Gastrointestine upper Fluoroscopy Single view W contrast PO"/>
  <fhir:ValueSetMember xmi:id="_4zTqcsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTqccFMEea5pdrFDq-m2g" display="Tibia - bilateral X-ray 10 degree caudal angle"/>
  <fhir:ValueSetMember xmi:id="_4zTqdMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTqc8FMEea5pdrFDq-m2g" display="Tibia - left X-ray 10 degree caudal angle"/>
  <fhir:ValueSetMember xmi:id="_4zTqdsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTqdcFMEea5pdrFDq-m2g" display="Tibia - right X-ray 10 degree caudal angle"/>
  <fhir:ValueSetMember xmi:id="_4zTqeMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zTqd8FMEea5pdrFDq-m2g" display="Acromioclavicular Joint X-ray 10 degree cephalic angle"/>
  <fhir:ValueSetMember xmi:id="_4zURgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zURgMFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray 30 degree caudal angle"/>
  <fhir:ValueSetMember xmi:id="_4zURg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zURgsFMEea5pdrFDq-m2g" display="Knee - right X-ray 30 degree standing"/>
  <fhir:ValueSetMember xmi:id="_4zURhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zURhMFMEea5pdrFDq-m2g" display="Clavicle X-ray 45 degree cephalic angle"/>
  <fhir:ValueSetMember xmi:id="_4zURh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zURhsFMEea5pdrFDq-m2g" display="Clavicle - bilateral X-ray 45 degree cephalic angle"/>
  <fhir:ValueSetMember xmi:id="_4zU4kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zU4kMFMEea5pdrFDq-m2g" display="Clavicle - left X-ray 45 degree cephalic angle"/>
  <fhir:ValueSetMember xmi:id="_4zU4k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zU4ksFMEea5pdrFDq-m2g" display="Clavicle - right X-ray 45 degree cephalic angle"/>
  <fhir:ValueSetMember xmi:id="_4zU4lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zU4lMFMEea5pdrFDq-m2g" display="Abdomen X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zU4l8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zU4lsFMEea5pdrFDq-m2g" display="Acromioclavicular joint - left X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zVfocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zVfoMFMEea5pdrFDq-m2g" display="Acromioclavicular joint - right X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zVfo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zVfosFMEea5pdrFDq-m2g" display="Ankle X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zVfpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zVfpMFMEea5pdrFDq-m2g" display="Chest X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zVfp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zVfpsFMEea5pdrFDq-m2g" display="Clavicle X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zVfqcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zVfqMFMEea5pdrFDq-m2g" display="Femur X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWGscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWGsMFMEea5pdrFDq-m2g" display="Finger fifth X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWGs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWGssFMEea5pdrFDq-m2g" display="Finger fourth X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWtwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWGtMFMEea5pdrFDq-m2g" display="Finger third X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWtwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWtwcFMEea5pdrFDq-m2g" display="Foot X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWtxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWtw8FMEea5pdrFDq-m2g" display="Foot - bilateral X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWtxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWtxcFMEea5pdrFDq-m2g" display="Hip X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zWtyMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zWtx8FMEea5pdrFDq-m2g" display="Hip - left X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zXU0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zXU0MFMEea5pdrFDq-m2g" display="Hip - right X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zXU08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zXU0sFMEea5pdrFDq-m2g" display="Knee X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zXU1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zXU1MFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zXU18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zXU1sFMEea5pdrFDq-m2g" display="Knee - left X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zX74cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zX74MFMEea5pdrFDq-m2g" display="Knee - right X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zX748FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zX74sFMEea5pdrFDq-m2g" display="Lower extremity X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zX75cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zX75MFMEea5pdrFDq-m2g" display="Neck X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zX758FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zX75sFMEea5pdrFDq-m2g" display="Pelvis X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zYi8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zYi8MFMEea5pdrFDq-m2g" display="Ribs X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zYi88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zYi8sFMEea5pdrFDq-m2g" display="Ribs - bilateral X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zYi9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zYi9MFMEea5pdrFDq-m2g" display="Ribs - left X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zYi98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zYi9sFMEea5pdrFDq-m2g" display="Ribs - right X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZKAMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zYi-MFMEea5pdrFDq-m2g" display="Scapula X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZKAsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZKAcFMEea5pdrFDq-m2g" display="Shoulder X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZKBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZKA8FMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZKBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZKBcFMEea5pdrFDq-m2g" display="Shoulder - left X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZKCMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZKB8FMEea5pdrFDq-m2g" display="Shoulder - right X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZxEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZxEMFMEea5pdrFDq-m2g" display="Skull X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZxE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZxEsFMEea5pdrFDq-m2g" display="Spine X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZxFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZxFMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zZxF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zZxFsFMEea5pdrFDq-m2g" display="Spine Cervical Odontoid and Cervical axis X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zaYIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zaYIMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zaYI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zaYIsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zaYJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zaYJMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4zaYJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zaYJsFMEea5pdrFDq-m2g" display="Sternoclavicular Joint X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4za_McFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4za_MMFMEea5pdrFDq-m2g" display="Thumb X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4za_M8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4za_MsFMEea5pdrFDq-m2g" display="Tibia and Fibula X-ray AP single view"/>
  <fhir:ValueSetMember xmi:id="_4za_NcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4za_NMFMEea5pdrFDq-m2g" display="Shoulder X-ray AP (W internal rotation and W external rotation)"/>
  <fhir:ValueSetMember xmi:id="_4za_N8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4za_NsFMEea5pdrFDq-m2g" display="Pelvis X-ray AP 20 degree cephalic angle"/>
  <fhir:ValueSetMember xmi:id="_4zbmQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zbmQMFMEea5pdrFDq-m2g" display="Chest X-ray AP lateral-decubitus"/>
  <fhir:ValueSetMember xmi:id="_4zbmQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zbmQsFMEea5pdrFDq-m2g" display="Chest X-ray AP lateral-decubitus portable"/>
  <fhir:ValueSetMember xmi:id="_4zbmRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zbmRMFMEea5pdrFDq-m2g" display="Abdomen X-ray AP left lateral-decubitus"/>
  <fhir:ValueSetMember xmi:id="_4zbmR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zbmRsFMEea5pdrFDq-m2g" display="Chest X-ray AP left lateral-decubitus"/>
  <fhir:ValueSetMember xmi:id="_4zcNUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zcNUMFMEea5pdrFDq-m2g" display="Abdomen X-ray AP left lateral-decubitus portable"/>
  <fhir:ValueSetMember xmi:id="_4zcNU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zcNUsFMEea5pdrFDq-m2g" display="Chest X-ray AP left lateral-decubitus portable"/>
  <fhir:ValueSetMember xmi:id="_4zcNVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zcNVMFMEea5pdrFDq-m2g" display="Abdomen X-ray AP portable single view"/>
  <fhir:ValueSetMember xmi:id="_4zcNV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zcNVsFMEea5pdrFDq-m2g" display="Chest X-ray AP portable single view"/>
  <fhir:ValueSetMember xmi:id="_4zc0YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zc0YMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray AP portable single view"/>
  <fhir:ValueSetMember xmi:id="_4zc0Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zc0YsFMEea5pdrFDq-m2g" display="Spine Cervical Odontoid and Cervical axis X-ray AP portable single view"/>
  <fhir:ValueSetMember xmi:id="_4zc0ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zc0ZMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray AP portable single view"/>
  <fhir:ValueSetMember xmi:id="_4zc0Z8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zc0ZsFMEea5pdrFDq-m2g" display="Abdomen X-ray AP right lateral-decubitus"/>
  <fhir:ValueSetMember xmi:id="_4zdbccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zdbcMFMEea5pdrFDq-m2g" display="Chest X-ray AP right lateral-decubitus"/>
  <fhir:ValueSetMember xmi:id="_4zdbc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zdbcsFMEea5pdrFDq-m2g" display="Chest X-ray AP right lateral-decubitus portable"/>
  <fhir:ValueSetMember xmi:id="_4zdbdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zdbdMFMEea5pdrFDq-m2g" display="Chest X-ray AP supine portable"/>
  <fhir:ValueSetMember xmi:id="_4zdbd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zdbdsFMEea5pdrFDq-m2g" display="Abdomen X-ray AP upright portable"/>
  <fhir:ValueSetMember xmi:id="_4zeCgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zdbeMFMEea5pdrFDq-m2g" display="Chest X-ray AP upright portable"/>
  <fhir:ValueSetMember xmi:id="_4zeCgsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zeCgcFMEea5pdrFDq-m2g" display="Knee X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zeChMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zeCg8FMEea5pdrFDq-m2g" display="Knee - bilateral X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zeChsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zeChcFMEea5pdrFDq-m2g" display="Knee - left X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zeCiMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zeCh8FMEea5pdrFDq-m2g" display="Knee - right X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zepkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zepkMFMEea5pdrFDq-m2g" display="Lower extremity - bilateral X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zepk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zepksFMEea5pdrFDq-m2g" display="Lower extremity - left X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zeplcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zeplMFMEea5pdrFDq-m2g" display="Lower extremity - right X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zepl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zeplsFMEea5pdrFDq-m2g" display="Pelvis X-ray AP single view standing"/>
  <fhir:ValueSetMember xmi:id="_4zfQocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zfQoMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray AP single view W left bending"/>
  <fhir:ValueSetMember xmi:id="_4zfQo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zfQosFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray AP single view W left bending"/>
  <fhir:ValueSetMember xmi:id="_4zfQpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zfQpMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray AP single view W right bending"/>
  <fhir:ValueSetMember xmi:id="_4zfQp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zfQpsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray AP single view W right bending"/>
  <fhir:ValueSetMember xmi:id="_4zf3scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zf3sMFMEea5pdrFDq-m2g" display="Hand X-ray arthritis"/>
  <fhir:ValueSetMember xmi:id="_4zf3s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zf3ssFMEea5pdrFDq-m2g" display="Hand - bilateral X-ray arthritis"/>
  <fhir:ValueSetMember xmi:id="_4zf3tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zf3tMFMEea5pdrFDq-m2g" display="Hand - left X-ray arthritis"/>
  <fhir:ValueSetMember xmi:id="_4zf3t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zf3tsFMEea5pdrFDq-m2g" display="Hand - right X-ray arthritis"/>
  <fhir:ValueSetMember xmi:id="_4zgewMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zf3uMFMEea5pdrFDq-m2g" display="Foot sesamoid bones - bilateral X-ray axial"/>
  <fhir:ValueSetMember xmi:id="_4zgewsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zgewcFMEea5pdrFDq-m2g" display="Foot sesamoid bones - left X-ray axial"/>
  <fhir:ValueSetMember xmi:id="_4zgexMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zgew8FMEea5pdrFDq-m2g" display="Breast Mammogram axillary"/>
  <fhir:ValueSetMember xmi:id="_4zgexsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zgexcFMEea5pdrFDq-m2g" display="Shoulder X-ray axillary"/>
  <fhir:ValueSetMember xmi:id="_4zhF0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhF0MFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray axillary"/>
  <fhir:ValueSetMember xmi:id="_4zhF08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhF0sFMEea5pdrFDq-m2g" display="Shoulder - left X-ray axillary"/>
  <fhir:ValueSetMember xmi:id="_4zhF1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhF1MFMEea5pdrFDq-m2g" display="Shoulder - right X-ray axillary"/>
  <fhir:ValueSetMember xmi:id="_4zhs4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhF1sFMEea5pdrFDq-m2g" display="Hand X-ray Ball Catcher"/>
  <fhir:ValueSetMember xmi:id="_4zhs4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhs4cFMEea5pdrFDq-m2g" display="Hand - bilateral X-ray Bora"/>
  <fhir:ValueSetMember xmi:id="_4zhs5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhs48FMEea5pdrFDq-m2g" display="Hand - left X-ray Bora"/>
  <fhir:ValueSetMember xmi:id="_4zhs5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhs5cFMEea5pdrFDq-m2g" display="Hand - right X-ray Bora"/>
  <fhir:ValueSetMember xmi:id="_4ziT8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zhs58FMEea5pdrFDq-m2g" display="Hand - bilateral X-ray Brewerton"/>
  <fhir:ValueSetMember xmi:id="_4ziT8sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ziT8cFMEea5pdrFDq-m2g" display="Hand - left X-ray Brewerton"/>
  <fhir:ValueSetMember xmi:id="_4ziT9MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ziT88FMEea5pdrFDq-m2g" display="Hand - right X-ray Brewerton"/>
  <fhir:ValueSetMember xmi:id="_4ziT9sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ziT9cFMEea5pdrFDq-m2g" display="Wrist X-ray Brewerton"/>
  <fhir:ValueSetMember xmi:id="_4zi7AMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ziT98FMEea5pdrFDq-m2g" display="Sinuses X-ray Caldwell"/>
  <fhir:ValueSetMember xmi:id="_4zi7AsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zi7AcFMEea5pdrFDq-m2g" display="Hip X-ray Danelius Miller"/>
  <fhir:ValueSetMember xmi:id="_4zi7BMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zi7A8FMEea5pdrFDq-m2g" display="Hip - left X-ray Danelius Miller"/>
  <fhir:ValueSetMember xmi:id="_4zi7BsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zi7BcFMEea5pdrFDq-m2g" display="Hip - right X-ray Danelius Miller"/>
  <fhir:ValueSetMember xmi:id="_4zi7CMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zi7B8FMEea5pdrFDq-m2g" display="Pelvis X-ray Ferguson"/>
  <fhir:ValueSetMember xmi:id="_4zjiEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zjiEMFMEea5pdrFDq-m2g" display="Sacroiliac Joint X-ray Ferguson"/>
  <fhir:ValueSetMember xmi:id="_4zjiE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zjiEsFMEea5pdrFDq-m2g" display="Kidney - bilateral Fluoroscopy View for cyst examination"/>
  <fhir:ValueSetMember xmi:id="_4zjiFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zjiFMFMEea5pdrFDq-m2g" display="Kidney - left Fluoroscopy View for cyst examination"/>
  <fhir:ValueSetMember xmi:id="_4zjiF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zjiFsFMEea5pdrFDq-m2g" display="Kidney - right Fluoroscopy View for cyst examination"/>
  <fhir:ValueSetMember xmi:id="_4zkJIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkJIMFMEea5pdrFDq-m2g" display="Abdomen and Fetus X-ray View for fetal age"/>
  <fhir:ValueSetMember xmi:id="_4zkJI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkJIsFMEea5pdrFDq-m2g" display="Gastrointestinal system and Respiratory system X-ray for foreign body"/>
  <fhir:ValueSetMember xmi:id="_4zkJJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkJJMFMEea5pdrFDq-m2g" display="Hip X-ray Friedman"/>
  <fhir:ValueSetMember xmi:id="_4zkJJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkJJsFMEea5pdrFDq-m2g" display="Shoulder X-ray Garth"/>
  <fhir:ValueSetMember xmi:id="_4zkwMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkwMMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray Garth"/>
  <fhir:ValueSetMember xmi:id="_4zkwM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkwMsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray Garth"/>
  <fhir:ValueSetMember xmi:id="_4zkwNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkwNMFMEea5pdrFDq-m2g" display="Shoulder X-ray Grashey"/>
  <fhir:ValueSetMember xmi:id="_4zkwN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zkwNsFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray Grashey"/>
  <fhir:ValueSetMember xmi:id="_4zlXQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zlXQMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray Grashey"/>
  <fhir:ValueSetMember xmi:id="_4zlXQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zlXQsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray Grashey"/>
  <fhir:ValueSetMember xmi:id="_4zlXRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zlXRMFMEea5pdrFDq-m2g" display="Calcaneus - bilateral X-ray Harris"/>
  <fhir:ValueSetMember xmi:id="_4zlXR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zlXRsFMEea5pdrFDq-m2g" display="Calcaneus - left X-ray Harris"/>
  <fhir:ValueSetMember xmi:id="_4zl-UcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zl-UMFMEea5pdrFDq-m2g" display="Calcaneus - right X-ray Harris"/>
  <fhir:ValueSetMember xmi:id="_4zl-U8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zl-UsFMEea5pdrFDq-m2g" display="Foot X-ray Harris"/>
  <fhir:ValueSetMember xmi:id="_4zl-VcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zl-VMFMEea5pdrFDq-m2g" display="Knee X-ray Holmblad"/>
  <fhir:ValueSetMember xmi:id="_4zl-V8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zl-VsFMEea5pdrFDq-m2g" display="Pelvis X-ray inlet"/>
  <fhir:ValueSetMember xmi:id="_4zmlYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zl-WMFMEea5pdrFDq-m2g" display="Elbow X-ray Jones"/>
  <fhir:ValueSetMember xmi:id="_4zmlYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zmlYcFMEea5pdrFDq-m2g" display="Elbow - left X-ray Jones"/>
  <fhir:ValueSetMember xmi:id="_4zmlZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zmlY8FMEea5pdrFDq-m2g" display="Elbow - right X-ray Jones"/>
  <fhir:ValueSetMember xmi:id="_4zmlZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zmlZcFMEea5pdrFDq-m2g" display="Hip X-ray Judet"/>
  <fhir:ValueSetMember xmi:id="_4zmlaMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zmlZ8FMEea5pdrFDq-m2g" display="Hip - bilateral X-ray Judet"/>
  <fhir:ValueSetMember xmi:id="_4znMccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znMcMFMEea5pdrFDq-m2g" display="Hip - left X-ray Judet"/>
  <fhir:ValueSetMember xmi:id="_4znMc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znMcsFMEea5pdrFDq-m2g" display="Hip - right X-ray Judet"/>
  <fhir:ValueSetMember xmi:id="_4znMdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znMdMFMEea5pdrFDq-m2g" display="Chest X-ray left anterior oblique"/>
  <fhir:ValueSetMember xmi:id="_4znMd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znMdsFMEea5pdrFDq-m2g" display="Abdomen X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4znzgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znzgMFMEea5pdrFDq-m2g" display="Ankle X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4znzg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znzgsFMEea5pdrFDq-m2g" display="Chest X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4znzhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znzhMFMEea5pdrFDq-m2g" display="Femur X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4znzh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znzhsFMEea5pdrFDq-m2g" display="Finger fifth X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4znzicFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4znziMFMEea5pdrFDq-m2g" display="Finger fourth X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zoakcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zoakMFMEea5pdrFDq-m2g" display="Finger second X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zoak8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zoaksFMEea5pdrFDq-m2g" display="Finger third X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zoalcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zoalMFMEea5pdrFDq-m2g" display="Foot - left X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zoal8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zoalsFMEea5pdrFDq-m2g" display="Foot - right X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpBocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpBoMFMEea5pdrFDq-m2g" display="Hand X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpBo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpBosFMEea5pdrFDq-m2g" display="Hand - bilateral X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpBpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpBpMFMEea5pdrFDq-m2g" display="Hand - left X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpBp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpBpsFMEea5pdrFDq-m2g" display="Hand - right X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zposcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zposMFMEea5pdrFDq-m2g" display="Hip X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpos8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpossFMEea5pdrFDq-m2g" display="Hip - left X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpotcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpotMFMEea5pdrFDq-m2g" display="Hip - right X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zpot8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zpotsFMEea5pdrFDq-m2g" display="Knee X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zqPwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zqPwMFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zqPw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zqPwsFMEea5pdrFDq-m2g" display="Knee - left X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zqPxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zqPxMFMEea5pdrFDq-m2g" display="Knee - right X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zq20MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zqPxsFMEea5pdrFDq-m2g" display="Neck X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zq20sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zq20cFMEea5pdrFDq-m2g" display="Pelvis X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zq21MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zq208FMEea5pdrFDq-m2g" display="Ribs X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zq21sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zq21cFMEea5pdrFDq-m2g" display="Ribs - left X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zrd4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zrd4MFMEea5pdrFDq-m2g" display="Ribs - right X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zrd48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zrd4sFMEea5pdrFDq-m2g" display="Sinuses X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zrd5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zrd5MFMEea5pdrFDq-m2g" display="Skull X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zrd58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zrd5sFMEea5pdrFDq-m2g" display="Spine X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zsE8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zsE8MFMEea5pdrFDq-m2g" display="Spine Cervical X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zsE88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zsE8sFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zsE9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zsE9MFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zsE98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zsE9sFMEea5pdrFDq-m2g" display="Thumb X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zssAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zssAMFMEea5pdrFDq-m2g" display="Tibia and Fibula X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zssA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zssAsFMEea5pdrFDq-m2g" display="Wrist X-ray lateral"/>
  <fhir:ValueSetMember xmi:id="_4zssBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zssBMFMEea5pdrFDq-m2g" display="Abdomen X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zssB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zssBsFMEea5pdrFDq-m2g" display="Hip X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4ztTEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ztTEMFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4ztTE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ztTEsFMEea5pdrFDq-m2g" display="Hip - left X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4ztTFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ztTFMFMEea5pdrFDq-m2g" display="Hip - right X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4ztTF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4ztTFsFMEea5pdrFDq-m2g" display="Knee X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zt6IcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zt6IMFMEea5pdrFDq-m2g" display="Skull X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zt6I8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zt6IsFMEea5pdrFDq-m2g" display="Spine X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zt6JcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zt6JMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zt6J8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zt6JsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zuhMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zuhMMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_4zuhM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zuhMsFMEea5pdrFDq-m2g" display="Spine Cervical X-ray lateral crosstable portable"/>
  <fhir:ValueSetMember xmi:id="_4zuhNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zuhNMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray lateral crosstable portable"/>
  <fhir:ValueSetMember xmi:id="_4zvIQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zuhNsFMEea5pdrFDq-m2g" display="Hip X-ray lateral frog"/>
  <fhir:ValueSetMember xmi:id="_4zvIQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvIQcFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray lateral frog"/>
  <fhir:ValueSetMember xmi:id="_4zvIRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvIQ8FMEea5pdrFDq-m2g" display="Hip - left X-ray lateral frog"/>
  <fhir:ValueSetMember xmi:id="_4zvIRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvIRcFMEea5pdrFDq-m2g" display="Hip - right X-ray lateral frog"/>
  <fhir:ValueSetMember xmi:id="_4zvvUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvvUMFMEea5pdrFDq-m2g" display="Pelvis X-ray lateral frog"/>
  <fhir:ValueSetMember xmi:id="_4zvvU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvvUsFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray lateral hyperextension"/>
  <fhir:ValueSetMember xmi:id="_4zvvVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvvVMFMEea5pdrFDq-m2g" display="Knee - left X-ray lateral hyperextension"/>
  <fhir:ValueSetMember xmi:id="_4zvvV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zvvVsFMEea5pdrFDq-m2g" display="Knee - right X-ray lateral hyperextension"/>
  <fhir:ValueSetMember xmi:id="_4zwWYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zwWYMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray lateral hyperextension"/>
  <fhir:ValueSetMember xmi:id="_4zwWY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zwWYsFMEea5pdrFDq-m2g" display="Neck X-ray lateral portable"/>
  <fhir:ValueSetMember xmi:id="_4zwWZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zwWZMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray lateral portable"/>
  <fhir:ValueSetMember xmi:id="_4zwWZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zwWZsFMEea5pdrFDq-m2g" display="Spine Lumbosacral Junction X-ray lateral spot"/>
  <fhir:ValueSetMember xmi:id="_4zw9ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zw9cMFMEea5pdrFDq-m2g" display="Spine Lumbosacral Junction X-ray lateral spot standing"/>
  <fhir:ValueSetMember xmi:id="_4zw9c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zw9csFMEea5pdrFDq-m2g" display="Hip - left X-ray lateral during surgery"/>
  <fhir:ValueSetMember xmi:id="_4zw9dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zw9dMFMEea5pdrFDq-m2g" display="Hip - right X-ray lateral during surgery"/>
  <fhir:ValueSetMember xmi:id="_4zw9d8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zw9dsFMEea5pdrFDq-m2g" display="Foot X-ray lateral standing"/>
  <fhir:ValueSetMember xmi:id="_4zxkgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zxkgMFMEea5pdrFDq-m2g" display="Knee - left X-ray lateral standing"/>
  <fhir:ValueSetMember xmi:id="_4zxkg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zxkgsFMEea5pdrFDq-m2g" display="Knee - right X-ray lateral standing"/>
  <fhir:ValueSetMember xmi:id="_4zxkhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zxkhMFMEea5pdrFDq-m2g" display="Spine X-ray lateral standing"/>
  <fhir:ValueSetMember xmi:id="_4zxkh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zxkhsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray lateral standing"/>
  <fhir:ValueSetMember xmi:id="_4zyLkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyLkMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray lateral standing"/>
  <fhir:ValueSetMember xmi:id="_4zyLk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyLksFMEea5pdrFDq-m2g" display="Spine Cervical X-ray lateral W extension"/>
  <fhir:ValueSetMember xmi:id="_4zyLlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyLlMFMEea5pdrFDq-m2g" display="Wrist - left X-ray lateral W extension"/>
  <fhir:ValueSetMember xmi:id="_4zyLl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyLlsFMEea5pdrFDq-m2g" display="Wrist - right X-ray lateral W extension"/>
  <fhir:ValueSetMember xmi:id="_4zyLmcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyLmMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray lateral W flexion"/>
  <fhir:ValueSetMember xmi:id="_4zyyocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyyoMFMEea5pdrFDq-m2g" display="Wrist - left X-ray lateral W flexion"/>
  <fhir:ValueSetMember xmi:id="_4zyyo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyyosFMEea5pdrFDq-m2g" display="Wrist - right X-ray lateral W flexion"/>
  <fhir:ValueSetMember xmi:id="_4zyypcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyypMFMEea5pdrFDq-m2g" display="Knee X-ray Laurin"/>
  <fhir:ValueSetMember xmi:id="_4zyyp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zyypsFMEea5pdrFDq-m2g" display="Abdomen X-ray left lateral"/>
  <fhir:ValueSetMember xmi:id="_4zzZscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zzZsMFMEea5pdrFDq-m2g" display="Chest X-ray left lateral"/>
  <fhir:ValueSetMember xmi:id="_4zzZs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zzZssFMEea5pdrFDq-m2g" display="Chest X-ray left lateral portable"/>
  <fhir:ValueSetMember xmi:id="_4zzZtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zzZtMFMEea5pdrFDq-m2g" display="Chest X-ray left lateral upright"/>
  <fhir:ValueSetMember xmi:id="_4zzZt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4zzZtsFMEea5pdrFDq-m2g" display="Chest X-ray left lateral upright portable"/>
  <fhir:ValueSetMember xmi:id="_4z0AwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0AwMFMEea5pdrFDq-m2g" display="Chest X-ray left oblique"/>
  <fhir:ValueSetMember xmi:id="_4z0Aw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0AwsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray left oblique"/>
  <fhir:ValueSetMember xmi:id="_4z0AxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0AxMFMEea5pdrFDq-m2g" display="Chest X-ray left oblique portable"/>
  <fhir:ValueSetMember xmi:id="_4z0Ax8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0AxsFMEea5pdrFDq-m2g" display="Chest X-ray lordotic"/>
  <fhir:ValueSetMember xmi:id="_4z0n0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0n0MFMEea5pdrFDq-m2g" display="Abdomen X-ray left posterior oblique"/>
  <fhir:ValueSetMember xmi:id="_4z0n08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0n0sFMEea5pdrFDq-m2g" display="Breast - left Mammogram magnification"/>
  <fhir:ValueSetMember xmi:id="_4z0n1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z0n1MFMEea5pdrFDq-m2g" display="Breast - right Mammogram magnification"/>
  <fhir:ValueSetMember xmi:id="_4z1O4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z1O4MFMEea5pdrFDq-m2g" display="Neck X-ray magnification"/>
  <fhir:ValueSetMember xmi:id="_4z1O48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z1O4sFMEea5pdrFDq-m2g" display="Knee X-ray Merchants"/>
  <fhir:ValueSetMember xmi:id="_4z1O5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z1O5MFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Merchants"/>
  <fhir:ValueSetMember xmi:id="_4z1O58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z1O5sFMEea5pdrFDq-m2g" display="Knee - left X-ray Merchants"/>
  <fhir:ValueSetMember xmi:id="_4z118cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z118MFMEea5pdrFDq-m2g" display="Knee - right X-ray Merchants"/>
  <fhir:ValueSetMember xmi:id="_4z1188FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z118sFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram MLO"/>
  <fhir:ValueSetMember xmi:id="_4z119cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z119MFMEea5pdrFDq-m2g" display="Ankle X-ray Mortise"/>
  <fhir:ValueSetMember xmi:id="_4z1198FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z119sFMEea5pdrFDq-m2g" display="Ankle - left X-ray Mortise W manual stress"/>
  <fhir:ValueSetMember xmi:id="_4z2dAMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z11-MFMEea5pdrFDq-m2g" display="Ankle - right X-ray Mortise W manual stress"/>
  <fhir:ValueSetMember xmi:id="_4z2dAsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z2dAcFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram nipple profile"/>
  <fhir:ValueSetMember xmi:id="_4z2dBMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z2dA8FMEea5pdrFDq-m2g" display="Abdomen X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z2dBsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z2dBcFMEea5pdrFDq-m2g" display="Femur X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3EEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3EEMFMEea5pdrFDq-m2g" display="Finger fifth X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3EE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3EEsFMEea5pdrFDq-m2g" display="Finger fourth X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3EFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3EFMFMEea5pdrFDq-m2g" display="Finger second X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3EF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3EFsFMEea5pdrFDq-m2g" display="Finger third X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3rIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3rIMFMEea5pdrFDq-m2g" display="Foot X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3rI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3rIsFMEea5pdrFDq-m2g" display="Foot - left X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3rJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3rJMFMEea5pdrFDq-m2g" display="Foot - right X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z3rJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z3rJsFMEea5pdrFDq-m2g" display="Hand X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z4SMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z4SMMFMEea5pdrFDq-m2g" display="Hip X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z4SM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z4SMsFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z4SNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z4SNMFMEea5pdrFDq-m2g" display="Spine X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z4SN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z4SNsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z4SOcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z4SOMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z45QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z45QMFMEea5pdrFDq-m2g" display="Thumb X-ray oblique single view"/>
  <fhir:ValueSetMember xmi:id="_4z45Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z45QsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray oblique view and (views W right bending and W left bending)"/>
  <fhir:ValueSetMember xmi:id="_4z45RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z45RMFMEea5pdrFDq-m2g" display="Hip - left X-ray oblique crosstable"/>
  <fhir:ValueSetMember xmi:id="_4z45R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z45RsFMEea5pdrFDq-m2g" display="Hip - right X-ray oblique crosstable"/>
  <fhir:ValueSetMember xmi:id="_4z5gUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z5gUMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray oblique portable"/>
  <fhir:ValueSetMember xmi:id="_4z5gU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z5gUsFMEea5pdrFDq-m2g" display="Pelvis X-ray outlet"/>
  <fhir:ValueSetMember xmi:id="_4z5gVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z5gVMFMEea5pdrFDq-m2g" display="Shoulder X-ray outlet"/>
  <fhir:ValueSetMember xmi:id="_4z5gV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z5gVsFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray outlet"/>
  <fhir:ValueSetMember xmi:id="_4z6HYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z5gWMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray outlet"/>
  <fhir:ValueSetMember xmi:id="_4z6HYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6HYcFMEea5pdrFDq-m2g" display="Shoulder - right X-ray outlet"/>
  <fhir:ValueSetMember xmi:id="_4z6HZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6HY8FMEea5pdrFDq-m2g" display="Hand X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z6HZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6HZcFMEea5pdrFDq-m2g" display="Hand - bilateral X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z6uccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6ucMFMEea5pdrFDq-m2g" display="Hand - left X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z6uc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6ucsFMEea5pdrFDq-m2g" display="Hand - right X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z6udcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6udMFMEea5pdrFDq-m2g" display="Skull X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z6ud8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z6udsFMEea5pdrFDq-m2g" display="Wrist X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z7VgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z7VgMFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray PA"/>
  <fhir:ValueSetMember xmi:id="_4z7Vg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z7VgsFMEea5pdrFDq-m2g" display="Abdomen X-ray PA prone"/>
  <fhir:ValueSetMember xmi:id="_4z7VhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z7VhMFMEea5pdrFDq-m2g" display="Chest X-ray PA upright"/>
  <fhir:ValueSetMember xmi:id="_4z7Vh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z7VhsFMEea5pdrFDq-m2g" display="Knee - left X-ray PA standing"/>
  <fhir:ValueSetMember xmi:id="_4z7VicFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z7ViMFMEea5pdrFDq-m2g" display="Knee - right X-ray PA standing"/>
  <fhir:ValueSetMember xmi:id="_4z78kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z78kMFMEea5pdrFDq-m2g" display="Knee X-ray PA standing and W 45 degree flexion"/>
  <fhir:ValueSetMember xmi:id="_4z78k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z78ksFMEea5pdrFDq-m2g" display="Knee X-ray PA W 45 degree flexion"/>
  <fhir:ValueSetMember xmi:id="_4z78lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z78lMFMEea5pdrFDq-m2g" display="Wrist - left X-ray PA W clenched fist"/>
  <fhir:ValueSetMember xmi:id="_4z8joMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z78lsFMEea5pdrFDq-m2g" display="Wrist - right X-ray PA W clenched fist"/>
  <fhir:ValueSetMember xmi:id="_4z8josFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z8jocFMEea5pdrFDq-m2g" display="Mandible X-ray panorex"/>
  <fhir:ValueSetMember xmi:id="_4z8jpMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z8jo8FMEea5pdrFDq-m2g" display="Pelvis X-ray pelvimetry"/>
  <fhir:ValueSetMember xmi:id="_4z8jpsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z8jpcFMEea5pdrFDq-m2g" display="Elbow X-ray radial head capitellar"/>
  <fhir:ValueSetMember xmi:id="_4z8jqMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z8jp8FMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray radial head capitellar"/>
  <fhir:ValueSetMember xmi:id="_4z9KscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9KsMFMEea5pdrFDq-m2g" display="Elbow - left X-ray radial head capitellar"/>
  <fhir:ValueSetMember xmi:id="_4z9Ks8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9KssFMEea5pdrFDq-m2g" display="Elbow - right X-ray radial head capitellar"/>
  <fhir:ValueSetMember xmi:id="_4z9KtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9KtMFMEea5pdrFDq-m2g" display="Chest X-ray right anterior oblique"/>
  <fhir:ValueSetMember xmi:id="_4z9Kt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9KtsFMEea5pdrFDq-m2g" display="Abdomen X-ray right lateral"/>
  <fhir:ValueSetMember xmi:id="_4z9xwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9xwMFMEea5pdrFDq-m2g" display="Chest X-ray right oblique"/>
  <fhir:ValueSetMember xmi:id="_4z9xw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9xwsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray right oblique"/>
  <fhir:ValueSetMember xmi:id="_4z9xxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9xxMFMEea5pdrFDq-m2g" display="Knee X-ray Rosenberg standing"/>
  <fhir:ValueSetMember xmi:id="_4z9xx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z9xxsFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Rosenberg standing"/>
  <fhir:ValueSetMember xmi:id="_4z-Y0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-Y0MFMEea5pdrFDq-m2g" display="Knee - left X-ray Rosenberg standing"/>
  <fhir:ValueSetMember xmi:id="_4z-Y08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-Y0sFMEea5pdrFDq-m2g" display="Knee - right X-ray Rosenberg standing"/>
  <fhir:ValueSetMember xmi:id="_4z-Y1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-Y1MFMEea5pdrFDq-m2g" display="Abdomen X-ray right posterior oblique"/>
  <fhir:ValueSetMember xmi:id="_4z-Y18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-Y1sFMEea5pdrFDq-m2g" display="Femoral artery Fluoroscopic angiogram runoff W and WO contrast IA"/>
  <fhir:ValueSetMember xmi:id="_4z-_4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-_4MFMEea5pdrFDq-m2g" display="Femoral artery Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_4z-_48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-_4sFMEea5pdrFDq-m2g" display="Femoral artery - bilateral Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_4z_m8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z-_5MFMEea5pdrFDq-m2g" display="Femoral artery - left Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_4z_m8sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z_m8cFMEea5pdrFDq-m2g" display="Femoral artery - right Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_4z_m9MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z_m88FMEea5pdrFDq-m2g" display="Wrist X-ray scaphoid single view"/>
  <fhir:ValueSetMember xmi:id="_4z_m9sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z_m9cFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray scaphoid single view"/>
  <fhir:ValueSetMember xmi:id="_4z_m-MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4z_m98FMEea5pdrFDq-m2g" display="Wrist - left X-ray scaphoid single view"/>
  <fhir:ValueSetMember xmi:id="_40AOAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40AOAMFMEea5pdrFDq-m2g" display="Wrist - right X-ray scaphoid single view"/>
  <fhir:ValueSetMember xmi:id="_40AOA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40AOAsFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis single view"/>
  <fhir:ValueSetMember xmi:id="_40AOBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40AOBMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP"/>
  <fhir:ValueSetMember xmi:id="_40AOB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40AOBsFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP sitting"/>
  <fhir:ValueSetMember xmi:id="_40A1EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40A1EMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP standing"/>
  <fhir:ValueSetMember xmi:id="_40A1E8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40A1EsFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP standing and in brace"/>
  <fhir:ValueSetMember xmi:id="_40A1FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40A1FMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP standing and W right bending"/>
  <fhir:ValueSetMember xmi:id="_40A1F8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40A1FsFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis lateral sitting"/>
  <fhir:ValueSetMember xmi:id="_40BcIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40A1GMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis lateral standing"/>
  <fhir:ValueSetMember xmi:id="_40BcIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40BcIcFMEea5pdrFDq-m2g" display="Sternoclavicular Joint X-ray Serendipity"/>
  <fhir:ValueSetMember xmi:id="_40BcJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40BcI8FMEea5pdrFDq-m2g" display="Sternoclavicular joint - bilateral X-ray Serendipity"/>
  <fhir:ValueSetMember xmi:id="_40BcJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40BcJcFMEea5pdrFDq-m2g" display="Sternoclavicular joint - left X-ray Serendipity"/>
  <fhir:ValueSetMember xmi:id="_40BcKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40BcJ8FMEea5pdrFDq-m2g" display="Sternoclavicular joint - right X-ray Serendipity"/>
  <fhir:ValueSetMember xmi:id="_40CDMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CDMMFMEea5pdrFDq-m2g" display="Thyroid Scan spot"/>
  <fhir:ValueSetMember xmi:id="_40CDM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CDMsFMEea5pdrFDq-m2g" display="Pelvis X-ray stereo"/>
  <fhir:ValueSetMember xmi:id="_40CDNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CDNMFMEea5pdrFDq-m2g" display="Skull X-ray stereo"/>
  <fhir:ValueSetMember xmi:id="_40CDN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CDNsFMEea5pdrFDq-m2g" display="Shoulder X-ray Stryker Notch"/>
  <fhir:ValueSetMember xmi:id="_40CqQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CqQMFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray Stryker Notch"/>
  <fhir:ValueSetMember xmi:id="_40CqQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CqQsFMEea5pdrFDq-m2g" display="Shoulder - left X-ray Stryker Notch"/>
  <fhir:ValueSetMember xmi:id="_40CqRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CqRMFMEea5pdrFDq-m2g" display="Shoulder - right X-ray Stryker Notch"/>
  <fhir:ValueSetMember xmi:id="_40CqR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40CqRsFMEea5pdrFDq-m2g" display="Shoulder X-ray Stryker Notch and West Point"/>
  <fhir:ValueSetMember xmi:id="_40DRUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40DRUMFMEea5pdrFDq-m2g" display="Sinuses X-ray submentovertex"/>
  <fhir:ValueSetMember xmi:id="_40DRU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40DRUsFMEea5pdrFDq-m2g" display="Skull X-ray submentovertex"/>
  <fhir:ValueSetMember xmi:id="_40DRVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40DRVMFMEea5pdrFDq-m2g" display="Knee X-ray Sunrise"/>
  <fhir:ValueSetMember xmi:id="_40DRV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40DRVsFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Sunrise"/>
  <fhir:ValueSetMember xmi:id="_40D4YcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40D4YMFMEea5pdrFDq-m2g" display="Knee - left X-ray Sunrise"/>
  <fhir:ValueSetMember xmi:id="_40D4Y8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40D4YsFMEea5pdrFDq-m2g" display="Knee - right X-ray Sunrise"/>
  <fhir:ValueSetMember xmi:id="_40D4ZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40D4ZMFMEea5pdrFDq-m2g" display="Patella X-ray Sunrise"/>
  <fhir:ValueSetMember xmi:id="_40D4Z8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40D4ZsFMEea5pdrFDq-m2g" display="Patella - bilateral X-ray Sunrise"/>
  <fhir:ValueSetMember xmi:id="_40EfccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40EfcMFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Sunrise and (views standing)"/>
  <fhir:ValueSetMember xmi:id="_40Efc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40EfcsFMEea5pdrFDq-m2g" display="Knee - left X-ray Sunrise and (views standing)"/>
  <fhir:ValueSetMember xmi:id="_40EfdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40EfdMFMEea5pdrFDq-m2g" display="Knee - right X-ray Sunrise and (views standing)"/>
  <fhir:ValueSetMember xmi:id="_40FGgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FGgMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray Swimmers"/>
  <fhir:ValueSetMember xmi:id="_40FGg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FGgsFMEea5pdrFDq-m2g" display="Breast Mammogram tangential"/>
  <fhir:ValueSetMember xmi:id="_40FGhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FGhMFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram tangential"/>
  <fhir:ValueSetMember xmi:id="_40FGh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FGhsFMEea5pdrFDq-m2g" display="Breast - left Mammogram tangential"/>
  <fhir:ValueSetMember xmi:id="_40FtkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FGiMFMEea5pdrFDq-m2g" display="Breast - right Mammogram tangential"/>
  <fhir:ValueSetMember xmi:id="_40FtksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FtkcFMEea5pdrFDq-m2g" display="Skull X-ray Towne"/>
  <fhir:ValueSetMember xmi:id="_40FtlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Ftk8FMEea5pdrFDq-m2g" display="Colon Fluoroscopy transit Post solid contrast"/>
  <fhir:ValueSetMember xmi:id="_40FtlsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40FtlcFMEea5pdrFDq-m2g" display="Humerus X-ray transthoracic"/>
  <fhir:ValueSetMember xmi:id="_40FtmMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Ftl8FMEea5pdrFDq-m2g" display="Humerus - bilateral X-ray transthoracic"/>
  <fhir:ValueSetMember xmi:id="_40GUocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40GUoMFMEea5pdrFDq-m2g" display="Humerus - left X-ray transthoracic"/>
  <fhir:ValueSetMember xmi:id="_40GUo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40GUosFMEea5pdrFDq-m2g" display="Humerus - right X-ray transthoracic"/>
  <fhir:ValueSetMember xmi:id="_40GUpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40GUpMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray transthoracic"/>
  <fhir:ValueSetMember xmi:id="_40GUp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40GUpsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray transthoracic"/>
  <fhir:ValueSetMember xmi:id="_40G7scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40G7sMFMEea5pdrFDq-m2g" display="Spine Lumbosacral Junction X-ray true AP"/>
  <fhir:ValueSetMember xmi:id="_40G7s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40G7ssFMEea5pdrFDq-m2g" display="Breast Mammogram true lateral"/>
  <fhir:ValueSetMember xmi:id="_40G7tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40G7tMFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram true lateral"/>
  <fhir:ValueSetMember xmi:id="_40G7t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40G7tsFMEea5pdrFDq-m2g" display="Breast - left Mammogram true lateral"/>
  <fhir:ValueSetMember xmi:id="_40HiwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40G7uMFMEea5pdrFDq-m2g" display="Breast - right Mammogram true lateral"/>
  <fhir:ValueSetMember xmi:id="_40HiwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40HiwcFMEea5pdrFDq-m2g" display="Hip X-ray true lateral"/>
  <fhir:ValueSetMember xmi:id="_40HixMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Hiw8FMEea5pdrFDq-m2g" display="Hip - left X-ray true lateral"/>
  <fhir:ValueSetMember xmi:id="_40HixsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40HixcFMEea5pdrFDq-m2g" display="Hip - right X-ray true lateral"/>
  <fhir:ValueSetMember xmi:id="_40HiyMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Hix8FMEea5pdrFDq-m2g" display="Knee X-ray tunnel"/>
  <fhir:ValueSetMember xmi:id="_40IJ0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40IJ0MFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray tunnel"/>
  <fhir:ValueSetMember xmi:id="_40IJ08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40IJ0sFMEea5pdrFDq-m2g" display="Knee - left X-ray tunnel"/>
  <fhir:ValueSetMember xmi:id="_40IJ1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40IJ1MFMEea5pdrFDq-m2g" display="Knee - right X-ray tunnel"/>
  <fhir:ValueSetMember xmi:id="_40Iw4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40IJ1sFMEea5pdrFDq-m2g" display="Wrist - left X-ray tunnel.carpal"/>
  <fhir:ValueSetMember xmi:id="_40Iw4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Iw4cFMEea5pdrFDq-m2g" display="Wrist - right X-ray tunnel.carpal"/>
  <fhir:ValueSetMember xmi:id="_40Iw5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Iw48FMEea5pdrFDq-m2g" display="Knee - left X-ray tunnel standing"/>
  <fhir:ValueSetMember xmi:id="_40Iw5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Iw5cFMEea5pdrFDq-m2g" display="Knee - right X-ray tunnel standing"/>
  <fhir:ValueSetMember xmi:id="_40JX8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Iw58FMEea5pdrFDq-m2g" display="Wrist - left X-ray ulnar deviation"/>
  <fhir:ValueSetMember xmi:id="_40JX8sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40JX8cFMEea5pdrFDq-m2g" display="Wrist - right X-ray ulnar deviation"/>
  <fhir:ValueSetMember xmi:id="_40JX9MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40JX88FMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray ulnar variance"/>
  <fhir:ValueSetMember xmi:id="_40J_AcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40J_AMFMEea5pdrFDq-m2g" display="Abdomen X-ray upright"/>
  <fhir:ValueSetMember xmi:id="_40J_A8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40J_AsFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray Velpeau axillary"/>
  <fhir:ValueSetMember xmi:id="_40J_BcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40J_BMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray Velpeau axillary"/>
  <fhir:ValueSetMember xmi:id="_40J_B8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40J_BsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray Velpeau axillary"/>
  <fhir:ValueSetMember xmi:id="_40KmEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40J_CMFMEea5pdrFDq-m2g" display="Hip X-ray Von rossen"/>
  <fhir:ValueSetMember xmi:id="_40KmEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40KmEcFMEea5pdrFDq-m2g" display="Orbit - bilateral X-ray Waters"/>
  <fhir:ValueSetMember xmi:id="_40KmFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40KmE8FMEea5pdrFDq-m2g" display="Sinuses X-ray Waters"/>
  <fhir:ValueSetMember xmi:id="_40KmFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40KmFcFMEea5pdrFDq-m2g" display="Skull X-ray Waters"/>
  <fhir:ValueSetMember xmi:id="_40LNIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40LNIMFMEea5pdrFDq-m2g" display="Sinuses X-ray Waters stereo"/>
  <fhir:ValueSetMember xmi:id="_40LNI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40LNIsFMEea5pdrFDq-m2g" display="Sinuses X-ray Waters upright"/>
  <fhir:ValueSetMember xmi:id="_40LNJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40LNJMFMEea5pdrFDq-m2g" display="Shoulder X-ray West Point"/>
  <fhir:ValueSetMember xmi:id="_40LNJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40LNJsFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray West Point"/>
  <fhir:ValueSetMember xmi:id="_40L0MMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40LNKMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray West Point"/>
  <fhir:ValueSetMember xmi:id="_40L0MsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40L0McFMEea5pdrFDq-m2g" display="Shoulder - right X-ray West Point"/>
  <fhir:ValueSetMember xmi:id="_40L0NMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40L0M8FMEea5pdrFDq-m2g" display="Breast Mammogram XCCL"/>
  <fhir:ValueSetMember xmi:id="_40L0NsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40L0NcFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram XCCL"/>
  <fhir:ValueSetMember xmi:id="_40MbQMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40L0N8FMEea5pdrFDq-m2g" display="Breast - left Mammogram XCCL"/>
  <fhir:ValueSetMember xmi:id="_40MbQsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40MbQcFMEea5pdrFDq-m2g" display="Breast - right Mammogram XCCL"/>
  <fhir:ValueSetMember xmi:id="_40MbRMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40MbQ8FMEea5pdrFDq-m2g" display="Scapula X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40MbRsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40MbRcFMEea5pdrFDq-m2g" display="Scapula - bilateral X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40NCUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40MbR8FMEea5pdrFDq-m2g" display="Scapula - left X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40NCUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NCUcFMEea5pdrFDq-m2g" display="Scapula - right X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40NCVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NCU8FMEea5pdrFDq-m2g" display="Shoulder X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40NCVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NCVcFMEea5pdrFDq-m2g" display="Shoulder - left X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40NCWMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NCV8FMEea5pdrFDq-m2g" display="Shoulder - right X-ray Y"/>
  <fhir:ValueSetMember xmi:id="_40NpYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NpYMFMEea5pdrFDq-m2g" display="Acromioclavicular Joint X-ray Zanca"/>
  <fhir:ValueSetMember xmi:id="_40NpY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NpYsFMEea5pdrFDq-m2g" display="Acromioclavicular joint - bilateral X-ray Zanca"/>
  <fhir:ValueSetMember xmi:id="_40NpZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NpZMFMEea5pdrFDq-m2g" display="Acromioclavicular joint - left X-ray Zanca"/>
  <fhir:ValueSetMember xmi:id="_40NpZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40NpZsFMEea5pdrFDq-m2g" display="Acromioclavicular joint - right X-ray Zanca"/>
  <fhir:ValueSetMember xmi:id="_40OQccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40OQcMFMEea5pdrFDq-m2g" display="Abdomen X-ray during surgery"/>
  <fhir:ValueSetMember xmi:id="_40OQc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40OQcsFMEea5pdrFDq-m2g" display="Chest X-ray during surgery"/>
  <fhir:ValueSetMember xmi:id="_40OQdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40OQdMFMEea5pdrFDq-m2g" display="Chest Fluoroscopy during surgery"/>
  <fhir:ValueSetMember xmi:id="_40OQd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40OQdsFMEea5pdrFDq-m2g" display="Hip Fluoroscopy during surgery"/>
  <fhir:ValueSetMember xmi:id="_40O3gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40O3gMFMEea5pdrFDq-m2g" display="Hip - left X-ray during surgery"/>
  <fhir:ValueSetMember xmi:id="_40O3g8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40O3gsFMEea5pdrFDq-m2g" display="Hip - right X-ray during surgery"/>
  <fhir:ValueSetMember xmi:id="_40O3hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40O3hMFMEea5pdrFDq-m2g" display="Humerus X-ray during surgery"/>
  <fhir:ValueSetMember xmi:id="_40O3h8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40O3hsFMEea5pdrFDq-m2g" display="Rectum Fluoroscopy post contrast PR during defecation"/>
  <fhir:ValueSetMember xmi:id="_40PekcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40PekMFMEea5pdrFDq-m2g" display="Calcaneus - bilateral X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40Pek8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40PeksFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40PelcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40PelMFMEea5pdrFDq-m2g" display="Hip - left X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40Pel8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40PelsFMEea5pdrFDq-m2g" display="Hip - right X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40QFocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QFoMFMEea5pdrFDq-m2g" display="Lower extremity - bilateral X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40QFo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QFosFMEea5pdrFDq-m2g" display="Lower extremity - left X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40QFpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QFpMFMEea5pdrFDq-m2g" display="Lower extremity - right X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40QFp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QFpsFMEea5pdrFDq-m2g" display="Pelvis X-ray standing"/>
  <fhir:ValueSetMember xmi:id="_40QssMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QFqMFMEea5pdrFDq-m2g" display="Gastrointestine upper Fluoroscopy W air contrast PO"/>
  <fhir:ValueSetMember xmi:id="_40QsssFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QsscFMEea5pdrFDq-m2g" display="Upper Gastrointestine and Small bowel Fluoroscopy W air contrast PO"/>
  <fhir:ValueSetMember xmi:id="_40QstMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Qss8FMEea5pdrFDq-m2g" display="Wrist X-ray W clenched fist"/>
  <fhir:ValueSetMember xmi:id="_40QstsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40QstcFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray W clenched fist"/>
  <fhir:ValueSetMember xmi:id="_40QsuMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Qst8FMEea5pdrFDq-m2g" display="Vessel Fluoroscopic angiogram W contrast"/>
  <fhir:ValueSetMember xmi:id="_40RTwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40RTwMFMEea5pdrFDq-m2g" display="Gastrointestine upper and Gallbladder Fluoroscopy W contrast PO"/>
  <fhir:ValueSetMember xmi:id="_40RTw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40RTwsFMEea5pdrFDq-m2g" display="Upper Gastrointestine and Small bowel Fluoroscopy W contrast PO"/>
  <fhir:ValueSetMember xmi:id="_40RTxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40RTxMFMEea5pdrFDq-m2g" display="Gastrointestine upper and Small bowel and Gallbladder Fluoroscopy W contrast PO"/>
  <fhir:ValueSetMember xmi:id="_40RTx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40RTxsFMEea5pdrFDq-m2g" display="Chest X-ray W expiration"/>
  <fhir:ValueSetMember xmi:id="_40R60cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40R60MFMEea5pdrFDq-m2g" display="Chest X-ray W inspiration"/>
  <fhir:ValueSetMember xmi:id="_40R608FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40R60sFMEea5pdrFDq-m2g" display="Fetal X-ray"/>
  <fhir:ValueSetMember xmi:id="_40R61cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40R61MFMEea5pdrFDq-m2g" display="Abdomen X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Sh4MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40R61sFMEea5pdrFDq-m2g" display="Abdomen Fluoroscopy"/>
  <fhir:ValueSetMember xmi:id="_40Sh4sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Sh4cFMEea5pdrFDq-m2g" display="Acetabulum X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Sh5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Sh48FMEea5pdrFDq-m2g" display="Acetabulum - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Sh5sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Sh5cFMEea5pdrFDq-m2g" display="Acetabulum - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Sh6MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Sh58FMEea5pdrFDq-m2g" display="Acetabulum - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40TI8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TI8MFMEea5pdrFDq-m2g" display="Acromioclavicular Joint X-ray"/>
  <fhir:ValueSetMember xmi:id="_40TI88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TI8sFMEea5pdrFDq-m2g" display="Acromioclavicular joint - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40TI9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TI9MFMEea5pdrFDq-m2g" display="Acromioclavicular joint - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40TI98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TI9sFMEea5pdrFDq-m2g" display="Acromioclavicular joint - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40TwAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TwAMFMEea5pdrFDq-m2g" display="Ankle X-ray"/>
  <fhir:ValueSetMember xmi:id="_40TwA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TwAsFMEea5pdrFDq-m2g" display="Ankle - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40UXEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40TwBMFMEea5pdrFDq-m2g" display="Ankle - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40UXEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40UXEcFMEea5pdrFDq-m2g" display="Ankle - left and Foot.left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40UXFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40UXE8FMEea5pdrFDq-m2g" display="Ankle - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40UXFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40UXFcFMEea5pdrFDq-m2g" display="Ankle - right and Foot - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40U-IMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40UXF8FMEea5pdrFDq-m2g" display="Breast Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40U-IsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40U-IcFMEea5pdrFDq-m2g" display="Breast FFD mammogram"/>
  <fhir:ValueSetMember xmi:id="_40U-JMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40U-I8FMEea5pdrFDq-m2g" display="Breast implant Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40U-JsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40U-JcFMEea5pdrFDq-m2g" display="Breast implant - bilateral Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40U-KMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40U-J8FMEea5pdrFDq-m2g" display="Breast implant - left Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40VlMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40VlMMFMEea5pdrFDq-m2g" display="Breast implant - right Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40VlM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40VlMsFMEea5pdrFDq-m2g" display="Breast Implant - unilateral Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40VlNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40VlNMFMEea5pdrFDq-m2g" display="Breast specimen Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40VlN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40VlNsFMEea5pdrFDq-m2g" display="Breast specimen - bilateral Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WMQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WMQMFMEea5pdrFDq-m2g" display="Breast specimen - left Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WMQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WMQsFMEea5pdrFDq-m2g" display="Breast specimen - right Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WMRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WMRMFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WMR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WMRsFMEea5pdrFDq-m2g" display="Breast - left Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WzUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WzUMFMEea5pdrFDq-m2g" display="Breast - right Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WzU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WzUsFMEea5pdrFDq-m2g" display="Breast - unilateral Mammogram"/>
  <fhir:ValueSetMember xmi:id="_40WzVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WzVMFMEea5pdrFDq-m2g" display="Calcaneus X-ray"/>
  <fhir:ValueSetMember xmi:id="_40WzV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WzVsFMEea5pdrFDq-m2g" display="Calcaneus - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40XaYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40WzWMFMEea5pdrFDq-m2g" display="Calcaneus - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40XaYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40XaYcFMEea5pdrFDq-m2g" display="Calcaneus - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40XaZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40XaY8FMEea5pdrFDq-m2g" display="Chest X-ray"/>
  <fhir:ValueSetMember xmi:id="_40XaZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40XaZcFMEea5pdrFDq-m2g" display="Chest Fluoroscopy"/>
  <fhir:ValueSetMember xmi:id="_40XaaMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40XaZ8FMEea5pdrFDq-m2g" display="Chest and Abdomen X-ray"/>
  <fhir:ValueSetMember xmi:id="_40YBccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YBcMFMEea5pdrFDq-m2g" display="Clavicle X-ray"/>
  <fhir:ValueSetMember xmi:id="_40YBc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YBcsFMEea5pdrFDq-m2g" display="Clavicle - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40YBdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YBdMFMEea5pdrFDq-m2g" display="Clavicle - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40YBd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YBdsFMEea5pdrFDq-m2g" display="Clavicle - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40YogcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YogMFMEea5pdrFDq-m2g" display="Coccyx X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Yog8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YogsFMEea5pdrFDq-m2g" display="Elbow X-ray"/>
  <fhir:ValueSetMember xmi:id="_40YohcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YohMFMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Yoh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40YohsFMEea5pdrFDq-m2g" display="Elbow - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ZPkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ZPkMFMEea5pdrFDq-m2g" display="Elbow - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ZPk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ZPksFMEea5pdrFDq-m2g" display="Elbow+Radius+Ulna X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ZPlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ZPlMFMEea5pdrFDq-m2g" display="Extremity X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ZPl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ZPlsFMEea5pdrFDq-m2g" display="Facial bones X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ZPmcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ZPmMFMEea5pdrFDq-m2g" display="Facial bones and Zygomatic arch X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Z2ocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Z2oMFMEea5pdrFDq-m2g" display="Femur X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Z2o8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Z2osFMEea5pdrFDq-m2g" display="Femur - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Z2pcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Z2pMFMEea5pdrFDq-m2g" display="Femur - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40Z2p8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40Z2psFMEea5pdrFDq-m2g" display="Femur - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40adscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40adsMFMEea5pdrFDq-m2g" display="Finger X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ads8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40adssFMEea5pdrFDq-m2g" display="Finger - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40adtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40adtMFMEea5pdrFDq-m2g" display="Finger fifth X-ray"/>
  <fhir:ValueSetMember xmi:id="_40adt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40adtsFMEea5pdrFDq-m2g" display="Finger fifth - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40bEwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40bEwMFMEea5pdrFDq-m2g" display="Finger fifth - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40bEw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40bEwsFMEea5pdrFDq-m2g" display="Finger fifth - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40bExcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40bExMFMEea5pdrFDq-m2g" display="Finger fourth X-ray"/>
  <fhir:ValueSetMember xmi:id="_40bEx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40bExsFMEea5pdrFDq-m2g" display="Finger fourth - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40br0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40bEyMFMEea5pdrFDq-m2g" display="Finger fourth - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40br0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40br0cFMEea5pdrFDq-m2g" display="Finger fourth - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40br1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40br08FMEea5pdrFDq-m2g" display="Finger - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40br1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40br1cFMEea5pdrFDq-m2g" display="Finger - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40br2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40br18FMEea5pdrFDq-m2g" display="Finger second X-ray"/>
  <fhir:ValueSetMember xmi:id="_40cS4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40cS4MFMEea5pdrFDq-m2g" display="Finger second - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40cS48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40cS4sFMEea5pdrFDq-m2g" display="Finger second - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40cS5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40cS5MFMEea5pdrFDq-m2g" display="Finger second - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40cS58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40cS5sFMEea5pdrFDq-m2g" display="Finger third X-ray"/>
  <fhir:ValueSetMember xmi:id="_40c58cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40c58MFMEea5pdrFDq-m2g" display="Finger third - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40c588FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40c58sFMEea5pdrFDq-m2g" display="Finger third - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40c59cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40c59MFMEea5pdrFDq-m2g" display="Finger third - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40c598FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40c59sFMEea5pdrFDq-m2g" display="Foot X-ray"/>
  <fhir:ValueSetMember xmi:id="_40dhAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40dhAMFMEea5pdrFDq-m2g" display="Foot - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40dhA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40dhAsFMEea5pdrFDq-m2g" display="Foot - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40dhBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40dhBMFMEea5pdrFDq-m2g" display="Foot - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40dhB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40dhBsFMEea5pdrFDq-m2g" display="Foot sesamoid bones X-ray"/>
  <fhir:ValueSetMember xmi:id="_40eIEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40dhCMFMEea5pdrFDq-m2g" display="Foot sesamoid bones - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40eIEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40eIEcFMEea5pdrFDq-m2g" display="Foot sesamoid bones - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40eIFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40eIE8FMEea5pdrFDq-m2g" display="Foot sesamoid bones - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40evIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40evIMFMEea5pdrFDq-m2g" display="Great toe - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40evI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40evIsFMEea5pdrFDq-m2g" display="Great toe - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40evJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40evJMFMEea5pdrFDq-m2g" display="Great toe - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40evJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40evJsFMEea5pdrFDq-m2g" display="Hand X-ray"/>
  <fhir:ValueSetMember xmi:id="_40fWMMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40evKMFMEea5pdrFDq-m2g" display="Hand - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40fWMsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40fWMcFMEea5pdrFDq-m2g" display="Hand - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40fWNMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40fWM8FMEea5pdrFDq-m2g" display="Hand - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40fWNsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40fWNcFMEea5pdrFDq-m2g" display="Heart Fluoroscopy video"/>
  <fhir:ValueSetMember xmi:id="_40f9QMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40fWN8FMEea5pdrFDq-m2g" display="Hip X-ray"/>
  <fhir:ValueSetMember xmi:id="_40f9QsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40f9QcFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40f9RMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40f9Q8FMEea5pdrFDq-m2g" display="Hip - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40f9RsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40f9RcFMEea5pdrFDq-m2g" display="Hip - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40f9SMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40f9R8FMEea5pdrFDq-m2g" display="Humerus X-ray"/>
  <fhir:ValueSetMember xmi:id="_40gkUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40gkUMFMEea5pdrFDq-m2g" display="Humerus bicipital groove X-ray"/>
  <fhir:ValueSetMember xmi:id="_40gkU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40gkUsFMEea5pdrFDq-m2g" display="Humerus bicipital groove - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40gkVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40gkVMFMEea5pdrFDq-m2g" display="Humerus bicipital groove - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40gkV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40gkVsFMEea5pdrFDq-m2g" display="Humerus bicipital groove - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hLYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hLYMFMEea5pdrFDq-m2g" display="Humerus - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hLY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hLYsFMEea5pdrFDq-m2g" display="Humerus - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hLZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hLZMFMEea5pdrFDq-m2g" display="Humerus - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hLZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hLZsFMEea5pdrFDq-m2g" display="Internal auditory canal X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hycMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hLaMFMEea5pdrFDq-m2g" display="Knee X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hycsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hyccFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hydMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hyc8FMEea5pdrFDq-m2g" display="Knee - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hydsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hydcFMEea5pdrFDq-m2g" display="Knee - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40hyeMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40hyd8FMEea5pdrFDq-m2g" display="Larynx Fluoroscopy"/>
  <fhir:ValueSetMember xmi:id="_40iZgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40iZgMFMEea5pdrFDq-m2g" display="Lower extremity X-ray"/>
  <fhir:ValueSetMember xmi:id="_40iZg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40iZgsFMEea5pdrFDq-m2g" display="Lower extremity - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40iZhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40iZhMFMEea5pdrFDq-m2g" display="Lower extremity - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40iZh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40iZhsFMEea5pdrFDq-m2g" display="Lower extremity - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jAkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jAkMFMEea5pdrFDq-m2g" display="Mandible X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jAk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jAksFMEea5pdrFDq-m2g" display="Mandible - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jAlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jAlMFMEea5pdrFDq-m2g" display="Mandible - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jAl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jAlsFMEea5pdrFDq-m2g" display="Mastoid X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jnocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jnoMFMEea5pdrFDq-m2g" display="Mastoid - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jno8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jnosFMEea5pdrFDq-m2g" display="Mastoid - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jnpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jnpMFMEea5pdrFDq-m2g" display="Mastoid - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40jnp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40jnpsFMEea5pdrFDq-m2g" display="Maxilla X-ray"/>
  <fhir:ValueSetMember xmi:id="_40kOscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40kOsMFMEea5pdrFDq-m2g" display="Nasal bones X-ray"/>
  <fhir:ValueSetMember xmi:id="_40kOs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40kOssFMEea5pdrFDq-m2g" display="Neck X-ray"/>
  <fhir:ValueSetMember xmi:id="_40kOtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40kOtMFMEea5pdrFDq-m2g" display="Olecranon - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40kOt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40kOtsFMEea5pdrFDq-m2g" display="Olecranon - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40k1wMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40kOuMFMEea5pdrFDq-m2g" display="Optic foramen X-ray"/>
  <fhir:ValueSetMember xmi:id="_40k1wsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40k1wcFMEea5pdrFDq-m2g" display="Optic foramen - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40k1xMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40k1w8FMEea5pdrFDq-m2g" display="Optic foramen - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40k1xsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40k1xcFMEea5pdrFDq-m2g" display="Optic foramen - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40k1yMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40k1x8FMEea5pdrFDq-m2g" display="Orbit X-ray"/>
  <fhir:ValueSetMember xmi:id="_40lc0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40lc0MFMEea5pdrFDq-m2g" display="Orbit - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40lc08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40lc0sFMEea5pdrFDq-m2g" display="Orbit - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40lc1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40lc1MFMEea5pdrFDq-m2g" display="Orbit - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mD4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mD4MFMEea5pdrFDq-m2g" display="Orbit + Facial bones X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mD48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mD4sFMEea5pdrFDq-m2g" display="Oropharynx Fluoroscopy video"/>
  <fhir:ValueSetMember xmi:id="_40mD5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mD5MFMEea5pdrFDq-m2g" display="Patella X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mD58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mD5sFMEea5pdrFDq-m2g" display="Patella - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mq8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mD6MFMEea5pdrFDq-m2g" display="Patella - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mq8sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mq8cFMEea5pdrFDq-m2g" display="Patella - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mq9MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mq88FMEea5pdrFDq-m2g" display="Pelvis X-ray"/>
  <fhir:ValueSetMember xmi:id="_40mq9sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40mq9cFMEea5pdrFDq-m2g" display="Pelvis symphysis pubis X-ray"/>
  <fhir:ValueSetMember xmi:id="_40nSAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40nSAMFMEea5pdrFDq-m2g" display="Pelvis and Hip X-ray"/>
  <fhir:ValueSetMember xmi:id="_40nSA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40nSAsFMEea5pdrFDq-m2g" display="Pelvis and Hip - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40nSBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40nSBMFMEea5pdrFDq-m2g" display="Pelvis and Hip - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40nSB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40nSBsFMEea5pdrFDq-m2g" display="Pelvis and Hip - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40n5EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40n5EMFMEea5pdrFDq-m2g" display="Pelvis and Spine Lumbar X-ray"/>
  <fhir:ValueSetMember xmi:id="_40n5E8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40n5EsFMEea5pdrFDq-m2g" display="Petrous bone X-ray"/>
  <fhir:ValueSetMember xmi:id="_40n5FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40n5FMFMEea5pdrFDq-m2g" display="Radius - bilateral and Ulna - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40n5F8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_40n5FsFMEea5pdrFDq-m2g" display="Radius - left and Ulna.left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ogIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40n5GMFMEea5pdrFDq-m2g" display="Radius - right and Ulna - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ogIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ogIcFMEea5pdrFDq-m2g" display="Radius and Ulna X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ogJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ogI8FMEea5pdrFDq-m2g" display="Ribs X-ray"/>
  <fhir:ValueSetMember xmi:id="_40ogJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40ogJcFMEea5pdrFDq-m2g" display="Ribs anterior X-ray"/>
  <fhir:ValueSetMember xmi:id="_40pHMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40pHMMFMEea5pdrFDq-m2g" display="Ribs anterior - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_FcMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40-eYMFMEea5pdrFDq-m2g" display="Ribs anterior - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_FcsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_FccFMEea5pdrFDq-m2g" display="Ribs anterior - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_FdMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_Fc8FMEea5pdrFDq-m2g" display="Ribs anterior and posterior - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_sgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_FdcFMEea5pdrFDq-m2g" display="Ribs anterior and posterior - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_sgsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_sgcFMEea5pdrFDq-m2g" display="Ribs - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_shMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_sg8FMEea5pdrFDq-m2g" display="Ribs - bilateral and Chest X-ray"/>
  <fhir:ValueSetMember xmi:id="_40_shsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_shcFMEea5pdrFDq-m2g" display="Ribs - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ATkMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_40_sh8FMEea5pdrFDq-m2g" display="Ribs - left and Chest X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ATksFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ATkcFMEea5pdrFDq-m2g" display="Ribs lower - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ATlMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ATk8FMEea5pdrFDq-m2g" display="Ribs lower posterior X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ATlsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ATlcFMEea5pdrFDq-m2g" display="Ribs lower posterior - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41A6oMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ATl8FMEea5pdrFDq-m2g" display="Ribs lower posterior - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41A6osFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41A6ocFMEea5pdrFDq-m2g" display="Ribs lower - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41A6pMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41A6o8FMEea5pdrFDq-m2g" display="Ribs posterior X-ray"/>
  <fhir:ValueSetMember xmi:id="_41A6psFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41A6pcFMEea5pdrFDq-m2g" display="Ribs posterior - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41A6qMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41A6p8FMEea5pdrFDq-m2g" display="Ribs posterior - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41BhscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41BhsMFMEea5pdrFDq-m2g" display="Ribs posterior - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Bhs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41BhssFMEea5pdrFDq-m2g" display="Ribs - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41BhtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41BhtMFMEea5pdrFDq-m2g" display="Ribs upper anterior and posterior - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Bht8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41BhtsFMEea5pdrFDq-m2g" display="Ribs upper anterior and posterior - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41CIwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41CIwMFMEea5pdrFDq-m2g" display="Ribs upper - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41CIw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41CIwsFMEea5pdrFDq-m2g" display="Ribs upper posterior - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41CIxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41CIxMFMEea5pdrFDq-m2g" display="Ribs upper posterior - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41CIx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41CIxsFMEea5pdrFDq-m2g" display="Ribs upper - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41CIycFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41CIyMFMEea5pdrFDq-m2g" display="Sacroiliac Joint X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Cv0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Cv0MFMEea5pdrFDq-m2g" display="Sacroiliac joint - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Cv08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Cv0sFMEea5pdrFDq-m2g" display="Sacroiliac joint - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Cv1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Cv1MFMEea5pdrFDq-m2g" display="Sacroiliac joint - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Cv18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Cv1sFMEea5pdrFDq-m2g" display="Sacrum X-ray"/>
  <fhir:ValueSetMember xmi:id="_41DW4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41DW4MFMEea5pdrFDq-m2g" display="Sacrum and Coccyx X-ray"/>
  <fhir:ValueSetMember xmi:id="_41DW48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41DW4sFMEea5pdrFDq-m2g" display="Salivary gland X-ray"/>
  <fhir:ValueSetMember xmi:id="_41DW5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41DW5MFMEea5pdrFDq-m2g" display="Scapula X-ray"/>
  <fhir:ValueSetMember xmi:id="_41DW58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41DW5sFMEea5pdrFDq-m2g" display="Scapula - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41D98MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41DW6MFMEea5pdrFDq-m2g" display="Scapula - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41D98sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41D98cFMEea5pdrFDq-m2g" display="Scapula - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41D99MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41D988FMEea5pdrFDq-m2g" display="Sella turcica X-ray"/>
  <fhir:ValueSetMember xmi:id="_41D99sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41D99cFMEea5pdrFDq-m2g" display="Shoulder X-ray"/>
  <fhir:ValueSetMember xmi:id="_41D9-MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41D998FMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ElAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ElAMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ElA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ElAsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ElBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ElBMFMEea5pdrFDq-m2g" display="Shunt X-ray"/>
  <fhir:ValueSetMember xmi:id="_41ElB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ElBsFMEea5pdrFDq-m2g" display="Shunt Fluoroscopy"/>
  <fhir:ValueSetMember xmi:id="_41FMEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ElCMFMEea5pdrFDq-m2g" display="Sinuses X-ray"/>
  <fhir:ValueSetMember xmi:id="_41FMEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FMEcFMEea5pdrFDq-m2g" display="Skull X-ray"/>
  <fhir:ValueSetMember xmi:id="_41FMFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FME8FMEea5pdrFDq-m2g" display="Skull.base X-ray"/>
  <fhir:ValueSetMember xmi:id="_41FMFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FMFcFMEea5pdrFDq-m2g" display="Skull and Facial bones and Mandible X-ray"/>
  <fhir:ValueSetMember xmi:id="_41FMGMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FMF8FMEea5pdrFDq-m2g" display="Spine X-ray"/>
  <fhir:ValueSetMember xmi:id="_41FzIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FzIMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray"/>
  <fhir:ValueSetMember xmi:id="_41FzI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FzIsFMEea5pdrFDq-m2g" display="Spine Cervical Fluoroscopy"/>
  <fhir:ValueSetMember xmi:id="_41FzJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FzJMFMEea5pdrFDq-m2g" display="Spine Cervical Fluoroscopy video"/>
  <fhir:ValueSetMember xmi:id="_41FzJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41FzJsFMEea5pdrFDq-m2g" display="Spine Cervical and Spine Thoracic X-ray"/>
  <fhir:ValueSetMember xmi:id="_41GaMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41GaMMFMEea5pdrFDq-m2g" display="Spine Cervical and Thoracic and Lumbar X-ray"/>
  <fhir:ValueSetMember xmi:id="_41GaM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41GaMsFMEea5pdrFDq-m2g" display="Spine Cervicothoracic Junction X-ray"/>
  <fhir:ValueSetMember xmi:id="_41GaNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41GaNMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray"/>
  <fhir:ValueSetMember xmi:id="_41GaN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41GaNsFMEea5pdrFDq-m2g" display="Spine Lumbar Fluoroscopy video"/>
  <fhir:ValueSetMember xmi:id="_41GaOcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41GaOMFMEea5pdrFDq-m2g" display="Spine.lumbar and Sacroiliac joint - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HBQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HBQMFMEea5pdrFDq-m2g" display="Spine Lumbar and Sacrum X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HBQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HBQsFMEea5pdrFDq-m2g" display="Spine Lumbar and Sacrum and Coccyx X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HBRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HBRMFMEea5pdrFDq-m2g" display="Spine Lumbar and Sacrum and Sacroiliac Joint and Coccyx X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HBR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HBRsFMEea5pdrFDq-m2g" display="Spine Lumbosacral Junction X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HoUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HBSMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HoUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HoUcFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HoVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HoU8FMEea5pdrFDq-m2g" display="Spine Thoracolumbar Junction X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HoVsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HoVcFMEea5pdrFDq-m2g" display="Sternoclavicular joint - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41HoWMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41HoV8FMEea5pdrFDq-m2g" display="Sternoclavicular joint - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41IPYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41IPYMFMEea5pdrFDq-m2g" display="Sternoclavicular joint - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41IPY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41IPYsFMEea5pdrFDq-m2g" display="Sternoclavicular Joints X-ray"/>
  <fhir:ValueSetMember xmi:id="_41IPZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41IPZMFMEea5pdrFDq-m2g" display="Sternum X-ray"/>
  <fhir:ValueSetMember xmi:id="_41I2ccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41I2cMFMEea5pdrFDq-m2g" display="Surgical specimen X-ray"/>
  <fhir:ValueSetMember xmi:id="_41I2c8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41I2csFMEea5pdrFDq-m2g" display="Temporomandibular joint X-ray"/>
  <fhir:ValueSetMember xmi:id="_41I2dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41I2dMFMEea5pdrFDq-m2g" display="Temporomandibular joint - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41I2d8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41I2dsFMEea5pdrFDq-m2g" display="Temporomandibular joint - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41JdgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41I2eMFMEea5pdrFDq-m2g" display="Temporomandibular joint - right X-ray"/>
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  <fhir:ValueSetMember xmi:id="_41JdhMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Jdg8FMEea5pdrFDq-m2g" display="Thumb - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41JdhsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41JdhcFMEea5pdrFDq-m2g" display="Thumb - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41JdiMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Jdh8FMEea5pdrFDq-m2g" display="Thumb - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KEkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KEkMFMEea5pdrFDq-m2g" display="Tibia - bilateral and Fibula - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KEk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KEksFMEea5pdrFDq-m2g" display="Tibia - left and Fibula - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KElcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KElMFMEea5pdrFDq-m2g" display="Tibia - right and Fibula - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KEl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KElsFMEea5pdrFDq-m2g" display="Tibia and Fibula X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KEmcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KEmMFMEea5pdrFDq-m2g" display="Toe fifth - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KrocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KroMFMEea5pdrFDq-m2g" display="Toe fifth - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Kro8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KrosFMEea5pdrFDq-m2g" display="Toe fourth - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41KrpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KrpMFMEea5pdrFDq-m2g" display="Toe fourth - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Krp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41KrpsFMEea5pdrFDq-m2g" display="Toe second - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41LSscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41LSsMFMEea5pdrFDq-m2g" display="Toe second - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41LSs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41LSssFMEea5pdrFDq-m2g" display="Toe third - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41LStcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41LStMFMEea5pdrFDq-m2g" display="Toe third - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41LSt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41LStsFMEea5pdrFDq-m2g" display="Toes X-ray"/>
  <fhir:ValueSetMember xmi:id="_41L5wMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41LSuMFMEea5pdrFDq-m2g" display="Toes - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41L5wsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41L5wcFMEea5pdrFDq-m2g" display="Toes - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41L5xMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41L5w8FMEea5pdrFDq-m2g" display="Toes - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41L5xsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41L5xcFMEea5pdrFDq-m2g" display="Trachea X-ray"/>
  <fhir:ValueSetMember xmi:id="_41L5yMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41L5x8FMEea5pdrFDq-m2g" display="Trachea Fluoroscopy"/>
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  <fhir:ValueSetMember xmi:id="_41Mg08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Mg0sFMEea5pdrFDq-m2g" display="Upper extremity - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Mg1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Mg1MFMEea5pdrFDq-m2g" display="Upper extremity - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Mg18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Mg1sFMEea5pdrFDq-m2g" display="Upper extremity - right X-ray"/>
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  <fhir:ValueSetMember xmi:id="_41NH48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41NH4sFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41NH5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41NH5MFMEea5pdrFDq-m2g" display="Wrist - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41NH58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41NH5sFMEea5pdrFDq-m2g" display="Wrist - left and Hand - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41NH6cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41NH6MFMEea5pdrFDq-m2g" display="Wrist - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Nu8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Nu8MFMEea5pdrFDq-m2g" display="Wrist - right and Hand - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Nu88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Nu8sFMEea5pdrFDq-m2g" display="Unspecified body region X-ray"/>
  <fhir:ValueSetMember xmi:id="_41Nu9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Nu9MFMEea5pdrFDq-m2g" display="Unspecified body region Fluoroscopy"/>
  <fhir:ValueSetMember xmi:id="_41Nu98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Nu9sFMEea5pdrFDq-m2g" display="Zygomatic arch X-ray"/>
  <fhir:ValueSetMember xmi:id="_41OWAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41OWAMFMEea5pdrFDq-m2g" display="Zygomatic arch - bilateral X-ray"/>
  <fhir:ValueSetMember xmi:id="_41OWA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41OWAsFMEea5pdrFDq-m2g" display="Zygomatic arch - left X-ray"/>
  <fhir:ValueSetMember xmi:id="_41OWBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41OWBMFMEea5pdrFDq-m2g" display="Zygomatic arch - right X-ray"/>
  <fhir:ValueSetMember xmi:id="_41OWB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41OWBsFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray and (AP view standing)"/>
  <fhir:ValueSetMember xmi:id="_41O9EcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41O9EMFMEea5pdrFDq-m2g" display="Ankle - right X-ray and (view W manual stress)"/>
  <fhir:ValueSetMember xmi:id="_41O9E8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41O9EsFMEea5pdrFDq-m2g" display="Gastrointestine upper Fluoroscopy and AP W contrast PO"/>
  <fhir:ValueSetMember xmi:id="_41O9FcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41O9FMFMEea5pdrFDq-m2g" display="Gastrointestine upper Fluoroscopy and AP W water soluble contrast PO"/>
  <fhir:ValueSetMember xmi:id="_41O9F8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41O9FsFMEea5pdrFDq-m2g" display="Wrist - right X-ray and carpal tunnel"/>
  <fhir:ValueSetMember xmi:id="_41PkIcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41PkIMFMEea5pdrFDq-m2g" display="Hip X-ray and Danelius Miller"/>
  <fhir:ValueSetMember xmi:id="_41PkI8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41PkIsFMEea5pdrFDq-m2g" display="Hip - left X-ray and Danelius Miller"/>
  <fhir:ValueSetMember xmi:id="_41PkJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41PkJMFMEea5pdrFDq-m2g" display="Hip - right X-ray and Danelius Miller"/>
  <fhir:ValueSetMember xmi:id="_41PkJ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41PkJsFMEea5pdrFDq-m2g" display="Pelvis X-ray and inlet and outlet"/>
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  <fhir:ValueSetMember xmi:id="_41QLM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QLMsFMEea5pdrFDq-m2g" display="Hip - left X-ray and lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_41QLNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QLNMFMEea5pdrFDq-m2g" display="Hip - right X-ray and lateral crosstable"/>
  <fhir:ValueSetMember xmi:id="_41QLN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QLNsFMEea5pdrFDq-m2g" display="Pelvis and Hip - bilateral X-ray and lateral frog"/>
  <fhir:ValueSetMember xmi:id="_41QLOcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QLOMFMEea5pdrFDq-m2g" display="Ankle - right X-ray and Mortise"/>
  <fhir:ValueSetMember xmi:id="_41QyQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QyQMFMEea5pdrFDq-m2g" display="Elbow - right X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41QyQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QyQsFMEea5pdrFDq-m2g" display="Knee - right X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41QyRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QyRMFMEea5pdrFDq-m2g" display="Pelvis X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41QyR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41QyRsFMEea5pdrFDq-m2g" display="Radius - right and Ulna - right X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41RZUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41RZUMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41RZU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41RZUsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41RZVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41RZVMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41RZV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41RZVsFMEea5pdrFDq-m2g" display="Tibia - right and Fibula - right X-ray and oblique"/>
  <fhir:ValueSetMember xmi:id="_41SAYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41RZWMFMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray and obliques"/>
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  <fhir:ValueSetMember xmi:id="_41SAZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41SAZcFMEea5pdrFDq-m2g" display="Ribs - right and Chest X-ray and PA chest"/>
  <fhir:ValueSetMember xmi:id="_41SAaMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41SAZ8FMEea5pdrFDq-m2g" display="Ribs and Chest X-ray and PA chest"/>
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  <fhir:ValueSetMember xmi:id="_41Snc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41SncsFMEea5pdrFDq-m2g" display="Knee - right X-ray and Sunrise"/>
  <fhir:ValueSetMember xmi:id="_41SndcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41SndMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray and Swimmers"/>
  <fhir:ValueSetMember xmi:id="_41Snd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41SndsFMEea5pdrFDq-m2g" display="Knee - left X-ray and tunnel"/>
  <fhir:ValueSetMember xmi:id="_41TOgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41SneMFMEea5pdrFDq-m2g" display="Knee - right X-ray and tunnel"/>
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  <fhir:ValueSetMember xmi:id="_41TOhsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41TOhcFMEea5pdrFDq-m2g" display="Thyroid Scan and uptake W I-123 PO"/>
  <fhir:ValueSetMember xmi:id="_41T1kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41T1kMFMEea5pdrFDq-m2g" display="Thyroid Scan and uptake W I-131 IV"/>
  <fhir:ValueSetMember xmi:id="_41T1k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41T1ksFMEea5pdrFDq-m2g" display="Thyroid Scan and uptake W I-131 PO"/>
  <fhir:ValueSetMember xmi:id="_41T1lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41T1lMFMEea5pdrFDq-m2g" display="Thyroid Scan and uptake"/>
  <fhir:ValueSetMember xmi:id="_41T1l8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41T1lsFMEea5pdrFDq-m2g" display="Thyroid Scan and uptake W Tc-99m pertechnetate IV"/>
  <fhir:ValueSetMember xmi:id="_41T1mcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41T1mMFMEea5pdrFDq-m2g" display="Knee X-ray (AP^standing) and (lateral^W hyperextension)"/>
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  <fhir:ValueSetMember xmi:id="_41Uco8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41UcosFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray (AP^W R-bending and W L-bending) and (lateral^W flexion and W extension)"/>
  <fhir:ValueSetMember xmi:id="_41UcpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41UcpMFMEea5pdrFDq-m2g" display="Shoulder - right X-ray (W internal rotation and W external rotation) and axillary"/>
  <fhir:ValueSetMember xmi:id="_41Ucp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41UcpsFMEea5pdrFDq-m2g" display="Facial bones X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VDscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VDsMFMEea5pdrFDq-m2g" display="Knee X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VDs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VDssFMEea5pdrFDq-m2g" display="Knee - left X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VDtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VDtMFMEea5pdrFDq-m2g" display="Knee - right X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VDt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VDtsFMEea5pdrFDq-m2g" display="Mandible X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VqwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VDuMFMEea5pdrFDq-m2g" display="Mastoid - bilateral X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VqwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VqwcFMEea5pdrFDq-m2g" display="Mastoid - left X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VqxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Vqw8FMEea5pdrFDq-m2g" display="Mastoid - right X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VqxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41VqxcFMEea5pdrFDq-m2g" display="Pelvis X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41VqyMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Vqx8FMEea5pdrFDq-m2g" display="Sacroiliac Joint X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41WR0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41WR0MFMEea5pdrFDq-m2g" display="Sinuses X-ray 1 or 2 views"/>
  <fhir:ValueSetMember xmi:id="_41WR08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41WR0sFMEea5pdrFDq-m2g" display="Knee X-ray 1 or 2 views portable"/>
  <fhir:ValueSetMember xmi:id="_41WR1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41WR1MFMEea5pdrFDq-m2g" display="Pelvis X-ray 1 or 2 views portable"/>
  <fhir:ValueSetMember xmi:id="_41WR18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41WR1sFMEea5pdrFDq-m2g" display="Abdomen X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41W44cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41W44MFMEea5pdrFDq-m2g" display="Acetabulum - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41W448FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41W44sFMEea5pdrFDq-m2g" display="Acetabulum - right X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41W45cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41W45MFMEea5pdrFDq-m2g" display="Acromioclavicular joint - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Xf8MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41W45sFMEea5pdrFDq-m2g" display="Acromioclavicular joint - right X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Xf8sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Xf8cFMEea5pdrFDq-m2g" display="Ankle X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Xf9MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Xf88FMEea5pdrFDq-m2g" display="Ankle - bilateral X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Xf9sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Xf9cFMEea5pdrFDq-m2g" display="Ankle - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YHAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YHAMFMEea5pdrFDq-m2g" display="Ankle - right X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YHA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YHAsFMEea5pdrFDq-m2g" display="Breast - left Mammogram 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YHBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YHBMFMEea5pdrFDq-m2g" display="Breast - right Mammogram 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YHB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YHBsFMEea5pdrFDq-m2g" display="Calcaneus X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YuEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YHCMFMEea5pdrFDq-m2g" display="Calcaneus - bilateral X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YuEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YuEcFMEea5pdrFDq-m2g" display="Calcaneus - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YuFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YuE8FMEea5pdrFDq-m2g" display="Calcaneus - right X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41YuFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YuFcFMEea5pdrFDq-m2g" display="Chest X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41ZVIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41YuF8FMEea5pdrFDq-m2g" display="Chest Fluoroscopy 2 views"/>
  <fhir:ValueSetMember xmi:id="_41ZVIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ZVIcFMEea5pdrFDq-m2g" display="Clavicle X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41ZVJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ZVI8FMEea5pdrFDq-m2g" display="Clavicle - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41ZVJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ZVJcFMEea5pdrFDq-m2g" display="Clavicle - right X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Z8MMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41ZVJ8FMEea5pdrFDq-m2g" display="Coccyx X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Z8MsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Z8McFMEea5pdrFDq-m2g" display="Elbow X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41Z8NMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41Z8M8FMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41e0ucFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41e0uMFMEea5pdrFDq-m2g" display="Patella - bilateral X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41fbwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41fbwMFMEea5pdrFDq-m2g" display="Patella - left X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41gp5MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41gp48FMEea5pdrFDq-m2g" display="Ribs - bilateral X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41gp6MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41gp58FMEea5pdrFDq-m2g" display="Ribs - right X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41h4AcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41h4AMFMEea5pdrFDq-m2g" display="Scapula - right X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41h4A8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41h4AsFMEea5pdrFDq-m2g" display="Sella turcica X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41h4CcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41h4CMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41jGJcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41jGJMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41jtNMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41jtM8FMEea5pdrFDq-m2g" display="Sternum X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41k7UMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41kUSMFMEea5pdrFDq-m2g" display="Toes - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41k7UsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41k7UcFMEea5pdrFDq-m2g" display="Toes - right X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41liYMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41k7V8FMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41liYsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41liYcFMEea5pdrFDq-m2g" display="Wrist - left X-ray 2 views"/>
  <fhir:ValueSetMember xmi:id="_41liZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41liY8FMEea5pdrFDq-m2g" display="Wrist - right X-ray 2 views"/>
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  <fhir:ValueSetMember xmi:id="_41pMw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41pMwsFMEea5pdrFDq-m2g" display="Tibia - right and Fibula - right X-ray 2 views Oblique"/>
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  <fhir:ValueSetMember xmi:id="_41pz08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41pz0sFMEea5pdrFDq-m2g" display="Bone Scan 2 views phase"/>
  <fhir:ValueSetMember xmi:id="_41pz1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41pz1MFMEea5pdrFDq-m2g" display="Elbow X-ray 2 views portable"/>
  <fhir:ValueSetMember xmi:id="_41pz18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41pz1sFMEea5pdrFDq-m2g" display="Hand X-ray 2 views portable"/>
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  <fhir:ValueSetMember xmi:id="_41qa48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41qa4sFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray 2 views portable"/>
  <fhir:ValueSetMember xmi:id="_41qa5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41qa5MFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray 2 views scoliosis"/>
  <fhir:ValueSetMember xmi:id="_41rB8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rB8MFMEea5pdrFDq-m2g" display="Wrist - left X-ray 2 views tunnel.carpal"/>
  <fhir:ValueSetMember xmi:id="_41rB88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rB8sFMEea5pdrFDq-m2g" display="Wrist - right X-ray 2 views tunnel.carpal"/>
  <fhir:ValueSetMember xmi:id="_41rB9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rB9MFMEea5pdrFDq-m2g" display="Heart Scan 2 views at rest and W Tl-201 IV"/>
  <fhir:ValueSetMember xmi:id="_41rB98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rB9sFMEea5pdrFDq-m2g" display="Ankle - left X-ray 2 views standing"/>
  <fhir:ValueSetMember xmi:id="_41rpAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rpAMFMEea5pdrFDq-m2g" display="Ankle - right X-ray 2 views standing"/>
  <fhir:ValueSetMember xmi:id="_41rpA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rpAsFMEea5pdrFDq-m2g" display="Foot - bilateral X-ray 2 views standing"/>
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  <fhir:ValueSetMember xmi:id="_41rpB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41rpBsFMEea5pdrFDq-m2g" display="Foot - right X-ray 2 views standing"/>
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  <fhir:ValueSetMember xmi:id="_41v6dcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41v6dMFMEea5pdrFDq-m2g" display="Foot - left X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_41whgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41v6eMFMEea5pdrFDq-m2g" display="Hand X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_41whhMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41whg8FMEea5pdrFDq-m2g" display="Hand - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41whhsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41whhcFMEea5pdrFDq-m2g" display="Hand - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xIkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xIkMFMEea5pdrFDq-m2g" display="Hip - bilateral X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xIk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xIksFMEea5pdrFDq-m2g" display="Hip - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xIlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xIlMFMEea5pdrFDq-m2g" display="Hip - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xIl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xIlsFMEea5pdrFDq-m2g" display="Knee X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xvocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xvoMFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xvo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xvosFMEea5pdrFDq-m2g" display="Knee - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41xvpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41xvpMFMEea5pdrFDq-m2g" display="Knee - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41yWscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41yWsMFMEea5pdrFDq-m2g" display="Mandible X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41yWs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41yWssFMEea5pdrFDq-m2g" display="Mastoid X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41yWtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41yWtMFMEea5pdrFDq-m2g" display="Mastoid - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41yWt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41yWtsFMEea5pdrFDq-m2g" display="Mastoid - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41y9wMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41yWuMFMEea5pdrFDq-m2g" display="Nasal bones X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41y9wsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41y9wcFMEea5pdrFDq-m2g" display="Patella - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41y9xMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41y9w8FMEea5pdrFDq-m2g" display="Pelvis X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41y9xsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41y9xcFMEea5pdrFDq-m2g" display="Pelvis and Spine Lumbar X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_41zk08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41zk0sFMEea5pdrFDq-m2g" display="Ribs - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_41zk1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41zk1MFMEea5pdrFDq-m2g" display="Ribs - right X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_410L5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_410L5MFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_410L58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_410L5sFMEea5pdrFDq-m2g" display="Shoulder - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_410y8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_410y8MFMEea5pdrFDq-m2g" display="Shoulder - right X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_410y9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_410y9MFMEea5pdrFDq-m2g" display="Skull X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_411aAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_411aAMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_411aBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_411aBMFMEea5pdrFDq-m2g" display="Spine Lumbar and Sacrum X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_412BEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412BEMFMEea5pdrFDq-m2g" display="Spine Lumbar and Sacrum and Sacroiliac Joint and Coccyx X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412BE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_412BEsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412BFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412BFMFMEea5pdrFDq-m2g" display="Sternoclavicular Joint X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412oIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412BFsFMEea5pdrFDq-m2g" display="Thumb X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412oIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412oIcFMEea5pdrFDq-m2g" display="Thumb - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412oJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412oI8FMEea5pdrFDq-m2g" display="Thumb - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412oJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412oJcFMEea5pdrFDq-m2g" display="Toes - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_412oKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_412oJ8FMEea5pdrFDq-m2g" display="Toes - right X-ray 3 views"/>
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  <fhir:ValueSetMember xmi:id="_413PNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_413PNMFMEea5pdrFDq-m2g" display="Wrist - bilateral and Hand - bilateral X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_413PN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_413PNsFMEea5pdrFDq-m2g" display="Wrist - left X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_4132QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4132QMFMEea5pdrFDq-m2g" display="Wrist - right X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_4132Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4132QsFMEea5pdrFDq-m2g" display="Wrist and Hand X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_4132RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4132RMFMEea5pdrFDq-m2g" display="Zygomatic arch X-ray 3 views"/>
  <fhir:ValueSetMember xmi:id="_4132R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4132RsFMEea5pdrFDq-m2g" display="Shoulder - left X-ray 3 views and axillary"/>
  <fhir:ValueSetMember xmi:id="_414dUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_414dUMFMEea5pdrFDq-m2g" display="Shoulder - right X-ray 3 views and axillary"/>
  <fhir:ValueSetMember xmi:id="_414dU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_414dUsFMEea5pdrFDq-m2g" display="Wrist - right X-ray 3 views and carpal tunnel"/>
  <fhir:ValueSetMember xmi:id="_414dVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_414dVMFMEea5pdrFDq-m2g" display="Wrist - right X-ray 3 views and radial deviation"/>
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  <fhir:ValueSetMember xmi:id="_415EYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_415EYMFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray 3 views and Swimmers"/>
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  <fhir:ValueSetMember xmi:id="_415EZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_415EZsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray 3 views and Y"/>
  <fhir:ValueSetMember xmi:id="_415rccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_415rcMFMEea5pdrFDq-m2g" display="Foot - left X-ray 3 or 4 views"/>
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  <fhir:ValueSetMember xmi:id="_416Sg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_416SgsFMEea5pdrFDq-m2g" display="Bone Scan 3 views phase"/>
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  <fhir:ValueSetMember xmi:id="_416Sh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_416ShsFMEea5pdrFDq-m2g" display="Wrist - left X-ray 3 views scaphoid"/>
  <fhir:ValueSetMember xmi:id="_4165kcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4165kMFMEea5pdrFDq-m2g" display="Kidney - bilateral X-ray 3 views serial W and WO contrast IV"/>
  <fhir:ValueSetMember xmi:id="_4165k8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4165ksFMEea5pdrFDq-m2g" display="Ankle - left X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_4165lcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4165lMFMEea5pdrFDq-m2g" display="Ankle - right X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_4165l8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4165lsFMEea5pdrFDq-m2g" display="Foot - bilateral X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_417gocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_417goMFMEea5pdrFDq-m2g" display="Foot - left X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_417go8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_417gosFMEea5pdrFDq-m2g" display="Foot - right X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_417gpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_417gpMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_417gp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_417gpsFMEea5pdrFDq-m2g" display="Spine Thoracic X-ray 3 views standing"/>
  <fhir:ValueSetMember xmi:id="_418HscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_418HsMFMEea5pdrFDq-m2g" display="Ankle X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_418Hs8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_418HssFMEea5pdrFDq-m2g" display="Breast Mammogram 4 views"/>
  <fhir:ValueSetMember xmi:id="_418HtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_418HtMFMEea5pdrFDq-m2g" display="Chest X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_418uwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_418uwMFMEea5pdrFDq-m2g" display="Chest Fluoroscopy 4 views"/>
  <fhir:ValueSetMember xmi:id="_418uw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_418uwsFMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_418uxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_418uxMFMEea5pdrFDq-m2g" display="Elbow - left X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_418ux8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_418uxsFMEea5pdrFDq-m2g" display="Elbow - right X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_418uycFMEea5pdrFDq-m2g" base_EnumerationLiteral="_418uyMFMEea5pdrFDq-m2g" display="Facial bones X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_419V0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_419V0MFMEea5pdrFDq-m2g" display="Femur - left X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_419V08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_419V0sFMEea5pdrFDq-m2g" display="Femur - right X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_419V1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_419V1MFMEea5pdrFDq-m2g" display="Knee X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_419V18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_419V1sFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_41984cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_41984MFMEea5pdrFDq-m2g" display="Knee - left X-ray 4 views"/>
  <fhir:ValueSetMember xmi:id="_419848FMEea5pdrFDq-m2g" base_EnumerationLiteral="_41984sFMEea5pdrFDq-m2g" display="Knee - right X-ray 4 views"/>
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  <fhir:ValueSetMember xmi:id="_42Dcd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42DcdsFMEea5pdrFDq-m2g" display="Knee - left X-ray 5 views"/>
  <fhir:ValueSetMember xmi:id="_42EDgMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42DceMFMEea5pdrFDq-m2g" display="Knee - right X-ray 5 views"/>
  <fhir:ValueSetMember xmi:id="_42EDgsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42EDgcFMEea5pdrFDq-m2g" display="Mastoid X-ray 5 views"/>
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  <fhir:ValueSetMember xmi:id="_42FRo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42FRosFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray 5 views"/>
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  <fhir:ValueSetMember xmi:id="_42MmZMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42MmY8FMEea5pdrFDq-m2g" display="Pelvis X-ray AP and inlet"/>
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  <fhir:ValueSetMember xmi:id="_42MmaMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42MmZ8FMEea5pdrFDq-m2g" display="Pelvis X-ray AP and inlet and outlet and oblique"/>
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  <fhir:ValueSetMember xmi:id="_42NNc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42NNcsFMEea5pdrFDq-m2g" display="Abdomen X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42N0gMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42NNeMFMEea5pdrFDq-m2g" display="Ankle - left X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42N0gsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42N0gcFMEea5pdrFDq-m2g" display="Ankle - right X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42N0hMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42N0g8FMEea5pdrFDq-m2g" display="Calcaneus - bilateral X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42N0hsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42N0hcFMEea5pdrFDq-m2g" display="Calcaneus - left X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42N0iMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42N0h8FMEea5pdrFDq-m2g" display="Calcaneus - right X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42ObkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42ObkMFMEea5pdrFDq-m2g" display="Chest X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42Obk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42ObksFMEea5pdrFDq-m2g" display="Chest Fluoroscopy AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42Obl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42OblsFMEea5pdrFDq-m2g" display="Elbow X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42PCocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42PCoMFMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42PCo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42PCosFMEea5pdrFDq-m2g" display="Elbow - left X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42PCpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42PCpMFMEea5pdrFDq-m2g" display="Elbow - right X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42PpscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42PpsMFMEea5pdrFDq-m2g" display="Femur X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42Pps8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42PpssFMEea5pdrFDq-m2g" display="Femur - bilateral X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42Ppt8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42PptsFMEea5pdrFDq-m2g" display="Femur - right X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42TUEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42TUEMFMEea5pdrFDq-m2g" display="Lower extremity X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42TUE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42TUEsFMEea5pdrFDq-m2g" display="Lower extremity - right X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42TUFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42TUFMFMEea5pdrFDq-m2g" display="Mandible X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42TUF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42TUFsFMEea5pdrFDq-m2g" display="Neck X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42T7JcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42T7JMFMEea5pdrFDq-m2g" display="Patella - right X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42VJQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42VJQMFMEea5pdrFDq-m2g" display="Radius and Ulna X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42VJQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42VJQsFMEea5pdrFDq-m2g" display="Sacrum X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42VwUcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42VwUMFMEea5pdrFDq-m2g" display="Scapula - right X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42VwU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42VwUsFMEea5pdrFDq-m2g" display="Shoulder X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42VwVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42VwVMFMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_42VwV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42VwVsFMEea5pdrFDq-m2g" display="Skull X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42WXZsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42WXZcFMEea5pdrFDq-m2g" display="Spine Cervical and Thoracic and Lumbar X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42Xlg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42XlgsFMEea5pdrFDq-m2g" display="Thumb X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42Xlh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42XlhsFMEea5pdrFDq-m2g" display="Tibia - left and Fibula - left X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42YMk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42YMksFMEea5pdrFDq-m2g" display="Tibia and Fibula X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42YMl8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42YMlsFMEea5pdrFDq-m2g" display="Toes - right X-ray AP and lateral"/>
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  <fhir:ValueSetMember xmi:id="_42ZauMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42Zat8FMEea5pdrFDq-m2g" display="Ankle - bilateral X-ray AP and lateral and Mortise"/>
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  <fhir:ValueSetMember xmi:id="_42b28sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42b28cFMEea5pdrFDq-m2g" display="Finger - bilateral X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42b29MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42b288FMEea5pdrFDq-m2g" display="Finger - left X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42b29sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42b29cFMEea5pdrFDq-m2g" display="Finger - right X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42b2-MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42b298FMEea5pdrFDq-m2g" display="Foot X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42ceAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42ceAMFMEea5pdrFDq-m2g" display="Foot - bilateral X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42ceA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42ceAsFMEea5pdrFDq-m2g" display="Foot - left X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42ceBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42ceBMFMEea5pdrFDq-m2g" display="Foot - right X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42ceB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42ceBsFMEea5pdrFDq-m2g" display="Hand - bilateral X-ray AP and lateral and oblique"/>
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  <fhir:ValueSetMember xmi:id="_42dFE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42dFEsFMEea5pdrFDq-m2g" display="Hand - right X-ray AP and lateral and oblique"/>
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  <fhir:ValueSetMember xmi:id="_42dFF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42dFFsFMEea5pdrFDq-m2g" display="Knee - left X-ray AP and lateral and oblique"/>
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  <fhir:ValueSetMember xmi:id="_42dsIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42dsIcFMEea5pdrFDq-m2g" display="Pelvis X-ray AP and lateral and oblique"/>
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  <fhir:ValueSetMember xmi:id="_42dsJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42dsJcFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42dsKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42dsJ8FMEea5pdrFDq-m2g" display="Spine Thoracic X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42eTMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42eTMMFMEea5pdrFDq-m2g" display="Thumb - left X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42eTM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42eTMsFMEea5pdrFDq-m2g" display="Thumb - right X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42eTNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42eTNMFMEea5pdrFDq-m2g" display="Wrist X-ray AP and lateral and oblique"/>
  <fhir:ValueSetMember xmi:id="_42eTN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42eTNsFMEea5pdrFDq-m2g" display="Spine Cervical X-ray AP and lateral and oblique and odontoid"/>
  <fhir:ValueSetMember xmi:id="_42e6QcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42e6QMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray AP and lateral and oblique and odontoid and swimmer"/>
  <fhir:ValueSetMember xmi:id="_42e6Q8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42e6QsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray AP and lateral and oblique and spot"/>
  <fhir:ValueSetMember xmi:id="_42e6RcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42e6RMFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray AP and lateral and oblique and spot standing"/>
  <fhir:ValueSetMember xmi:id="_42e6R8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42e6RsFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray AP and lateral and oblique and Sunrise"/>
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  <fhir:ValueSetMember xmi:id="_42fhU8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42fhUsFMEea5pdrFDq-m2g" display="Knee X-ray AP and lateral and oblique and tunnel"/>
  <fhir:ValueSetMember xmi:id="_42fhVcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42fhVMFMEea5pdrFDq-m2g" display="Ankle - left X-ray AP and lateral and oblique standing"/>
  <fhir:ValueSetMember xmi:id="_42fhV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42fhVsFMEea5pdrFDq-m2g" display="Ankle - right X-ray AP and lateral and oblique standing"/>
  <fhir:ValueSetMember xmi:id="_42gIYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gIYMFMEea5pdrFDq-m2g" display="Foot - left X-ray AP and lateral and oblique standing"/>
  <fhir:ValueSetMember xmi:id="_42gIY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gIYsFMEea5pdrFDq-m2g" display="Foot - right X-ray AP and lateral and oblique standing"/>
  <fhir:ValueSetMember xmi:id="_42gIZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gIZMFMEea5pdrFDq-m2g" display="Ankle - bilateral X-ray AP and lateral and oblique W manual stress"/>
  <fhir:ValueSetMember xmi:id="_42gIZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gIZsFMEea5pdrFDq-m2g" display="Ankle - left X-ray AP and lateral and oblique W manual stress"/>
  <fhir:ValueSetMember xmi:id="_42gvccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gvcMFMEea5pdrFDq-m2g" display="Ankle - right X-ray AP and lateral and oblique W manual stress"/>
  <fhir:ValueSetMember xmi:id="_42gvc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gvcsFMEea5pdrFDq-m2g" display="Spine Cervical X-ray AP and lateral and odontoid"/>
  <fhir:ValueSetMember xmi:id="_42gvdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42gvdMFMEea5pdrFDq-m2g" display="Spine Cervical X-ray AP and lateral and odontoid portable"/>
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  <fhir:ValueSetMember xmi:id="_42wnEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42wnEcFMEea5pdrFDq-m2g" display="Abdomen X-ray AP (supine and lateral-decubitus) portable"/>
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  <fhir:ValueSetMember xmi:id="_42xOIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42wnF8FMEea5pdrFDq-m2g" display="Abdomen X-ray AP (supine and upright) portable"/>
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  <fhir:ValueSetMember xmi:id="_42xOJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42xOJcFMEea5pdrFDq-m2g" display="Shoulder - left X-ray AP (W internal rotation and W external rotation)"/>
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  <fhir:ValueSetMember xmi:id="_42x1MsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42x1McFMEea5pdrFDq-m2g" display="Shoulder X-ray AP (W internal rotation and W external rotation) and axillary"/>
  <fhir:ValueSetMember xmi:id="_42x1NMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42x1M8FMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray AP (W internal rotation and W external rotation) and axillary"/>
  <fhir:ValueSetMember xmi:id="_42x1NsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42x1NcFMEea5pdrFDq-m2g" display="Shoulder - left X-ray AP (W internal rotation and W external rotation) and axillary"/>
  <fhir:ValueSetMember xmi:id="_42x1OMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42x1N8FMEea5pdrFDq-m2g" display="Shoulder - bilateral X-ray AP (W internal rotation and W external rotation) and axillary and outlet"/>
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  <fhir:ValueSetMember xmi:id="_424i48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_424i4sFMEea5pdrFDq-m2g" display="Ankle X-ray Broden W manual stress"/>
  <fhir:ValueSetMember xmi:id="_424i5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_424i5MFMEea5pdrFDq-m2g" display="Sinuses X-ray Caldwell and Waters"/>
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  <fhir:ValueSetMember xmi:id="_425J9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_425J9MFMEea5pdrFDq-m2g" display="Scan delayed W In-111 Satumomab IV"/>
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  <fhir:ValueSetMember xmi:id="_42-phsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_42-phcFMEea5pdrFDq-m2g" display="Heart Scan first pass"/>
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  <fhir:ValueSetMember xmi:id="_43Bs2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43Bs18FMEea5pdrFDq-m2g" display="Brain Scan flow W Tc-99m glucoheptonate IV"/>
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  <fhir:ValueSetMember xmi:id="_43CT5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43CT5MFMEea5pdrFDq-m2g" display="Renal vessels Scan flow W Tc-99m Mertiatide IV"/>
  <fhir:ValueSetMember xmi:id="_43CT58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43CT5sFMEea5pdrFDq-m2g" display="Heart Scan flow W Tc-99m pertechnetate IV"/>
  <fhir:ValueSetMember xmi:id="_43C68cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43C68MFMEea5pdrFDq-m2g" display="Liver Scan flow W Tc-99m tagged RBC IV"/>
  <fhir:ValueSetMember xmi:id="_43C688FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43C68sFMEea5pdrFDq-m2g" display="Scan for abscess W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_43C69cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43C69MFMEea5pdrFDq-m2g" display="Lung Scan Clearance W Tc-99m DTPA aerosol inhaled"/>
  <fhir:ValueSetMember xmi:id="_43C698FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43C69sFMEea5pdrFDq-m2g" display="Skull and Facial bones and Mandible X-ray for dental measurement"/>
  <fhir:ValueSetMember xmi:id="_43DiAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43DiAMFMEea5pdrFDq-m2g" display="Scan for endocrine tumor multiple areas W I-131 MIBG IV"/>
  <fhir:ValueSetMember xmi:id="_43DiA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43DiAsFMEea5pdrFDq-m2g" display="Scan for endocrine tumor multiple areas W In-111 pentetreotide IV"/>
  <fhir:ValueSetMember xmi:id="_43DiBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43DiBMFMEea5pdrFDq-m2g" display="Scan for endocrine tumor whole body W I-131 MIBG IV"/>
  <fhir:ValueSetMember xmi:id="_43EJEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43EJEMFMEea5pdrFDq-m2g" display="Scan for endocrine tumor whole body W In-111 pentetreotide IV"/>
  <fhir:ValueSetMember xmi:id="_43EJE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43EJEsFMEea5pdrFDq-m2g" display="Abdomen and Fetus X-ray for fetal age"/>
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  <fhir:ValueSetMember xmi:id="_43aHV8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43aHVsFMEea5pdrFDq-m2g" display="Pelvis X-ray inlet and outlet and oblique"/>
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  <fhir:ValueSetMember xmi:id="_43auZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43auZsFMEea5pdrFDq-m2g" display="Facial bones X-ray lateral and Caldwell and Waters and submentovertex and Towne"/>
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  <fhir:ValueSetMember xmi:id="_43bVc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43bVcsFMEea5pdrFDq-m2g" display="Ankle - left X-ray lateral and Mortise"/>
  <fhir:ValueSetMember xmi:id="_43bVdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43bVdMFMEea5pdrFDq-m2g" display="Ankle - right X-ray lateral and Mortise"/>
  <fhir:ValueSetMember xmi:id="_43bVd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43bVdsFMEea5pdrFDq-m2g" display="Ankle - left X-ray lateral and Mortise and Broden W manual stress"/>
  <fhir:ValueSetMember xmi:id="_43b8gcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43b8gMFMEea5pdrFDq-m2g" display="Scapula X-ray lateral and outlet"/>
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  <fhir:ValueSetMember xmi:id="_43b8hcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43b8hMFMEea5pdrFDq-m2g" display="Ribs - left and Chest X-ray lateral and PA chest"/>
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  <fhir:ValueSetMember xmi:id="_43dKo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43dKosFMEea5pdrFDq-m2g" display="Skull X-ray lateral and Towne"/>
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  <fhir:ValueSetMember xmi:id="_43mUk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43mUksFMEea5pdrFDq-m2g" display="Scan multiple areas W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_43mUlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43mUlMFMEea5pdrFDq-m2g" display="Scan multiple areas W In-111 Satumomab IV"/>
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  <fhir:ValueSetMember xmi:id="_43m7osFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43m7ocFMEea5pdrFDq-m2g" display="Joint Scan multiple areas"/>
  <fhir:ValueSetMember xmi:id="_43m7pMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43m7o8FMEea5pdrFDq-m2g" display="Prostate Scan multiple areas W Tc-99m capromab pendatide IV"/>
  <fhir:ValueSetMember xmi:id="_43m7psFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43m7pcFMEea5pdrFDq-m2g" display="Elbow X-ray oblique"/>
  <fhir:ValueSetMember xmi:id="_43m7qMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43m7p8FMEea5pdrFDq-m2g" display="Elbow - bilateral X-ray oblique"/>
  <fhir:ValueSetMember xmi:id="_43niscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43nisMFMEea5pdrFDq-m2g" display="Elbow - left X-ray oblique"/>
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  <fhir:ValueSetMember xmi:id="_4352lMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4352k8FMEea5pdrFDq-m2g" display="Acetabulum X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_4352lsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4352lcFMEea5pdrFDq-m2g" display="Acetabulum - bilateral X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_4352mMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4352l8FMEea5pdrFDq-m2g" display="Ankle - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_436docFMEea5pdrFDq-m2g" base_EnumerationLiteral="_436doMFMEea5pdrFDq-m2g" display="Ankle - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_436do8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_436dosFMEea5pdrFDq-m2g" display="Chest X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_436dpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_436dpMFMEea5pdrFDq-m2g" display="Elbow - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_436dp8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_436dpsFMEea5pdrFDq-m2g" display="Elbow - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437EscFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437EsMFMEea5pdrFDq-m2g" display="Facial bones X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437Es8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_437EssFMEea5pdrFDq-m2g" display="Femur - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437EtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437EtMFMEea5pdrFDq-m2g" display="Femur - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437Et8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_437EtsFMEea5pdrFDq-m2g" display="Hand X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437rwMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437EuMFMEea5pdrFDq-m2g" display="Hand - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437rwsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437rwcFMEea5pdrFDq-m2g" display="Hand - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437rxMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437rw8FMEea5pdrFDq-m2g" display="Hip X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_437rxsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437rxcFMEea5pdrFDq-m2g" display="Hip - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_438S0MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_437rx8FMEea5pdrFDq-m2g" display="Hip - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_438S0sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_438S0cFMEea5pdrFDq-m2g" display="Humerus X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_438S1MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_438S08FMEea5pdrFDq-m2g" display="Humerus - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_438S1sFMEea5pdrFDq-m2g" base_EnumerationLiteral="_438S1cFMEea5pdrFDq-m2g" display="Humerus - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_438S2MFMEea5pdrFDq-m2g" base_EnumerationLiteral="_438S18FMEea5pdrFDq-m2g" display="Knee - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43854cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43854MFMEea5pdrFDq-m2g" display="Knee - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_438548FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43854sFMEea5pdrFDq-m2g" display="Patella X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43855cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43855MFMEea5pdrFDq-m2g" display="Pelvis X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_439g8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_439g8MFMEea5pdrFDq-m2g" display="Ribs X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_439g88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_439g8sFMEea5pdrFDq-m2g" display="Ribs - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_439g9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_439g9MFMEea5pdrFDq-m2g" display="Ribs - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_439g98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_439g9sFMEea5pdrFDq-m2g" display="Shoulder X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-IAcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-IAMFMEea5pdrFDq-m2g" display="Shoulder - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-IA8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-IAsFMEea5pdrFDq-m2g" display="Shoulder - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-IBcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-IBMFMEea5pdrFDq-m2g" display="Skull X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-IB8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-IBsFMEea5pdrFDq-m2g" display="Spine Cervical X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-vEcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-vEMFMEea5pdrFDq-m2g" display="Spine Cervical and Thoracic and Lumbar X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-vE8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-vEsFMEea5pdrFDq-m2g" display="Spine Lumbar X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-vFcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-vFMFMEea5pdrFDq-m2g" display="Wrist - left X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43-vF8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-vFsFMEea5pdrFDq-m2g" display="Wrist - right X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43_WIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43-vGMFMEea5pdrFDq-m2g" display="Unspecified body region Fluoroscopy portable"/>
  <fhir:ValueSetMember xmi:id="_43_WIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43_WIcFMEea5pdrFDq-m2g" display="Zygomatic arch X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43_WJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43_WI8FMEea5pdrFDq-m2g" display="Zygomatic arch - bilateral X-ray portable"/>
  <fhir:ValueSetMember xmi:id="_43_WJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43_WJcFMEea5pdrFDq-m2g" display="Chest X-ray portable W inspiration and expiration"/>
  <fhir:ValueSetMember xmi:id="_43_WKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_43_WJ8FMEea5pdrFDq-m2g" display="Lung Scan portable"/>
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  <fhir:ValueSetMember xmi:id="_43_9M8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43_9MsFMEea5pdrFDq-m2g" display="Lung Scan quantitative"/>
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  <fhir:ValueSetMember xmi:id="_43_9N8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_43_9NsFMEea5pdrFDq-m2g" display="Abdomen X-ray right lateral and left lateral"/>
  <fhir:ValueSetMember xmi:id="_44AkQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44AkQMFMEea5pdrFDq-m2g" display="Abdomen X-ray right oblique and left oblique"/>
  <fhir:ValueSetMember xmi:id="_44AkQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44AkQsFMEea5pdrFDq-m2g" display="Chest X-ray right oblique and left oblique"/>
  <fhir:ValueSetMember xmi:id="_44AkRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44AkRMFMEea5pdrFDq-m2g" display="Chest X-ray right oblique and left oblique upright"/>
  <fhir:ValueSetMember xmi:id="_44BLUMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44AkRsFMEea5pdrFDq-m2g" display="Chest X-ray right oblique and left oblique W nipple markers"/>
  <fhir:ValueSetMember xmi:id="_44BLUsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44BLUcFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram roll"/>
  <fhir:ValueSetMember xmi:id="_44BLVMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44BLU8FMEea5pdrFDq-m2g" display="Breast - left Mammogram roll"/>
  <fhir:ValueSetMember xmi:id="_44ByYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44ByYMFMEea5pdrFDq-m2g" display="Breast - right Mammogram roll"/>
  <fhir:ValueSetMember xmi:id="_44ByY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44ByYsFMEea5pdrFDq-m2g" display="Chest X-ray right or-left oblique"/>
  <fhir:ValueSetMember xmi:id="_44ByZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44ByZMFMEea5pdrFDq-m2g" display="Chest X-ray right or-left oblique portable"/>
  <fhir:ValueSetMember xmi:id="_44ByZ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44ByZsFMEea5pdrFDq-m2g" display="Aorta abdominal Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_44CZccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44CZcMFMEea5pdrFDq-m2g" display="Aorta and Femoral artery - bilateral Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_44CZc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44CZcsFMEea5pdrFDq-m2g" display="Aorta and Femoral artery - left Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_44CZdcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44CZdMFMEea5pdrFDq-m2g" display="Aorta and Femoral artery - right Fluoroscopic angiogram runoff W contrast IA"/>
  <fhir:ValueSetMember xmi:id="_44CZd8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44CZdsFMEea5pdrFDq-m2g" display="Wrist X-ray scaphoid"/>
  <fhir:ValueSetMember xmi:id="_44DAgcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DAgMFMEea5pdrFDq-m2g" display="Wrist - bilateral X-ray scaphoid"/>
  <fhir:ValueSetMember xmi:id="_44DAg8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DAgsFMEea5pdrFDq-m2g" display="Wrist - left X-ray scaphoid"/>
  <fhir:ValueSetMember xmi:id="_44DAhcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DAhMFMEea5pdrFDq-m2g" display="Wrist - right X-ray scaphoid"/>
  <fhir:ValueSetMember xmi:id="_44DAh8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DAhsFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis"/>
  <fhir:ValueSetMember xmi:id="_44DnkcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DnkMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP and lateral"/>
  <fhir:ValueSetMember xmi:id="_44Dnk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DnksFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP and lateral sitting"/>
  <fhir:ValueSetMember xmi:id="_44DnlcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44DnlMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP and lateral standing"/>
  <fhir:ValueSetMember xmi:id="_44EOocFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44EOoMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP in traction"/>
  <fhir:ValueSetMember xmi:id="_44EOo8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44EOosFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP standing and W right bending and W left bending and WO bending"/>
  <fhir:ValueSetMember xmi:id="_44EOpcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44EOpMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis AP upright and supine"/>
  <fhir:ValueSetMember xmi:id="_44E1scFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44E1sMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis lateral"/>
  <fhir:ValueSetMember xmi:id="_44E1s8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44E1ssFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis standing"/>
  <fhir:ValueSetMember xmi:id="_44E1tcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44E1tMFMEea5pdrFDq-m2g" display="Spine Thoracic and Lumbar X-ray scoliosis W flexion and W extension"/>
  <fhir:ValueSetMember xmi:id="_44E1t8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44E1tsFMEea5pdrFDq-m2g" display="Breast Mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44FcwcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44FcwMFMEea5pdrFDq-m2g" display="Breast FFD mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44Fcw8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44FcwsFMEea5pdrFDq-m2g" display="Breast implant X-ray screening"/>
  <fhir:ValueSetMember xmi:id="_44FcxcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44FcxMFMEea5pdrFDq-m2g" display="Breast implant - bilateral Mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44Fcx8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44FcxsFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44GD0cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44GD0MFMEea5pdrFDq-m2g" display="Breast - bilateral FFD mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44GD08FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44GD0sFMEea5pdrFDq-m2g" display="Breast - left Mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44GD1cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44GD1MFMEea5pdrFDq-m2g" display="Breast - left FFD mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44GD18FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44GD1sFMEea5pdrFDq-m2g" display="Breast - right Mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44Gq4cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44Gq4MFMEea5pdrFDq-m2g" display="Breast - right FFD mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44Gq48FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44Gq4sFMEea5pdrFDq-m2g" display="Breast - unilateral Mammogram screening"/>
  <fhir:ValueSetMember xmi:id="_44Gq5cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44Gq5MFMEea5pdrFDq-m2g" display="Calcaneus X-ray ski jump"/>
  <fhir:ValueSetMember xmi:id="_44Gq58FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44Gq5sFMEea5pdrFDq-m2g" display="Calcaneus - bilateral X-ray ski jump"/>
  <fhir:ValueSetMember xmi:id="_44HR8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44HR8MFMEea5pdrFDq-m2g" display="Calcaneus - left X-ray ski jump"/>
  <fhir:ValueSetMember xmi:id="_44HR88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44HR8sFMEea5pdrFDq-m2g" display="Calcaneus - right X-ray ski jump"/>
  <fhir:ValueSetMember xmi:id="_44HR9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44HR9MFMEea5pdrFDq-m2g" display="Breast Mammogram spot"/>
  <fhir:ValueSetMember xmi:id="_44H5AMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44HR9sFMEea5pdrFDq-m2g" display="Breast - bilateral Mammogram spot"/>
  <fhir:ValueSetMember xmi:id="_44H5AsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44H5AcFMEea5pdrFDq-m2g" display="Breast - right Mammogram spot"/>
  <fhir:ValueSetMember xmi:id="_44H5BMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44H5A8FMEea5pdrFDq-m2g" display="Breast - left Mammogram spot compression"/>
  <fhir:ValueSetMember xmi:id="_44H5BsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44H5BcFMEea5pdrFDq-m2g" display="Brain Scan static and flow"/>
  <fhir:ValueSetMember xmi:id="_44IgEMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44H5B8FMEea5pdrFDq-m2g" display="Scrotum and Testicle Scan static and flow"/>
  <fhir:ValueSetMember xmi:id="_44IgEsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44IgEcFMEea5pdrFDq-m2g" display="Scan static for infection W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_44IgFMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44IgE8FMEea5pdrFDq-m2g" display="Heart Scan static for shunt detection"/>
  <fhir:ValueSetMember xmi:id="_44IgFsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44IgFcFMEea5pdrFDq-m2g" display="Scan static for tumor W GA-67 IV"/>
  <fhir:ValueSetMember xmi:id="_44JHIMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44IgF8FMEea5pdrFDq-m2g" display="Bone Scan static limited"/>
  <fhir:ValueSetMember xmi:id="_44JHIsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JHIcFMEea5pdrFDq-m2g" display="Brain Scan static limited"/>
  <fhir:ValueSetMember xmi:id="_44JHJMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JHI8FMEea5pdrFDq-m2g" display="Bone Scan static multiple areas"/>
  <fhir:ValueSetMember xmi:id="_44JHJsFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JHJcFMEea5pdrFDq-m2g" display="Bone Scan static whole body"/>
  <fhir:ValueSetMember xmi:id="_44JHKMFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JHJ8FMEea5pdrFDq-m2g" display="Bone Scan static"/>
  <fhir:ValueSetMember xmi:id="_44JuMcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JuMMFMEea5pdrFDq-m2g" display="Bone marrow Scan static"/>
  <fhir:ValueSetMember xmi:id="_44JuM8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JuMsFMEea5pdrFDq-m2g" display="Brain Scan static"/>
  <fhir:ValueSetMember xmi:id="_44JuNcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JuNMFMEea5pdrFDq-m2g" display="Kidney - bilateral Scan static"/>
  <fhir:ValueSetMember xmi:id="_44JuN8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44JuNsFMEea5pdrFDq-m2g" display="Liver Scan static"/>
  <fhir:ValueSetMember xmi:id="_44KVQcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44KVQMFMEea5pdrFDq-m2g" display="Liver and Spleen Scan static"/>
  <fhir:ValueSetMember xmi:id="_44KVQ8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44KVQsFMEea5pdrFDq-m2g" display="Salivary gland Scan static"/>
  <fhir:ValueSetMember xmi:id="_44KVRcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44KVRMFMEea5pdrFDq-m2g" display="Scrotum and Testicle Scan static"/>
  <fhir:ValueSetMember xmi:id="_44KVR8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44KVRsFMEea5pdrFDq-m2g" display="Vessel Scan static"/>
  <fhir:ValueSetMember xmi:id="_44K8UcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44K8UMFMEea5pdrFDq-m2g" display="Brain Scan static W Tc-99m bicisate IV"/>
  <fhir:ValueSetMember xmi:id="_44K8U8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44K8UsFMEea5pdrFDq-m2g" display="Kidney - bilateral Scan static W Tc-99m DMSA IV"/>
  <fhir:ValueSetMember xmi:id="_44K8VcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44K8VMFMEea5pdrFDq-m2g" display="Mastoid X-ray Stenver and Arcelin"/>
  <fhir:ValueSetMember xmi:id="_44K8V8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44K8VsFMEea5pdrFDq-m2g" display="Knee X-ray Sunrise and tunnel"/>
  <fhir:ValueSetMember xmi:id="_44K8WcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44K8WMFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Sunrise and tunnel"/>
  <fhir:ValueSetMember xmi:id="_44LjYcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44LjYMFMEea5pdrFDq-m2g" display="Knee - left X-ray Sunrise and tunnel"/>
  <fhir:ValueSetMember xmi:id="_44LjY8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44LjYsFMEea5pdrFDq-m2g" display="Knee - right X-ray Sunrise and tunnel"/>
  <fhir:ValueSetMember xmi:id="_44LjZcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44LjZMFMEea5pdrFDq-m2g" display="Knee - left X-ray Sunrise and tunnel standing"/>
  <fhir:ValueSetMember xmi:id="_44MKccFMEea5pdrFDq-m2g" base_EnumerationLiteral="_44MKcMFMEea5pdrFDq-m2g" display="Knee - right X-ray Sunrise and tunnel standing"/>
  <fhir:ValueSetMember xmi:id="_44MKc8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_44MKcsFMEea5pdrFDq-m2g" display="Knee - bilateral X-ray Sunrise 20 and 40 and 60 degrees"/>
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  <fhir:ValueSetBinding xmi:id="_460nsMFMEea5pdrFDq-m2g" base_Property="_460AqcFMEea5pdrFDq-m2g" strength="required" description="The status of the episode of care." valueSetReference="_460nssFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_460nssFMEea5pdrFDq-m2g" id="episode-of-care-status" uri="http://hl7.org/fhir/ValueSet/episode-of-care-status" version="1.8.0" name="EpisodeOfCareStatus" publisher="HL7 (FHIR Project)" base_Enumeration="_460nscFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetBinding xmi:id="_46111cFMEea5pdrFDq-m2g" base_Property="_46110cFMEea5pdrFDq-m2g" strength="required" description="The status of the episode of care." valueSetReference="_460nssFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetBinding xmi:id="_462c7MFMEea5pdrFDq-m2g" base_Property="_462c6MFMEea5pdrFDq-m2g" description="The type of the episode of care"/>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:ValueSetBinding xmi:id="_466HSsFMEea5pdrFDq-m2g" base_Property="_466HRsFMEea5pdrFDq-m2g" strength="required" description="The clinical status of the condition or diagnosis." valueSetReference="_466uUcFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_466uU8FMEea5pdrFDq-m2g" base_Comment="_466uUsFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSet xmi:id="_4678d8FMEea5pdrFDq-m2g" id="condition-category" uri="http://hl7.org/fhir/ValueSet/condition-category" version="1.8.0" name="Condition Category Codes" publisher="FHIR Project team" base_Enumeration="_4678dsFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSet xmi:id="_469KkcFMEea5pdrFDq-m2g" id="condition-severity" uri="http://hl7.org/fhir/ValueSet/condition-severity" version="1.8.0" name="Condition/Diagnosis Severity" publisher="FHIR Project team" base_Enumeration="_469KkMFMEea5pdrFDq-m2g"/>
  <fhir:ValueSetMember xmi:id="_469Kk8FMEea5pdrFDq-m2g" base_EnumerationLiteral="_469KksFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetMember xmi:id="_46-YtcFMEea5pdrFDq-m2g" base_EnumerationLiteral="_46-YtMFMEea5pdrFDq-m2g" display="No current problems or disability"/>
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  <fhir:ShortDescription xmi:id="_46_m0MFMEea5pdrFDq-m2g" base_Comment="_46-_ycFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetBinding xmi:id="_47DRP8FMEea5pdrFDq-m2g" base_Property="_47DRO8FMEea5pdrFDq-m2g" description="Codes describing condition stages (e.g. Cancer stages)." valueSetReference="_47D4QcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_47D4QcFMEea5pdrFDq-m2g" id="condition-stage" uri="http://hl7.org/fhir/ValueSet/condition-stage" version="1.8.0" name="Condition Stage" publisher="HL7 International - Patient Care WG" base_Enumeration="_47D4QMFMEea5pdrFDq-m2g"/>
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  <fhir:StructureDefinition xmi:id="_47EfUcFMEea5pdrFDq-m2g" id="ClinicalImpression" uri="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" name="ClinicalImpression" publisher="Health Level Seven International (Patient Care)" base_Class="_47D4RsFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
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  <fhir:ValueSetBinding xmi:id="_47FtccFMEea5pdrFDq-m2g" base_Property="_47FGbcFMEea5pdrFDq-m2g" strength="required" description="The workflow state of a clinical impression." valueSetReference="_47Ftc8FMEea5pdrFDq-m2g"/>
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  <fhir:StructureDefinition xmi:id="_49aBosFMEea5pdrFDq-m2g" id="CareTeam" uri="http://hl7.org/fhir/StructureDefinition/CareTeam" name="CareTeam" publisher="Health Level Seven International (Patient Care)" base_Class="_49aBoMFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
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  <fhir:ElementDefinition xmi:id="_49aousFMEea5pdrFDq-m2g" id="CareTeam.identifier" base_Property="_49aot8FMEea5pdrFDq-m2g" name="CareTeam.identifier" isSummary="true"/>
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  <fhir:Definition xmi:id="_49bPw8FMEea5pdrFDq-m2g" base_Comment="_49bPwsFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_49bPz8FMEea5pdrFDq-m2g" id="CareTeam.category" base_Property="_49bPzMFMEea5pdrFDq-m2g" name="CareTeam.category" isSummary="true"/>
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  <fhir:ElementDefinition xmi:id="_49b228FMEea5pdrFDq-m2g" id="CareTeam.name" base_Property="_49b22MFMEea5pdrFDq-m2g" name="CareTeam.name" isSummary="true"/>
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  <fhir:Definition xmi:id="_49eTF8FMEea5pdrFDq-m2g" base_Comment="_49eTFsFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_49e6IcFMEea5pdrFDq-m2g" base_Comment="_49e6IMFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_49gvUMFMEea5pdrFDq-m2g" id="CarePlan.careTeam" base_Property="_49gITsFMEea5pdrFDq-m2g" name="CarePlan.careTeam"/>
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  <fhir:Definition xmi:id="_49h9ccFMEea5pdrFDq-m2g" base_Comment="_49h9cMFMEea5pdrFDq-m2g"/>
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  <Ecore:EClass xmi:id="_49ndAcFMEea5pdrFDq-m2g" base_Class="_49h9dsFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:ValueSet xmi:id="_49p5RsFMEea5pdrFDq-m2g" id="questionnaire-status" uri="http://hl7.org/fhir/ValueSet/questionnaire-status" version="1.8.0" name="QuestionnaireStatus" publisher="HL7 (FHIR Project)" base_Enumeration="_49p5RcFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_49qgW8FMEea5pdrFDq-m2g" base_Comment="_49qgWsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_49ruccFMEea5pdrFDq-m2g" base_Comment="_49rucMFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_49sVgcFMEea5pdrFDq-m2g" base_Comment="_49sVgMFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_49s8kMFMEea5pdrFDq-m2g" base_Comment="_49sVjMFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_49uKssFMEea5pdrFDq-m2g" base_Comment="_49uKscFMEea5pdrFDq-m2g"/>
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  <Ecore:EClass xmi:id="_49uxwsFMEea5pdrFDq-m2g" base_Class="_49uxwMFMEea5pdrFDq-m2g" className="QuestionnaireItem"/>
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  <fhir:ValueSetMember xmi:id="_4-EI8cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4-EI8MFMEea5pdrFDq-m2g" display="Admission to hospital"/>
  <fhir:ValueSetMember xmi:id="_4-EI88FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4-EI8sFMEea5pdrFDq-m2g" display="Discharge from hospital"/>
  <fhir:ValueSetMember xmi:id="_4-EI9cFMEea5pdrFDq-m2g" base_EnumerationLiteral="_4-EI9MFMEea5pdrFDq-m2g" display="Completion time of procedure"/>
  <fhir:ValueSetMember xmi:id="_4-EI98FMEea5pdrFDq-m2g" base_EnumerationLiteral="_4-EI9sFMEea5pdrFDq-m2g" display="Childbirth"/>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:ShortDescription xmi:id="_4-PIF8FMEea5pdrFDq-m2g" base_Comment="_4-PIFsFMEea5pdrFDq-m2g"/>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:Definition xmi:id="_5Gu8wsFMEea5pdrFDq-m2g" base_Comment="_5Gu8wcFMEea5pdrFDq-m2g"/>
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  <validation:Diagnostic xmi:id="_5Gvj08FMEea5pdrFDq-m2g" base_Constraint="_5Gvj0cFMEea5pdrFDq-m2g" code="-1" message="Can only have replacedBy if naming system is retired"/>
  <validation:Diagnostic xmi:id="_5GwK4MFMEea5pdrFDq-m2g" base_Constraint="_5Gvj1MFMEea5pdrFDq-m2g" code="-1" message="Can't have more than one preferred identifier for a type"/>
  <Ecore:EClass xmi:id="_5Gwx8MFMEea5pdrFDq-m2g" base_Class="_5Gu8w8FMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:Definition xmi:id="_5Gwx-MFMEea5pdrFDq-m2g" base_Comment="_5Gwx98FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5Gwx_MFMEea5pdrFDq-m2g" id="NamingSystem.name" base_Property="_5Gwx-cFMEea5pdrFDq-m2g" name="NamingSystem.name" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5GxZAcFMEea5pdrFDq-m2g" base_Comment="_5GxZAMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5GxZA8FMEea5pdrFDq-m2g" base_Comment="_5GxZAsFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5GxZC8FMEea5pdrFDq-m2g" id="NamingSystem.status" base_Property="_5GxZCMFMEea5pdrFDq-m2g" name="NamingSystem.status" isModifier="true" isSummary="true"/>
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  <fhir:ShortDescription xmi:id="_5GyAEcFMEea5pdrFDq-m2g" base_Comment="_5GyAEMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5GyAE8FMEea5pdrFDq-m2g" base_Comment="_5GyAEsFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5GyAGcFMEea5pdrFDq-m2g" id="NamingSystem.kind" base_Property="_5GyAFsFMEea5pdrFDq-m2g" name="NamingSystem.kind"/>
  <fhir:ValueSetBinding xmi:id="_5GyAGsFMEea5pdrFDq-m2g" base_Property="_5GyAFsFMEea5pdrFDq-m2g" strength="required" description="Identifies the purpose of the naming system." valueSetReference="_5GynIcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_5GynIcFMEea5pdrFDq-m2g" id="namingsystem-type" uri="http://hl7.org/fhir/ValueSet/namingsystem-type" version="1.8.0" name="NamingSystemType" publisher="HL7 (FHIR Project)" base_Enumeration="_5GynIMFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5GynJcFMEea5pdrFDq-m2g" base_Comment="_5GynJMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5GzOMMFMEea5pdrFDq-m2g" id="NamingSystem.date" base_Property="_5GynJsFMEea5pdrFDq-m2g" name="NamingSystem.date" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5GzOMsFMEea5pdrFDq-m2g" base_Comment="_5GzOMcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5GzONMFMEea5pdrFDq-m2g" base_Comment="_5GzOM8FMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5GzOOsFMEea5pdrFDq-m2g" id="NamingSystem.publisher" base_Property="_5GzON8FMEea5pdrFDq-m2g" name="NamingSystem.publisher" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5GzOPMFMEea5pdrFDq-m2g" base_Comment="_5GzOO8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5GzOPsFMEea5pdrFDq-m2g" base_Comment="_5GzOPcFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5Gz1RsFMEea5pdrFDq-m2g" id="NamingSystem.contact" base_Property="_5Gz1Q8FMEea5pdrFDq-m2g" name="NamingSystem.contact" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5Gz1SMFMEea5pdrFDq-m2g" base_Comment="_5Gz1R8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Gz1SsFMEea5pdrFDq-m2g" base_Comment="_5Gz1ScFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5G0cU8FMEea5pdrFDq-m2g" id="NamingSystem.responsible" base_Property="_5G0cUMFMEea5pdrFDq-m2g" name="NamingSystem.responsible"/>
  <fhir:ShortDescription xmi:id="_5G0cVcFMEea5pdrFDq-m2g" base_Comment="_5G0cVMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5G0cV8FMEea5pdrFDq-m2g" base_Comment="_5G0cVsFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5G0cXcFMEea5pdrFDq-m2g" id="NamingSystem.type" base_Property="_5G0cWsFMEea5pdrFDq-m2g" name="NamingSystem.type"/>
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  <fhir:ShortDescription xmi:id="_5G1DYcFMEea5pdrFDq-m2g" base_Comment="_5G1DYMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5G1DY8FMEea5pdrFDq-m2g" base_Comment="_5G1DYsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G1qc8FMEea5pdrFDq-m2g" base_Comment="_5G1qcsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G1qfcFMEea5pdrFDq-m2g" base_Comment="_5G1qfMFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5G2RhsFMEea5pdrFDq-m2g" id="NamingSystem.jurisdiction" base_Property="_5G2Rg8FMEea5pdrFDq-m2g" name="NamingSystem.jurisdiction" isSummary="true"/>
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  <fhir:ShortDescription xmi:id="_5G24kMFMEea5pdrFDq-m2g" base_Comment="_5G2RiMFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G24msFMEea5pdrFDq-m2g" base_Comment="_5G24mcFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G4Gt8FMEea5pdrFDq-m2g" base_Comment="_5G4GtsFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_5G4GvcFMEea5pdrFDq-m2g" id="NamingSystem.uniqueId.type" base_Property="_5G4GusFMEea5pdrFDq-m2g" name="NamingSystem.uniqueId.type"/>
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  <fhir:ValueSet xmi:id="_5G4twsFMEea5pdrFDq-m2g" id="namingsystem-identifier-type" uri="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type" version="1.8.0" name="NamingSystemIdentifierType" publisher="HL7 (FHIR Project)" base_Enumeration="_5G4twcFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G5U2cFMEea5pdrFDq-m2g" base_Comment="_5G5U2MFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_5G575cFMEea5pdrFDq-m2g" base_Comment="_5G575MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5G5758FMEea5pdrFDq-m2g" base_Comment="_5G575sFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G5778FMEea5pdrFDq-m2g" base_Comment="_5G577sFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5G7KC8FMEea5pdrFDq-m2g" base_Comment="_5G7KCsFMEea5pdrFDq-m2g"/>
  <validation:Diagnostic xmi:id="_5G7xEsFMEea5pdrFDq-m2g" base_Constraint="_5G7xEMFMEea5pdrFDq-m2g" code="-1" message="If the map is narrower or inexact, there SHALL be some comments"/>
  <Ecore:EClass xmi:id="_5G8YIMFMEea5pdrFDq-m2g" base_Class="_5G7KDMFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_5G8YIcFMEea5pdrFDq-m2g" id="ConceptMap" uri="http://hl7.org/fhir/StructureDefinition/ConceptMap" name="ConceptMap" publisher="Health Level Seven International (Vocabulary)" base_Class="_5G7KDMFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
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  <fhir:Definition xmi:id="_5G8_N8FMEea5pdrFDq-m2g" base_Comment="_5G8_NsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5IU4OsFMEea5pdrFDq-m2g" base_Comment="_5IU4OcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IU4PsFMEea5pdrFDq-m2g" id="PaymentReconciliation.created" base_Property="_5IU4O8FMEea5pdrFDq-m2g" name="PaymentReconciliation.created"/>
  <fhir:ShortDescription xmi:id="_5IVfQcFMEea5pdrFDq-m2g" base_Comment="_5IVfQMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IVfQ8FMEea5pdrFDq-m2g" base_Comment="_5IVfQsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IVfR8FMEea5pdrFDq-m2g" id="PaymentReconciliation.organization" base_Property="_5IVfRMFMEea5pdrFDq-m2g" name="PaymentReconciliation.organization"/>
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  <fhir:Definition xmi:id="_5IWGUsFMEea5pdrFDq-m2g" base_Comment="_5IWGUcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IWGVsFMEea5pdrFDq-m2g" id="PaymentReconciliation.request" base_Property="_5IWGU8FMEea5pdrFDq-m2g" name="PaymentReconciliation.request"/>
  <fhir:ShortDescription xmi:id="_5IWGXMFMEea5pdrFDq-m2g" base_Comment="_5IWGW8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IWGXsFMEea5pdrFDq-m2g" base_Comment="_5IWGXcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IWtY8FMEea5pdrFDq-m2g" id="PaymentReconciliation.outcome" base_Property="_5IWtYMFMEea5pdrFDq-m2g" name="PaymentReconciliation.outcome"/>
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  <fhir:Definition xmi:id="_5IXUc8FMEea5pdrFDq-m2g" base_Comment="_5IXUcsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IXUd8FMEea5pdrFDq-m2g" id="PaymentReconciliation.disposition" base_Property="_5IXUdMFMEea5pdrFDq-m2g" name="PaymentReconciliation.disposition"/>
  <fhir:ShortDescription xmi:id="_5IXUecFMEea5pdrFDq-m2g" base_Comment="_5IXUeMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IXUe8FMEea5pdrFDq-m2g" base_Comment="_5IXUesFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IX7gMFMEea5pdrFDq-m2g" id="PaymentReconciliation.requestProvider" base_Property="_5IXUfMFMEea5pdrFDq-m2g" name="PaymentReconciliation.requestProvider"/>
  <fhir:ShortDescription xmi:id="_5IX7hsFMEea5pdrFDq-m2g" base_Comment="_5IX7hcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IX7iMFMEea5pdrFDq-m2g" base_Comment="_5IX7h8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IX7jMFMEea5pdrFDq-m2g" id="PaymentReconciliation.requestOrganization" base_Property="_5IX7icFMEea5pdrFDq-m2g" name="PaymentReconciliation.requestOrganization"/>
  <fhir:ShortDescription xmi:id="_5IYilcFMEea5pdrFDq-m2g" base_Comment="_5IYilMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IYil8FMEea5pdrFDq-m2g" base_Comment="_5IYilsFMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_5IZJoMFMEea5pdrFDq-m2g" base_Class="_5IYimMFMEea5pdrFDq-m2g" className="PaymentReconciliationDetails"/>
  <fhir:ElementDefinition xmi:id="_5IZJpMFMEea5pdrFDq-m2g" id="PaymentReconciliation.detail" base_Property="_5IZJocFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail"/>
  <fhir:ShortDescription xmi:id="_5IZJqsFMEea5pdrFDq-m2g" base_Comment="_5IZJqcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IZJrMFMEea5pdrFDq-m2g" base_Comment="_5IZJq8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IZws8FMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.type" base_Property="_5IZwsMFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.type"/>
  <fhir:ValueSetBinding xmi:id="_5IZwtMFMEea5pdrFDq-m2g" base_Property="_5IZwsMFMEea5pdrFDq-m2g" description="The reason for the amount: payment, adjustment, advance." valueSetReference="_5IZwtsFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_5IZwtsFMEea5pdrFDq-m2g" id="payment-type" uri="http://hl7.org/fhir/ValueSet/payment-type" version="1.8.0" name="Payment Type Codes" publisher="Financial Management" base_Enumeration="_5IZwtcFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_5IaXwMFMEea5pdrFDq-m2g" base_Comment="_5IZwt8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IaXwsFMEea5pdrFDq-m2g" base_Comment="_5IaXwcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IaXxsFMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.request" base_Property="_5IaXw8FMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.request"/>
  <fhir:ShortDescription xmi:id="_5IaXzMFMEea5pdrFDq-m2g" base_Comment="_5IaXy8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IaXzsFMEea5pdrFDq-m2g" base_Comment="_5IaXzcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5Ia-08FMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.response" base_Property="_5Ia-0MFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.response"/>
  <fhir:ShortDescription xmi:id="_5Ia-2cFMEea5pdrFDq-m2g" base_Comment="_5Ia-2MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Ia-28FMEea5pdrFDq-m2g" base_Comment="_5Ia-2sFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5Ibl48FMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.submitter" base_Property="_5Ibl4MFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.submitter"/>
  <fhir:ShortDescription xmi:id="_5Ibl6cFMEea5pdrFDq-m2g" base_Comment="_5Ibl6MFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Ibl68FMEea5pdrFDq-m2g" base_Comment="_5Ibl6sFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IcM8MFMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.payee" base_Property="_5Ibl7MFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.payee"/>
  <fhir:ShortDescription xmi:id="_5IcM9sFMEea5pdrFDq-m2g" base_Comment="_5IcM9cFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IcM-MFMEea5pdrFDq-m2g" base_Comment="_5IcM98FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IcM_MFMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.date" base_Property="_5IcM-cFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.date"/>
  <fhir:ShortDescription xmi:id="_5IcM_sFMEea5pdrFDq-m2g" base_Comment="_5IcM_cFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Ic0AcFMEea5pdrFDq-m2g" base_Comment="_5Ic0AMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5Ic0BcFMEea5pdrFDq-m2g" id="PaymentReconciliation.detail.amount" base_Property="_5Ic0AsFMEea5pdrFDq-m2g" name="PaymentReconciliation.detail.amount"/>
  <fhir:ShortDescription xmi:id="_5Ic0B8FMEea5pdrFDq-m2g" base_Comment="_5Ic0BsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Ic0CcFMEea5pdrFDq-m2g" base_Comment="_5Ic0CMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IdbEsFMEea5pdrFDq-m2g" id="PaymentReconciliation.form" base_Property="_5Ic0CsFMEea5pdrFDq-m2g" name="PaymentReconciliation.form"/>
  <fhir:ValueSetBinding xmi:id="_5IdbE8FMEea5pdrFDq-m2g" base_Property="_5Ic0CsFMEea5pdrFDq-m2g" strength="required" description="The forms codes." valueSetReference="_5IdbFcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_5IdbFcFMEea5pdrFDq-m2g" id="forms" uri="http://hl7.org/fhir/ValueSet/forms" version="1.8.0" name="Form Codes" publisher="Financial Management" base_Enumeration="_5IdbFMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_5IdbF8FMEea5pdrFDq-m2g" base_Comment="_5IdbFsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IeCIcFMEea5pdrFDq-m2g" base_Comment="_5IeCIMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IeCJcFMEea5pdrFDq-m2g" id="PaymentReconciliation.total" base_Property="_5IeCIsFMEea5pdrFDq-m2g" name="PaymentReconciliation.total"/>
  <fhir:ShortDescription xmi:id="_5IeCJ8FMEea5pdrFDq-m2g" base_Comment="_5IeCJsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IeCKcFMEea5pdrFDq-m2g" base_Comment="_5IeCKMFMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_5IepMMFMEea5pdrFDq-m2g" base_Class="_5IeCKsFMEea5pdrFDq-m2g" className="PaymentReconciliationNotes"/>
  <fhir:ElementDefinition xmi:id="_5IepNMFMEea5pdrFDq-m2g" id="PaymentReconciliation.note" base_Property="_5IepMcFMEea5pdrFDq-m2g" name="PaymentReconciliation.note"/>
  <fhir:ShortDescription xmi:id="_5IfQRcFMEea5pdrFDq-m2g" base_Comment="_5IfQRMFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IfQR8FMEea5pdrFDq-m2g" base_Comment="_5IfQRsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IfQS8FMEea5pdrFDq-m2g" id="PaymentReconciliation.note.type" base_Property="_5IfQSMFMEea5pdrFDq-m2g" name="PaymentReconciliation.note.type"/>
  <fhir:ValueSetBinding xmi:id="_5IfQTMFMEea5pdrFDq-m2g" base_Property="_5IfQSMFMEea5pdrFDq-m2g" strength="required" description="The presentation types of notes." valueSetReference="_5If3UcFMEea5pdrFDq-m2g"/>
  <fhir:ValueSet xmi:id="_5If3UcFMEea5pdrFDq-m2g" id="note-type" uri="http://hl7.org/fhir/ValueSet/note-type" version="1.8.0" name="NoteType" publisher="HL7 (FHIR Project)" base_Enumeration="_5If3UMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_5If3U8FMEea5pdrFDq-m2g" base_Comment="_5If3UsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5If3VcFMEea5pdrFDq-m2g" base_Comment="_5If3VMFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IgeYMFMEea5pdrFDq-m2g" id="PaymentReconciliation.note.text" base_Property="_5If3VsFMEea5pdrFDq-m2g" name="PaymentReconciliation.note.text"/>
  <fhir:ShortDescription xmi:id="_5IgeYsFMEea5pdrFDq-m2g" base_Comment="_5IgeYcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IgeZMFMEea5pdrFDq-m2g" base_Comment="_5IgeY8FMEea5pdrFDq-m2g"/>
  <Ecore:EClass xmi:id="_5IhFcMFMEea5pdrFDq-m2g" base_Class="_5IgeZcFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:StructureDefinition xmi:id="_5IhFccFMEea5pdrFDq-m2g" id="DeviceUseStatement" uri="http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" name="DeviceUseStatement" publisher="Health Level Seven International (Orders and Observations)" base_Class="_5IgeZcFMEea5pdrFDq-m2g" isLogical="false" derivation="specialization"/>
  <fhir:Description xmi:id="_5IhFc8FMEea5pdrFDq-m2g" base_Comment="_5IhFcsFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_5IhFdsFMEea5pdrFDq-m2g" base_Comment="_5IhFdcFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IhFeMFMEea5pdrFDq-m2g" base_Comment="_5IhFd8FMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IhsgMFMEea5pdrFDq-m2g" id="DeviceUseStatement.bodySite" base_Property="_5IhFecFMEea5pdrFDq-m2g" name="DeviceUseStatement.bodySite" isSummary="true"/>
  <fhir:ValueSetBinding xmi:id="_5IhsgcFMEea5pdrFDq-m2g" base_Property="_5IhFecFMEea5pdrFDq-m2g" description="Codes describing anatomical locations. May include laterality." valueSetReference="_4pPvgMFMEea5pdrFDq-m2g"/>
  <fhir:ShortDescription xmi:id="_5Ihsg8FMEea5pdrFDq-m2g" base_Comment="_5IhsgsFMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IhshcFMEea5pdrFDq-m2g" base_Comment="_5IhshMFMEea5pdrFDq-m2g"/>
  <fhir:Requirements xmi:id="_5Ihsh8FMEea5pdrFDq-m2g" base_Comment="_5IhshsFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IiTksFMEea5pdrFDq-m2g" id="DeviceUseStatement.whenUsed" base_Property="_5IhsiMFMEea5pdrFDq-m2g" name="DeviceUseStatement.whenUsed" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5IiTlMFMEea5pdrFDq-m2g" base_Comment="_5IiTk8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IiTlsFMEea5pdrFDq-m2g" base_Comment="_5IiTlcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5IiTmsFMEea5pdrFDq-m2g" id="DeviceUseStatement.device" base_Property="_5IiTl8FMEea5pdrFDq-m2g" name="DeviceUseStatement.device" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5Ii6oMFMEea5pdrFDq-m2g" base_Comment="_5IiTn8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Ii6osFMEea5pdrFDq-m2g" base_Comment="_5Ii6ocFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5Ii6psFMEea5pdrFDq-m2g" id="DeviceUseStatement.identifier" base_Property="_5Ii6o8FMEea5pdrFDq-m2g" name="DeviceUseStatement.identifier" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5Ii6qMFMEea5pdrFDq-m2g" base_Comment="_5Ii6p8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5Ii6qsFMEea5pdrFDq-m2g" base_Comment="_5Ii6qcFMEea5pdrFDq-m2g"/>
  <fhir:ElementDefinition xmi:id="_5Ii6rsFMEea5pdrFDq-m2g" id="DeviceUseStatement.indication" base_Property="_5Ii6q8FMEea5pdrFDq-m2g" name="DeviceUseStatement.indication" isSummary="true"/>
  <fhir:ShortDescription xmi:id="_5IjhsMFMEea5pdrFDq-m2g" base_Comment="_5Ii6r8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IjhssFMEea5pdrFDq-m2g" base_Comment="_5IjhscFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_5IjhuMFMEea5pdrFDq-m2g" base_Comment="_5Ijht8FMEea5pdrFDq-m2g"/>
  <fhir:Definition xmi:id="_5IjhusFMEea5pdrFDq-m2g" base_Comment="_5IjhucFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5IkIw8FMEea5pdrFDq-m2g" base_Comment="_5IkIwsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5Ikv0sFMEea5pdrFDq-m2g" base_Comment="_5Ikv0cFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5Ikv2sFMEea5pdrFDq-m2g" base_Comment="_5Ikv2cFMEea5pdrFDq-m2g"/>
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  <validation:Diagnostic xmi:id="_5IlW48FMEea5pdrFDq-m2g" base_Constraint="_5IlW4cFMEea5pdrFDq-m2g" code="-1" message="TestScript metadata capability SHALL contain required or validated or both."/>
  <validation:Diagnostic xmi:id="_5Il98sFMEea5pdrFDq-m2g" base_Constraint="_5Il98MFMEea5pdrFDq-m2g" code="-1" message="Variable can only contain one of expression, headerField or path."/>
  <validation:Diagnostic xmi:id="_5ImlAMFMEea5pdrFDq-m2g" base_Constraint="_5Il988FMEea5pdrFDq-m2g" code="-1" message="Setup action SHALL contain either an operation or assert but not both."/>
  <validation:Diagnostic xmi:id="_5InMEMFMEea5pdrFDq-m2g" base_Constraint="_5ImlAcFMEea5pdrFDq-m2g" code="-1" message="Setup operation SHALL contain either sourceId or targetId or params or url."/>
  <validation:Diagnostic xmi:id="_5InME8FMEea5pdrFDq-m2g" base_Constraint="_5InMEcFMEea5pdrFDq-m2g" code="-1" message="Only a single assertion SHALL be present within setup action assert element."/>
  <validation:Diagnostic xmi:id="_5InzIMFMEea5pdrFDq-m2g" base_Constraint="_5InMFMFMEea5pdrFDq-m2g" code="-1" message="Setup action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither."/>
  <validation:Diagnostic xmi:id="_5IoaMMFMEea5pdrFDq-m2g" base_Constraint="_5InzIcFMEea5pdrFDq-m2g" code="-1" message="Setup action assert response and response and responseCode SHALL be empty when direction equals request"/>
  <validation:Diagnostic xmi:id="_5IoaM8FMEea5pdrFDq-m2g" base_Constraint="_5IoaMcFMEea5pdrFDq-m2g" code="-1" message="Test action SHALL contain either an operation or assert but not both."/>
  <validation:Diagnostic xmi:id="_5IpBQsFMEea5pdrFDq-m2g" base_Constraint="_5IpBQMFMEea5pdrFDq-m2g" code="-1" message="Test operation SHALL contain either sourceId or targetId or params or url."/>
  <validation:Diagnostic xmi:id="_5IpoUMFMEea5pdrFDq-m2g" base_Constraint="_5IpBQ8FMEea5pdrFDq-m2g" code="-1" message="Only a single assertion SHALL be present within test action assert element."/>
  <validation:Diagnostic xmi:id="_5IqPYMFMEea5pdrFDq-m2g" base_Constraint="_5IpoUcFMEea5pdrFDq-m2g" code="-1" message="Test action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither."/>
  <validation:Diagnostic xmi:id="_5Iq2cMFMEea5pdrFDq-m2g" base_Constraint="_5IqPYcFMEea5pdrFDq-m2g" code="-1" message="Test action assert response and response and responseCode SHALL be empty when direction equals request"/>
  <validation:Diagnostic xmi:id="_5Iq2c8FMEea5pdrFDq-m2g" base_Constraint="_5Iq2ccFMEea5pdrFDq-m2g" code="-1" message="Teardown operation SHALL contain either sourceId or targetId or params or url."/>
  <Ecore:EClass xmi:id="_5IrdgMFMEea5pdrFDq-m2g" base_Class="_5IlW4MFMEea5pdrFDq-m2g">
    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:Definition xmi:id="_5I9KVcFMEea5pdrFDq-m2g" base_Comment="_5I9KVMFMEea5pdrFDq-m2g"/>
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  <validation:Diagnostic xmi:id="_5I9xY8FMEea5pdrFDq-m2g" base_Constraint="_5I9xYcFMEea5pdrFDq-m2g" code="-1" message="The set of documents must be unique by the combination of profile &amp; mode"/>
  <validation:Diagnostic xmi:id="_5I-YcMFMEea5pdrFDq-m2g" base_Constraint="_5I9xZMFMEea5pdrFDq-m2g" code="-1" message="Capability Statements of kind 'instance' do not have implementation elements"/>
  <validation:Diagnostic xmi:id="_5I-_gMFMEea5pdrFDq-m2g" base_Constraint="_5I-YccFMEea5pdrFDq-m2g" code="-1" message="Messaging end-point is required (and is only permitted) when statement is for an implementation"/>
  <validation:Diagnostic xmi:id="_5I_mkMFMEea5pdrFDq-m2g" base_Constraint="_5I-_gcFMEea5pdrFDq-m2g" code="-1" message="Capability Statements of kind 'requirements' do not have software or implementation elements"/>
  <validation:Diagnostic xmi:id="_5I_mk8FMEea5pdrFDq-m2g" base_Constraint="_5I_mkcFMEea5pdrFDq-m2g" code="-1" message="A Capability Statement SHALL have at least one of description, software, or implementation"/>
  <validation:Diagnostic xmi:id="_5JANoMFMEea5pdrFDq-m2g" base_Constraint="_5I_mlMFMEea5pdrFDq-m2g" code="-1" message="A Capability Statement SHALL have at least one of REST, messaging or document"/>
  <validation:Diagnostic xmi:id="_5JA0sMFMEea5pdrFDq-m2g" base_Constraint="_5JANocFMEea5pdrFDq-m2g" code="-1" message="A given resource can only be described once per RESTful mode"/>
  <validation:Diagnostic xmi:id="_5JA0s8FMEea5pdrFDq-m2g" base_Constraint="_5JA0scFMEea5pdrFDq-m2g" code="-1" message="Search parameter names must be unique in the context of a resource"/>
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    <annotation>http://www.eclipse.org/emf/2002/GenModel documentation=''</annotation>
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  <fhir:Definition xmi:id="_5JCC3sFMEea5pdrFDq-m2g" base_Comment="_5JCC3cFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5JEfE8FMEea5pdrFDq-m2g" base_Comment="_5JEfEsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5JFGLMFMEea5pdrFDq-m2g" base_Comment="_5JFGK8FMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5JFtN8FMEea5pdrFDq-m2g" base_Comment="_5JFtNsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5JGUQ8FMEea5pdrFDq-m2g" base_Comment="_5JGUQsFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5NsgZsFMEea5pdrFDq-m2g" base_Comment="_5NsgZcFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5NtHcsFMEea5pdrFDq-m2g" base_Comment="_5NtHccFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5NtHesFMEea5pdrFDq-m2g" base_Comment="_5NtHecFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5RLSM8FMEea5pdrFDq-m2g" base_Comment="_5RLSMsFMEea5pdrFDq-m2g"/>
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  <fhir:ShortDescription xmi:id="_5RYtk8FMEea5pdrFDq-m2g" base_Comment="_5RYtksFMEea5pdrFDq-m2g"/>
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  <fhir:ValueSetBinding xmi:id="_5RZUocFMEea5pdrFDq-m2g" base_Property="_5RYtlsFMEea5pdrFDq-m2g" description="Benefit subcategories such as: oral-basic, major, glasses" valueSetReference="_5O2W8cFMEea5pdrFDq-m2g"/>
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  <fhir:Definition xmi:id="_5SUhs8FMEea5pdrFDq-m2g" base_Comment="_5SUhssFMEea5pdrFDq-m2g"/>
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